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TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 401k Plan overview

Plan NameTRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN
Plan identification number 001

TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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

TRI-COUNTY MENTAL HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name:TRI-COUNTY MENTAL HEALTH SERVICES
Employer identification number (EIN):010316813
NAIC Classification:621420
NAIC Description:Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01CATHERINE RYDER2023-10-03
0012021-01-01CATHERINE RYDER2022-10-04
0012020-01-01CATHERINE RYDER2021-10-11
0012019-01-01CATHERINE RYDER2020-10-04
0012018-01-01CATHERINE RYDER2019-10-08
0012017-01-01
0012016-01-01
0012015-01-01CATHERINE RYDER CATHERINE RYDER2016-09-28
0012014-01-01CATHERINE RYDER CATHERINE RYDER2015-10-14
0012013-01-01CATHERINE R RYDER CATHERINE R RYDER2014-10-09
0012012-01-01CATHERINE R. RYDER CATHERINE R. RYDER2013-10-10
0012011-01-01CATHERINE RYDER CATHERINE RYDER2012-10-10
0012009-01-01CHRISTOPHER COPELAND

Plan Statistics for TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN

401k plan membership statisitcs for TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN

Measure Date Value
2022: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01294
Total number of active participants reported on line 7a of the Form 55002022-01-01197
Number of retired or separated participants receiving benefits2022-01-013
Number of other retired or separated participants entitled to future benefits2022-01-0197
Total of all active and inactive participants2022-01-01297
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01297
Number of participants with account balances2022-01-01219
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0120
2021: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01429
Total number of active participants reported on line 7a of the Form 55002021-01-01201
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-0189
Total of all active and inactive participants2021-01-01293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-011
Total participants2021-01-01294
Number of participants with account balances2021-01-01220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0115
2020: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01354
Total number of active participants reported on line 7a of the Form 55002020-01-01245
Number of retired or separated participants receiving benefits2020-01-013
Number of other retired or separated participants entitled to future benefits2020-01-01178
Total of all active and inactive participants2020-01-01426
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-013
Total participants2020-01-01429
Number of participants with account balances2020-01-01318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0117
2019: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01379
Total number of active participants reported on line 7a of the Form 55002019-01-01273
Number of retired or separated participants receiving benefits2019-01-013
Number of other retired or separated participants entitled to future benefits2019-01-0178
Total of all active and inactive participants2019-01-01354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01354
Number of participants with account balances2019-01-01233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0115
2018: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01412
Total number of active participants reported on line 7a of the Form 55002018-01-01302
Number of retired or separated participants receiving benefits2018-01-015
Number of other retired or separated participants entitled to future benefits2018-01-0172
Total of all active and inactive participants2018-01-01379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01379
Number of participants with account balances2018-01-01239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0110
2017: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01438
Total number of active participants reported on line 7a of the Form 55002017-01-01336
Number of retired or separated participants receiving benefits2017-01-014
Number of other retired or separated participants entitled to future benefits2017-01-0171
Total of all active and inactive participants2017-01-01411
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01412
Number of participants with account balances2017-01-01217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0111
2016: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01442
Total number of active participants reported on line 7a of the Form 55002016-01-01362
Number of retired or separated participants receiving benefits2016-01-015
Number of other retired or separated participants entitled to future benefits2016-01-0170
Total of all active and inactive participants2016-01-01437
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01438
Number of participants with account balances2016-01-01190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-017
2015: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01491
Total number of active participants reported on line 7a of the Form 55002015-01-01377
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0165
Total of all active and inactive participants2015-01-01442
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01442
Number of participants with account balances2015-01-01179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0110
2014: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01468
Total number of active participants reported on line 7a of the Form 55002014-01-01422
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0162
Total of all active and inactive participants2014-01-01484
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01484
Number of participants with account balances2014-01-01191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0110
2013: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01480
Total number of active participants reported on line 7a of the Form 55002013-01-01420
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0149
Total of all active and inactive participants2013-01-01469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01469
Number of participants with account balances2013-01-01183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-019
2012: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01478
Total number of active participants reported on line 7a of the Form 55002012-01-01425
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0150
Total of all active and inactive participants2012-01-01475
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01475
Number of participants with account balances2012-01-01174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0112
2011: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01503
Total number of active participants reported on line 7a of the Form 55002011-01-01411
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0160
Total of all active and inactive participants2011-01-01471
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01471
Number of participants with account balances2011-01-01181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-016
2009: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01479
Total number of active participants reported on line 7a of the Form 55002009-01-01381
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0164
Total of all active and inactive participants2009-01-01445
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01445
Number of participants with account balances2009-01-01212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-014

Financial Data on TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN

Measure Date Value
2022 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-601,435
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,206,741
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,144,133
Value of total corrective distributions2022-12-31$349
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$431,303
Value of total assets at end of year2022-12-31$5,165,085
Value of total assets at beginning of year2022-12-31$6,973,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$62,259
Total interest from all sources2022-12-31$6,277
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
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$336,380
Participant contributions at end of year2022-12-31$44,374
Participant contributions at beginning of year2022-12-31$69,471
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$5,474
Total non interest bearing cash at end of year2022-12-31$9
Total non interest bearing cash at beginning of year2022-12-31$3
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,808,176
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,165,085
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,973,261
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$4,884,061
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$6,647,610
Value of interest in pooled separate accounts at end of year2022-12-31$37,541
Value of interest in pooled separate accounts at beginning of year2022-12-31$47,693
Interest on participant loans2022-12-31$1,754
Interest earned on other investments2022-12-31$4,523
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$199,100
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$208,484
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,028,863
Net investment gain/loss from pooled separate accounts2022-12-31$-10,152
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$89,449
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,144,133
Contract administrator fees2022-12-31$62,259
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 name2022-12-31RUNYON KERSTEEN & OUELLETTE
Accountancy firm EIN2022-12-31010440155
2021 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,206,891
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$946,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$882,117
Value of total corrective distributions2021-12-31$425
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$374,409
Value of total assets at end of year2021-12-31$6,973,261
Value of total assets at beginning of year2021-12-31$6,712,838
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$63,926
Total interest from all sources2021-12-31$6,797
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
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$283,003
Participant contributions at end of year2021-12-31$69,471
Participant contributions at beginning of year2021-12-31$54,622
Total non interest bearing cash at end of year2021-12-31$3
Total non interest bearing cash at beginning of year2021-12-31$3
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$260,423
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,973,261
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$6,712,838
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$6,647,610
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$6,418,500
Value of interest in pooled separate accounts at end of year2021-12-31$47,693
Value of interest in pooled separate accounts at beginning of year2021-12-31$41,147
Interest on participant loans2021-12-31$2,155
Interest earned on other investments2021-12-31$4,642
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$208,484
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$198,566
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$819,139
Net investment gain/loss from pooled separate accounts2021-12-31$6,546
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$91,406
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$882,117
Contract administrator fees2021-12-31$63,926
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 name2021-12-31RUNYON KERSTEEN & OUELLETTE
Accountancy firm EIN2021-12-31010440155
2020 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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$0
Total income from all sources (including contributions)2020-12-31$1,228,068
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$592,166
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$534,573
Value of total corrective distributions2020-12-31$1,339
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$389,236
Value of total assets at end of year2020-12-31$6,712,838
Value of total assets at beginning of year2020-12-31$6,076,936
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$56,254
Total interest from all sources2020-12-31$9,772
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
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$281,255
Participant contributions at end of year2020-12-31$54,622
Participant contributions at beginning of year2020-12-31$78,536
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$25,711
Total non interest bearing cash at end of year2020-12-31$3
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$635,902
Value of net assets at end of year (total assets less liabilities)2020-12-31$6,712,838
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,076,936
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$6,418,500
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$5,716,745
Value of interest in pooled separate accounts at end of year2020-12-31$41,147
Value of interest in pooled separate accounts at beginning of year2020-12-31$55,473
Interest on participant loans2020-12-31$3,998
Interest earned on other investments2020-12-31$5,774
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$198,566
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$226,182
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$821,932
Net investment gain/loss from pooled separate accounts2020-12-31$7,128
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 contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$82,270
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$534,573
Contract administrator fees2020-12-31$56,254
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 name2020-12-31RUNYON KERSTENN & OUELETTE
Accountancy firm EIN2020-12-31010440155
2019 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$54,665
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,593,966
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$672,204
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$576,790
Expenses. Certain deemed distributions of participant loans2019-12-31$27,941
Value of total corrective distributions2019-12-31$2,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$575,629
Value of total assets at end of year2019-12-31$6,076,936
Value of total assets at beginning of year2019-12-31$5,100,509
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$65,396
Total interest from all sources2019-12-31$9,562
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$140,392
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$140,392
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
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$341,612
Participant contributions at end of year2019-12-31$78,536
Participant contributions at beginning of year2019-12-31$80,670
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$139,497
Total non interest bearing cash at beginning of year2019-12-31$53,306
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$921,762
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,076,936
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,100,509
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$5,716,745
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,715,209
Value of interest in pooled separate accounts at end of year2019-12-31$55,473
Value of interest in pooled separate accounts at beginning of year2019-12-31$43,847
Interest on participant loans2019-12-31$3,571
Interest earned on other investments2019-12-31$5,991
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$226,182
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$207,477
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$857,568
Net investment gain/loss from pooled separate accounts2019-12-31$10,815
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 contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$94,520
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$576,790
Contract administrator fees2019-12-31$65,396
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 name2019-12-31RUNYON KERSTEEN & OUELETTE
Accountancy firm EIN2019-12-31010440155
2018 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets to this plan2018-12-31$53,304
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
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$116,119
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$477,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$413,186
Value of total corrective distributions2018-12-31$2,706
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$375,384
Value of total assets at end of year2018-12-31$5,100,509
Value of total assets at beginning of year2018-12-31$5,409,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$62,035
Total interest from all sources2018-12-31$10,155
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$143,418
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$143,418
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
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$284,375
Participant contributions at end of year2018-12-31$80,670
Participant contributions at beginning of year2018-12-31$62,465
Total non interest bearing cash at end of year2018-12-31$53,306
Total non interest bearing cash at beginning of year2018-12-31$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-361,808
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,100,509
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,409,013
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$4,715,209
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$5,038,904
Value of interest in pooled separate accounts at end of year2018-12-31$43,847
Value of interest in pooled separate accounts at beginning of year2018-12-31$41,401
Interest on participant loans2018-12-31$2,934
Interest earned on other investments2018-12-31$7,221
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$207,477
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$266,241
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-409,113
Net investment gain/loss from pooled separate accounts2018-12-31$-3,725
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 contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$91,009
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$413,186
Contract administrator fees2018-12-31$62,035
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 name2018-12-31RUNYON KERSTEEN & OUELETTE
Accountancy firm EIN2018-12-31010440155
2017 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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$1,220,409
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,203,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,148,847
Value of total corrective distributions2017-12-31$2,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$476,230
Value of total assets at end of year2017-12-31$5,409,013
Value of total assets at beginning of year2017-12-31$5,392,049
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$51,742
Total interest from all sources2017-12-31$15,521
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$114,215
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$114,215
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
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$299,838
Participant contributions at end of year2017-12-31$62,465
Participant contributions at beginning of year2017-12-31$37,530
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$71,360
Total non interest bearing cash at end of year2017-12-31$2
Total non interest bearing cash at beginning of year2017-12-31$14,922
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$16,964
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,409,013
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,392,049
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$5,038,904
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$4,880,572
Value of interest in pooled separate accounts at end of year2017-12-31$41,401
Value of interest in pooled separate accounts at beginning of year2017-12-31$23,456
Interest on participant loans2017-12-31$5,997
Interest earned on other investments2017-12-31$9,524
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$266,241
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$435,569
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$608,369
Net investment gain/loss from pooled separate accounts2017-12-31$6,074
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 contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$105,032
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,148,847
Contract administrator fees2017-12-31$51,742
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 name2017-12-31RUNYON KERSTEEN & OUELLETTE
Accountancy firm EIN2017-12-31010440155
2016 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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$808,420
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$440,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$440,727
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$424,415
Value of total assets at end of year2016-12-31$5,392,049
Value of total assets at beginning of year2016-12-31$5,024,356
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$0
Total interest from all sources2016-12-31$17,223
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$115,142
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$115,142
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
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$274,619
Participant contributions at end of year2016-12-31$37,530
Participant contributions at beginning of year2016-12-31$46,456
Participant contributions at beginning of year2016-12-31$18
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$47,885
Total non interest bearing cash at end of year2016-12-31$14,922
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$367,693
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,392,049
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,024,356
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$4,880,572
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$4,488,409
Value of interest in pooled separate accounts at end of year2016-12-31$23,456
Interest on participant loans2016-12-31$1,449
Interest earned on other investments2016-12-31$15,774
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$435,569
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$489,143
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$-119,184
Net investment gain/loss from pooled separate accounts2016-12-31$370,824
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$101,911
Employer contributions (assets) at beginning of year2016-12-31$330
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$440,727
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
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 name2016-12-31RUNYON KERSTEEN & OUELLETTE
Accountancy firm EIN2016-12-31010440155
2015 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2015 401k financial data
Total transfer of assets to this plan2015-12-31$0
Total transfer of assets from this plan2015-12-31$0
Total income from all sources (including contributions)2015-12-31$382,505
Total of all expenses incurred2015-12-31$403,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$390,625
Expenses. Certain deemed distributions of participant loans2015-12-31$4,092
Value of total corrective distributions2015-12-31$2,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$432,543
Value of total assets at end of year2015-12-31$5,024,356
Value of total assets at beginning of year2015-12-31$5,045,813
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$7,141
Total interest from all sources2015-12-31$15,966
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$7,141
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
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$309,611
Participant contributions at end of year2015-12-31$46,456
Participant contributions at beginning of year2015-12-31$41,760
Participant contributions at end of year2015-12-31$18
Participant contributions at beginning of year2015-12-31$35
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$18,805
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$64
Other income not declared elsewhere2015-12-31$2
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
Income. Non cash contributions2015-12-31$0
Value of net income/loss2015-12-31$-21,457
Value of net assets at end of year (total assets less liabilities)2015-12-31$5,024,356
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,045,813
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$4,488,409
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$4,513,646
Interest on participant loans2015-12-31$1,485
Interest earned on other investments2015-12-31$14,481
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$489,143
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$489,981
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-66,006
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 contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$104,127
Employer contributions (assets) at end of year2015-12-31$330
Employer contributions (assets) at beginning of year2015-12-31$327
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$390,625
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 name2015-12-31RUNYON KERSTEEN & OUELLETTE
Accountancy firm EIN2015-12-31010440155
2014 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2014 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$268
Total income from all sources (including contributions)2014-12-31$775,648
Total of all expenses incurred2014-12-31$394,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$377,848
Expenses. Certain deemed distributions of participant loans2014-12-31$5,298
Value of total corrective distributions2014-12-31$2,893
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$529,015
Value of total assets at end of year2014-12-31$5,045,813
Value of total assets at beginning of year2014-12-31$4,664,631
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$8,159
Total interest from all sources2014-12-31$16,907
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$8,159
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
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$331,075
Participant contributions at end of year2014-12-31$41,760
Participant contributions at beginning of year2014-12-31$75,611
Participant contributions at end of year2014-12-31$35
Participant contributions at beginning of year2014-12-31$124
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$87,370
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$64
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$268
Other income not declared elsewhere2014-12-31$79
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$381,450
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,045,813
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,664,363
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$4,513,646
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$4,091,337
Interest on participant loans2014-12-31$2,247
Interest earned on other investments2014-12-31$14,660
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$489,981
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$497,533
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$229,647
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$110,570
Employer contributions (assets) at end of year2014-12-31$327
Employer contributions (assets) at beginning of year2014-12-31$26
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$377,848
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 name2014-12-31RUNYON KERSTEEN & OUELLETTE
Accountancy firm EIN2014-12-31010440155
2013 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$268
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,576
Total income from all sources (including contributions)2013-12-31$1,179,099
Total of all expenses incurred2013-12-31$964,214
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$964,818
Expenses. Certain deemed distributions of participant loans2013-12-31$-1,837
Value of total corrective distributions2013-12-31$1,233
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$466,233
Value of total assets at end of year2013-12-31$4,664,631
Value of total assets at beginning of year2013-12-31$4,451,054
Total interest from all sources2013-12-31$19,249
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
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$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
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$330,145
Participant contributions at end of year2013-12-31$75,611
Participant contributions at beginning of year2013-12-31$48,105
Participant contributions at end of year2013-12-31$124
Participant contributions at beginning of year2013-12-31$48
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$26,733
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$268
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,576
Other income not declared elsewhere2013-12-31$766
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$214,885
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,664,363
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,449,478
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$4,091,337
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,866,863
Interest on participant loans2013-12-31$3,616
Interest earned on other investments2013-12-31$15,633
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$497,533
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$536,005
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$692,851
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$109,355
Employer contributions (assets) at end of year2013-12-31$26
Employer contributions (assets) at beginning of year2013-12-31$33
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$964,818
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 name2013-12-31RUNYON KERSTEEN & OUELLETTE
Accountancy firm EIN2013-12-31010440155
2012 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$0
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets to this plan2012-12-31$0
Total transfer of assets from this plan2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,576
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$155
Expenses. Interest paid2012-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-12-31$0
Total income from all sources (including contributions)2012-12-31$838,294
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$742,345
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$713,404
Expenses. Certain deemed distributions of participant loans2012-12-31$11,009
Value of total corrective distributions2012-12-31$2,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$350,151
Value of total assets at end of year2012-12-31$4,451,054
Value of total assets at beginning of year2012-12-31$4,353,684
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$15,868
Total income from rents2012-12-31$0
Total interest from all sources2012-12-31$17,813
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
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$0
Administrative expenses professional fees incurred2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
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$290,364
Participant contributions at end of year2012-12-31$48,105
Participant contributions at beginning of year2012-12-31$27,736
Participant contributions at end of year2012-12-31$48
Participant contributions at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$7,381
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,576
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$155
Other income not declared elsewhere2012-12-31$0
Administrative expenses (other) incurred2012-12-31$15,868
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
Income. Non cash contributions2012-12-31$0
Value of net income/loss2012-12-31$95,949
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,449,478
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,353,529
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
Investment advisory and management fees2012-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$3,866,863
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$3,768,568
Interest on participant loans2012-12-31$1,471
Income. Interest from loans (other than to participants)2012-12-31$0
Interest earned on other investments2012-12-31$16,342
Income. Interest from US Government securities2012-12-31$0
Income. Interest from corporate debt instruments2012-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$536,005
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$556,114
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$470,330
Net investment gain/loss from pooled separate accounts2012-12-31$0
Net investment gain or loss from common/collective trusts2012-12-31$0
Net gain/loss from 103.12 investment entities2012-12-31$0
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$52,406
Employer contributions (assets) at end of year2012-12-31$33
Employer contributions (assets) at beginning of year2012-12-31$1,266
Income. Dividends from preferred stock2012-12-31$0
Income. Dividends from common stock2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$713,404
Contract administrator fees2012-12-31$0
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
Aggregate proceeds on sale of assets2012-12-31$0
Aggregate carrying amount (costs) on sale of assets2012-12-31$0
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 name2012-12-31RUNYON KERSTEEN & OUELLETTE
Accountancy firm EIN2012-12-31010440155
2011 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$0
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$0
Total transfer of assets from this plan2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$155
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Expenses. Interest paid2011-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022011-12-31$0
Total income from all sources (including contributions)2011-12-31$303,470
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$600,562
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$591,484
Expenses. Certain deemed distributions of participant loans2011-12-31$9,078
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$400,691
Value of total assets at end of year2011-12-31$4,353,684
Value of total assets at beginning of year2011-12-31$4,650,621
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total income from rents2011-12-31$0
Total interest from all sources2011-12-31$16,668
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
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
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$309,532
Participant contributions at end of year2011-12-31$27,736
Participant contributions at beginning of year2011-12-31$35,296
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$4,127
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$7,288
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$206
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$155
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Other income not declared elsewhere2011-12-31$0
Administrative expenses (other) incurred2011-12-31$0
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
Income. Non cash contributions2011-12-31$0
Value of net income/loss2011-12-31$-297,092
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,353,529
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,650,621
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
Investment advisory and management fees2011-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$3,768,568
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$4,043,097
Interest on participant loans2011-12-31$0
Income. Interest from loans (other than to participants)2011-12-31$0
Interest earned on other investments2011-12-31$16,668
Income. Interest from US Government securities2011-12-31$0
Income. Interest from corporate debt instruments2011-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$556,114
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$556,327
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-113,889
Net investment gain/loss from pooled separate accounts2011-12-31$0
Net investment gain or loss from common/collective trusts2011-12-31$0
Net gain/loss from 103.12 investment entities2011-12-31$0
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$83,871
Employer contributions (assets) at end of year2011-12-31$1,266
Employer contributions (assets) at beginning of year2011-12-31$11,568
Income. Dividends from preferred stock2011-12-31$0
Income. Dividends from common stock2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$591,484
Contract administrator fees2011-12-31$0
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
Aggregate proceeds on sale of assets2011-12-31$0
Aggregate carrying amount (costs) on sale of assets2011-12-31$0
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 name2011-12-31RUNYON KERSTEEN & OUELLETTE
Accountancy firm EIN2011-12-31010440155
2010 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets to this plan2010-12-31$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$971,433
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$320,759
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$316,796
Expenses. Certain deemed distributions of participant loans2010-12-31$3,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$472,533
Value of total assets at end of year2010-12-31$4,650,621
Value of total assets at beginning of year2010-12-31$3,999,947
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$18,017
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$1,000,000
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$323,542
Participant contributions at end of year2010-12-31$35,296
Participant contributions at beginning of year2010-12-31$20,578
Participant contributions at end of year2010-12-31$4,127
Participant contributions at beginning of year2010-12-31$0
Assets. Other investments not covered elsewhere at end of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$41,480
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$206
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$-159
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$0
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
Income. Non cash contributions2010-12-31$0
Value of net income/loss2010-12-31$650,674
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,650,621
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,999,947
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$4,043,097
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$3,441,115
Value of interest in pooled separate accounts at beginning of year2010-12-31$0
Interest on participant loans2010-12-31$1,793
Interest earned on other investments2010-12-31$16,224
Income. Interest from US Government securities2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$556,327
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$534,766
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$480,883
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$107,511
Employer contributions (assets) at end of year2010-12-31$11,568
Employer contributions (assets) at beginning of year2010-12-31$3,647
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$316,796
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 name2010-12-31RKO
Accountancy firm EIN2010-12-31010440155
2009 : TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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 TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN

2022: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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 benefit arrangement – InsuranceYes
2014: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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 benefit arrangement – InsuranceYes
2013: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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 benefit arrangement – InsuranceYes
2012: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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 funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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 funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: TRI-COUNTY MENTAL HEALTH SERVICES 403(B) PLAN 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 funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 2
Insurance contract or identification numberVF6901
Number of Individuals Covered16
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $61
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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number810980
Policy instance 1
Insurance contract or identification number810980
Number of Individuals Covered297
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 2
Insurance contract or identification numberVF6901
Number of Individuals Covered16
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $64
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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number810980
Policy instance 1
Insurance contract or identification number810980
Number of Individuals Covered294
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 2
Insurance contract or identification numberVF6901
Number of Individuals Covered16
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $121
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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $121
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number810980
Policy instance 1
Insurance contract or identification number810980
Number of Individuals Covered429
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 2
Insurance contract or identification numberVF6901
Number of Individuals Covered23
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $176
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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $176
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number810980
Policy instance 1
Insurance contract or identification number810980
Number of Individuals Covered354
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number810980
Policy instance 1
Insurance contract or identification number810980
Number of Individuals Covered379
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 2
Insurance contract or identification numberVF6901
Number of Individuals Covered27
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $224
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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $224
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 2
Insurance contract or identification numberVF6901
Number of Individuals Covered29
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $320
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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $226
Insurance broker organization code?3
Insurance broker namePROEQUITIES
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number810980
Policy instance 1
Insurance contract or identification number810980
Number of Individuals Covered412
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 1
Insurance contract or identification numberVF6901
Number of Individuals Covered179
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,145
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $645
Insurance broker organization code?3
Insurance broker nameMETLIFE SECURITIES, INC.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 1
Insurance contract or identification numberVF6901
Number of Individuals Covered191
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,260
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $10,212
Insurance broker organization code?3
Insurance broker namePROEQUITIES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 1
Insurance contract or identification numberVF6901
Number of Individuals Covered183
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $9,120
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $8,958
Insurance broker organization code?3
Insurance broker namePROEQUITIES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 1
Insurance contract or identification numberVF6901
Number of Individuals Covered174
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,764
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $87
Insurance broker organization code?3
Insurance broker nameNEW ENGLAND SECURITIES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 1
Insurance contract or identification numberVF6901
Number of Individuals Covered181
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $7,028
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVF6901
Policy instance 1
Insurance contract or identification numberVF6901
Number of Individuals Covered197
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $7,031
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,031
Insurance broker organization code?4
Insurance broker namePROEQUITIES INC.

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