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UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN 401k Plan overview

Plan NameUROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN
Plan identification number 502

UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN Benefits

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

401k Sponsoring company profile

UROLOGY HEALTH SPECIALISTS, LLC has sponsored the creation of one or more 401k plans.

Company Name:UROLOGY HEALTH SPECIALISTS, LLC
Employer identification number (EIN):201982990
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about UROLOGY HEALTH SPECIALISTS, LLC

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number: 3287359

More information about UROLOGY HEALTH SPECIALISTS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-01-01ROBERT LEV
5022016-01-01ROBERT LEV
5022015-01-01ROBERT LEV

Plan Statistics for UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN

401k plan membership statisitcs for UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN

Measure Date Value
2017: UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01117
Total number of active participants reported on line 7a of the Form 55002017-01-01120
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 participants2017-01-01120
2016: UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01105
Total number of active participants reported on line 7a of the Form 55002016-01-01116
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01117
2015: UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0193
Total number of active participants reported on line 7a of the Form 55002015-01-01104
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01105

Financial Data on UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN

Measure Date Value
2017 : UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$128,465
Total plan liabilities at beginning of year2017-12-31$323,498
Total income from all sources2017-12-31$1,644,251
Expenses. Total of all expenses incurred2017-12-31$1,163,085
Benefits paid (including direct rollovers)2017-12-31$609,700
Total plan assets at end of year2017-12-31$294,516
Total plan assets at beginning of year2017-12-31$8,383
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$20,789
Expenses. Other expenses not covered elsewhere2017-12-31$485,778
Contributions received from other sources (not participants or employers)2017-12-31$169,541
Other income received2017-12-31$202
Net income (gross income less expenses)2017-12-31$481,166
Net plan assets at end of year (total assets less liabilities)2017-12-31$166,051
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$-315,115
Total contributions received or receivable from employer(s)2017-12-31$1,453,719
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$67,607
2016 : UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$323,498
Total plan liabilities at beginning of year2016-12-31$181,115
Total income from all sources2016-12-31$1,319,446
Expenses. Total of all expenses incurred2016-12-31$1,550,234
Benefits paid (including direct rollovers)2016-12-31$1,068,733
Total plan assets at end of year2016-12-31$8,383
Total plan assets at beginning of year2016-12-31$96,788
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$174,076
Expenses. Other expenses not covered elsewhere2016-12-31$403,544
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$88
Net income (gross income less expenses)2016-12-31$-230,788
Net plan assets at end of year (total assets less liabilities)2016-12-31$-315,115
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$-84,327
Total contributions received or receivable from employer(s)2016-12-31$1,145,282
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$77,957
2015 : UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$181,115
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$1,175,707
Expenses. Total of all expenses incurred2015-12-31$1,260,034
Benefits paid (including direct rollovers)2015-12-31$815,723
Total plan assets at end of year2015-12-31$96,788
Total plan assets at beginning of year2015-12-31$0
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$1,080,398
Expenses. Other expenses not covered elsewhere2015-12-31$390,387
Contributions received from other sources (not participants or employers)2015-12-31$13,433
Other income received2015-12-31$58
Net income (gross income less expenses)2015-12-31$-84,327
Net plan assets at end of year (total assets less liabilities)2015-12-31$-84,327
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$81,818
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$53,924

Form 5500 Responses for UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN

2017: UROLOGY HEALTH SPECIALISTS, LLC MEDICAL 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: UROLOGY HEALTH SPECIALISTS, LLC MEDICAL 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: UROLOGY HEALTH SPECIALISTS, LLC MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered120
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit 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?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
Welfare Benefit Premiums Paid to CarrierUSD $401,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered104
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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?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
Welfare Benefit Premiums Paid to CarrierUSD $262,633
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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