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AMERI HEALTH PPO 401k Plan overview

Plan NameAMERI HEALTH PPO
Plan identification number 501

AMERI HEALTH PPO Benefits

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

401k Sponsoring company profile

LARC SCHOOL.INC. has sponsored the creation of one or more 401k plans.

Company Name:LARC SCHOOL.INC.
Employer identification number (EIN):221978787
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERI HEALTH PPO

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012012-01-01SUSAN WEINER SUSAN WEINER2013-06-27

Financial Data on AMERI HEALTH PPO

Measure Date Value
2023 : AMERI HEALTH PPO 2023 401k financial data
Total plan liabilities at end of year2023-12-31$112,929
Total plan liabilities at beginning of year2023-12-31$119,670
Total income from all sources2023-12-31$1,198,486
Expenses. Total of all expenses incurred2023-12-31$1,160,520
Benefits paid (including direct rollovers)2023-12-31$716,310
Total plan assets at end of year2023-12-31$32,493
Total plan assets at beginning of year2023-12-31$1,268
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$192,666
Expenses. Other expenses not covered elsewhere2023-12-31$426,205
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$688
Net income (gross income less expenses)2023-12-31$37,966
Net plan assets at end of year (total assets less liabilities)2023-12-31$-80,436
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$-118,402
Total contributions received or receivable from employer(s)2023-12-31$1,005,132
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$18,005
2022 : AMERI HEALTH PPO 2022 401k financial data
Total plan liabilities at end of year2022-12-31$119,670
Total income from all sources2022-12-31$893,755
Expenses. Total of all expenses incurred2022-12-31$1,012,157
Benefits paid (including direct rollovers)2022-12-31$638,111
Total plan assets at end of year2022-12-31$1,268
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$185,209
Expenses. Other expenses not covered elsewhere2022-12-31$356,419
Contributions received from other sources (not participants or employers)2022-12-31$154
Other income received2022-12-31$79
Net income (gross income less expenses)2022-12-31$-118,402
Net plan assets at end of year (total assets less liabilities)2022-12-31$-118,402
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$708,313
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$17,627

Form 5500 Responses for AMERI HEALTH PPO

2023: AMERI HEALTH PPO 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: AMERI HEALTH PPO 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
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 funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: AMERI HEALTH PPO 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500869
Policy instance 1
Insurance contract or identification number30500869
Number of Individuals Covered74
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 $374,827
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: 26921 )
Policy contract number30500869
Policy instance 1
Insurance contract or identification number30500869
Number of Individuals Covered65
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitYes
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 $308,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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