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WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 401k Plan overview

Plan NameWINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN
Plan identification number 003

WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WINDHAM COMMUNITY MEMORIAL HOSPITAL INC has sponsored the creation of one or more 401k plans.

Company Name:WINDHAM COMMUNITY MEMORIAL HOSPITAL INC
Employer identification number (EIN):060646966
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032017-01-01
0032016-01-01
0032015-01-01MARK LAPIERRE
0032015-01-01
0032014-01-01MARK LAPIERRE
0032014-01-01MARK LAPIERRE
0032013-01-01WILLIAM LOCKHART
0032012-01-01MYRA DENAPOLI
0032011-01-01MARTIN LEVINE
0032009-01-01MARTIN LEVINE, SPHR MARTIN LEVINE, SPHR2010-10-15

Plan Statistics for WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN

401k plan membership statisitcs for WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN

Measure Date Value
2017: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01190
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01418
Total number of active participants reported on line 7a of the Form 55002016-01-01183
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-017
Total of all active and inactive participants2016-01-01190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01190
Number of participants with account balances2016-01-01190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01411
Total number of active participants reported on line 7a of the Form 55002015-01-01324
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0194
Total of all active and inactive participants2015-01-01418
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01418
Number of participants with account balances2015-01-01418
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0119
2014: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01412
Total number of active participants reported on line 7a of the Form 55002014-01-01359
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0152
Total of all active and inactive participants2014-01-01411
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01411
Number of participants with account balances2014-01-01411
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01452
Total number of active participants reported on line 7a of the Form 55002013-01-01403
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-019
Total of all active and inactive participants2013-01-01412
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01412
Number of participants with account balances2013-01-01354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01453
Total number of active participants reported on line 7a of the Form 55002012-01-01403
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0149
Total of all active and inactive participants2012-01-01452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01452
Number of participants with account balances2012-01-01450
2011: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01464
Total number of active participants reported on line 7a of the Form 55002011-01-01423
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0128
Total of all active and inactive participants2011-01-01451
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01451
Number of participants with account balances2011-01-01451
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0199
Total number of active participants reported on line 7a of the Form 55002009-01-0199
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-017
Total of all active and inactive participants2009-01-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01106
Number of participants with account balances2009-01-0196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN

Measure Date Value
2017 : WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2017 401k financial data
Total transfer of assets from this plan2017-12-31$11,824,969
Total income from all sources (including contributions)2017-12-31$2,583,521
Total of all expenses incurred2017-12-31$857,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$832,416
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,300,973
Value of total assets at end of year2017-12-31$0
Value of total assets at beginning of year2017-12-31$10,099,049
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$25,185
Total interest from all sources2017-12-31$39,157
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$158,913
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$158,913
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$5,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers2017-12-310
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Minimum employer required contribution for this plan year2017-12-31$0
Amount contributed by the employer to the plan for this plan year2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$656,282
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$97,047
Administrative expenses (other) incurred2017-12-31$25,185
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$1,725,920
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$10,099,049
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$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$7,403,729
Interest on participant loans2017-12-31$7,859
Interest earned on other investments2017-12-31$31,298
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$2,004,213
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,084,478
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$644,691
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$594,060
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$832,416
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31Yes
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 name2017-12-31FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN2017-12-31061648707
2016 : WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2016 401k financial data
Total transfer of assets from this plan2016-12-31$11,608,035
Total income from all sources (including contributions)2016-12-31$2,746,533
Total of all expenses incurred2016-12-31$2,388,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,375,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,473,191
Value of total assets at end of year2016-12-31$10,099,049
Value of total assets at beginning of year2016-12-31$21,349,149
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$13,384
Total interest from all sources2016-12-31$72,018
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$202,112
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$202,112
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers2016-12-310
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Minimum employer required contribution for this plan year2016-12-31$0
Amount contributed by the employer to the plan for this plan year2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$738,660
Participant contributions at end of year2016-12-31$97,047
Participant contributions at beginning of year2016-12-31$319,081
Assets. Other investments not covered elsewhere at end of year2016-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$36,946
Other income not declared elsewhere2016-12-31$-605
Administrative expenses (other) incurred2016-12-31$13,384
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$357,935
Value of net assets at end of year (total assets less liabilities)2016-12-31$10,099,049
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$21,349,149
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$7,403,729
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$16,073,609
Interest on participant loans2016-12-31$13,699
Interest earned on other investments2016-12-31$58,319
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$2,004,213
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$3,704,052
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$999,817
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$734,531
Employer contributions (assets) at end of year2016-12-31$594,060
Employer contributions (assets) at beginning of year2016-12-31$1,215,461
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,375,214
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 name2016-12-31FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN2016-12-31061648707
2015 : WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$2,492,812
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,355,579
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,310,957
Expenses. Certain deemed distributions of participant loans2015-12-31$11,881
Value of total corrective distributions2015-12-31$5,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,068,598
Value of total assets at end of year2015-12-31$21,349,149
Value of total assets at beginning of year2015-12-31$20,211,916
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$27,361
Total interest from all sources2015-12-31$71,961
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$264,238
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$264,238
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,541,329
Participant contributions at end of year2015-12-31$319,081
Participant contributions at beginning of year2015-12-31$204,802
Participant contributions at beginning of year2015-12-31$2,232
Assets. Other investments not covered elsewhere at end of year2015-12-31$36,946
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$28,354
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$1,205
Other income not declared elsewhere2015-12-31$-5,919
Administrative expenses (other) incurred2015-12-31$27,361
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,137,233
Value of net assets at end of year (total assets less liabilities)2015-12-31$21,349,149
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$20,211,916
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$16,073,609
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$15,381,068
Interest on participant loans2015-12-31$11,664
Interest earned on other investments2015-12-31$60,297
Value of interest in common/collective trusts at beginning of year2015-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$3,704,052
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$3,415,071
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-906,066
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,526,064
Employer contributions (assets) at end of year2015-12-31$1,215,461
Employer contributions (assets) at beginning of year2015-12-31$1,180,389
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,310,957
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 name2015-12-31FIONDELLA, MILONE & LASARACINA LLP
Accountancy firm EIN2015-12-31061648707
2014 : WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$4,230,652
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$2,249,165
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,958,449
Expenses. Certain deemed distributions of participant loans2014-12-31$163,953
Value of total corrective distributions2014-12-31$104,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,156,569
Value of total assets at end of year2014-12-31$20,211,916
Value of total assets at beginning of year2014-12-31$18,230,429
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$21,777
Total interest from all sources2014-12-31$63,543
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$288,752
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$288,752
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31Yes
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$1,560,055
Participant contributions at end of year2014-12-31$204,802
Participant contributions at beginning of year2014-12-31$348,736
Participant contributions at end of year2014-12-31$2,232
Participant contributions at beginning of year2014-12-31$0
Assets. Other investments not covered elsewhere at end of year2014-12-31$28,354
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$84,991
Other income not declared elsewhere2014-12-31$-8,131
Administrative expenses (other) incurred2014-12-31$21,777
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,981,487
Value of net assets at end of year (total assets less liabilities)2014-12-31$20,211,916
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$18,230,429
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$15,381,068
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$16,516,826
Interest on participant loans2014-12-31$10,146
Interest earned on other investments2014-12-31$53,336
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest in common/collective trusts at beginning of year2014-12-31$1,364,834
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$33
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$33
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$61
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$3,415,071
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$729,919
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$1,511,523
Employer contributions (assets) at end of year2014-12-31$1,180,389
Employer contributions (assets) at beginning of year2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,958,449
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31Yes
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 name2014-12-31CROWE HORWATH
Accountancy firm EIN2014-12-31350921680
2013 : WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$2,119,210
Total unrealized appreciation/depreciation of assets2013-12-31$2,119,210
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$5,661,892
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,698,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,694,452
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,136,307
Value of total assets at end of year2013-12-31$18,230,429
Value of total assets at beginning of year2013-12-31$14,267,039
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$4,050
Total interest from all sources2013-12-31$12,469
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$448,064
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$448,064
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,597,707
Participant contributions at end of year2013-12-31$348,736
Participant contributions at beginning of year2013-12-31$272,426
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$36,774
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,963,390
Value of net assets at end of year (total assets less liabilities)2013-12-31$18,230,429
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$14,267,039
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$16,516,826
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$12,614,094
Interest on participant loans2013-12-31$12,469
Value of interest in master investment trust accounts at end of year2013-12-31$0
Value of interest in master investment trust accounts at beginning of year2013-12-31$1,255,471
Value of interest in common/collective trusts at end of year2013-12-31$1,364,834
Value of interest in common/collective trusts at beginning of year2013-12-31$1,255,471
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$33
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$56,519
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$56,519
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 contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,538,600
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$31,755
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,694,452
Contract administrator fees2013-12-31$4,050
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 name2013-12-31MARCUM, LLP
Accountancy firm EIN2013-12-31111986323
2012 : WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$1,195,659
Total unrealized appreciation/depreciation of assets2012-12-31$1,195,659
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$4,930,495
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$974,952
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$970,902
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$3,487,700
Value of total assets at end of year2012-12-31$14,267,039
Value of total assets at beginning of year2012-12-31$10,311,496
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$4,050
Total interest from all sources2012-12-31$10,029
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$256,214
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$256,214
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,852,801
Participant contributions at end of year2012-12-31$272,426
Participant contributions at beginning of year2012-12-31$223,025
Participant contributions at end of year2012-12-31$36,774
Participant contributions at beginning of year2012-12-31$23,245
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$23,132
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$3,955,543
Value of net assets at end of year (total assets less liabilities)2012-12-31$14,267,039
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$10,311,496
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$12,614,094
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$8,836,816
Interest on participant loans2012-12-31$10,029
Value of interest in master investment trust accounts at end of year2012-12-31$1,255,471
Value of interest in master investment trust accounts at beginning of year2012-12-31$1,175,667
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$56,519
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$23
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$23
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 contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,611,767
Employer contributions (assets) at end of year2012-12-31$31,755
Employer contributions (assets) at beginning of year2012-12-31$52,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$970,902
Contract administrator fees2012-12-31$4,050
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31MARCUM, LLP
Accountancy firm EIN2012-12-31111986323
2011 : WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-486,189
Total unrealized appreciation/depreciation of assets2011-12-31$-486,189
Total transfer of assets to this plan2011-12-31$118,452
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$2,895,933
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$325,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$313,789
Value of total corrective distributions2011-12-31$7,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$3,136,560
Value of total assets at end of year2011-12-31$10,235,532
Value of total assets at beginning of year2011-12-31$7,546,320
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$4,200
Total interest from all sources2011-12-31$6,424
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$151,433
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$151,433
Administrative expenses professional fees incurred2011-12-31$4,200
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,666,223
Participant contributions at end of year2011-12-31$223,025
Participant contributions at beginning of year2011-12-31$108,660
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$6,687
Total non interest bearing cash at end of year2011-12-31$0
Total non interest bearing cash at beginning of year2011-12-31$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
Value of net income/loss2011-12-31$2,570,760
Value of net assets at end of year (total assets less liabilities)2011-12-31$10,235,532
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$7,546,320
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$8,836,816
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$6,745,808
Interest on participant loans2011-12-31$6,424
Value of interest in master investment trust accounts at end of year2011-12-31$1,175,668
Value of interest in master investment trust accounts at beginning of year2011-12-31$691,852
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$23
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$54,522
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$1,463,650
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$313,789
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31MARCUM, LLP
Accountancy firm EIN2011-12-31111986323
2010 : WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets to this plan2010-12-31$1,389,963
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$3,829,577
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$160,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$159,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$3,131,034
Value of total assets at end of year2010-12-31$7,546,320
Value of total assets at beginning of year2010-12-31$2,487,408
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,350
Total interest from all sources2010-12-31$1,943
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$136,576
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$136,576
Administrative expenses professional fees incurred2010-12-31$1,350
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
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$1,652,018
Participant contributions at end of year2010-12-31$108,660
Participant contributions at beginning of year2010-12-31$16,991
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$5,543
Total non interest bearing cash at end of year2010-12-31$0
Total non interest bearing cash at beginning 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
Value of net income/loss2010-12-31$3,668,949
Value of net assets at end of year (total assets less liabilities)2010-12-31$7,546,320
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,487,408
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$6,745,808
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$2,212,015
Interest on participant loans2010-12-31$1,943
Value of interest in master investment trust accounts at end of year2010-12-31$691,852
Value of interest in master investment trust accounts at beginning of year2010-12-31$247,343
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$519,942
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$1,479,016
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$5,516
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$159,278
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 name2010-12-31MARCUM, LLP
Accountancy firm EIN2010-12-31111986323

Form 5500 Responses for WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN

2017: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
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: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: WINDHAM HOSPITAL DEFINED CONTRIBUTION 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 – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: WINDHAM HOSPITAL DEFINED CONTRIBUTION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: WINDHAM HOSPITAL DEFINED CONTRIBUTION 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number074136
Policy instance 1
Insurance contract or identification number074136
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number074136
Policy instance 1
Insurance contract or identification number074136
Number of Individuals Covered418
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number074136
Policy instance 1
Insurance contract or identification number074136
Number of Individuals Covered411
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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

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