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BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 401k Plan overview

Plan NameBRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN
Plan identification number 001

BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BRISTOL HOSPITAL & HEALTH CARE GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:BRISTOL HOSPITAL & HEALTH CARE GROUP, INC.
Employer identification number (EIN):222577726
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-10-01
0012019-10-01
0012018-10-01
0012018-10-01
0012017-10-01
0012016-10-01RICHARD BRAAM RICHARD BRAAM2018-07-16
0012015-10-01JEANINE RECKDENWALD JEANINE RECKDENWALD2017-07-17
0012014-10-01JEANINE RECKDENWALD JEANINE RECKDENWALD2016-07-15
0012013-10-01JEANINE RECKDENWALD JEANINE RECKDENWALD2015-08-05
0012012-10-01JEANINE RECKDENWALD JEANINE RECKDENWALD2014-07-15
0012011-10-01JEANINE RECKDENWALD JEANINE RECKDENWALD2013-07-15
0012010-10-01JEANINE RECKDENWALD JEANINE RECKDENWALD2012-07-13
0012009-10-01JEANINE RECKDENWALD JEANINE RECKDENWALD2011-07-15

Plan Statistics for BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN

401k plan membership statisitcs for BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN

Measure Date Value
2019: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01633
Total number of active participants reported on line 7a of the Form 55002019-10-010
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-010
Market value of plan assets2019-09-3079,302,488
Acturial value of plan assets2019-09-3078,725,129
Funding target for retired participants and beneficiaries receiving payment2019-09-3035,454,270
Number of terminated vested participants2019-09-30338
Fundng target for terminated vested participants2019-09-3016,966,988
Active participant vested funding target2019-09-3016,616,779
Number of active participants2019-09-30340
Total funding liabilities for active participants2019-09-3016,663,859
Total participant count2019-09-301,127
Total funding target for all participants2019-09-3069,085,117
Balance at beginning of prior year after applicable adjustments2019-09-300
Prefunding balance at beginning of prior year after applicable adjustments2019-09-300
Carryover balanced portion elected for use to offset prior years funding requirement2019-09-300
Prefunding balanced used to offset prior years funding requirement2019-09-300
Amount remaining of carryover balance2019-09-300
Amount remaining of prefunding balance2019-09-300
Present value of excess contributions2019-09-3012,382,133
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2019-09-3013,110,202
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2019-09-300
Reductions in caryover balances due to elections or deemed elections2019-09-300
Reductions in prefunding balances due to elections or deemed elections2019-09-300
Balance of carryovers at beginning of current year2019-09-300
Balance of prefunding at beginning of current year2019-09-300
Total employer contributions2019-09-300
Total employee contributions2019-09-300
Liquidity shortfalls end of Q12019-09-300
Liquidity shortfalls end of Q22019-09-300
Liquidity shortfalls end of Q32019-09-300
Liquidity shortfalls end of Q42019-09-300
Unpaid minimum required contributions for all prior years2019-09-300
Remaining amount of unpaid minimum required contributions2019-09-300
Minimum required contributions for current year target normal cost2019-09-30283,678
Net shortfall amortization installment of oustanding balance2019-09-300
Waiver amortization installment2019-09-300
Total funding amount beforereflecting carryover/prefunding balances2019-09-300
Additional cash requirement2019-09-300
Unpaid minimum required contributions for current year2019-09-300
Unpaid minimum required contributions for all years2019-09-300
2018: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-011,127
Total number of active participants reported on line 7a of the Form 55002018-10-01305
Number of retired or separated participants receiving benefits2018-10-0123
Number of other retired or separated participants entitled to future benefits2018-10-01302
Total of all active and inactive participants2018-10-01630
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-013
Total participants2018-10-01633
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-011
Market value of plan assets2018-09-3064,821,689
Acturial value of plan assets2018-09-3062,849,633
Funding target for retired participants and beneficiaries receiving payment2018-09-3035,871,809
Number of terminated vested participants2018-09-30468
Fundng target for terminated vested participants2018-09-3018,591,931
Active participant vested funding target2018-09-3015,338,528
Number of active participants2018-09-30345
Total funding liabilities for active participants2018-09-3015,362,331
Total participant count2018-09-301,372
Total funding target for all participants2018-09-3069,826,071
Balance at beginning of prior year after applicable adjustments2018-09-300
Prefunding balance at beginning of prior year after applicable adjustments2018-09-300
Carryover balanced portion elected for use to offset prior years funding requirement2018-09-300
Prefunding balanced used to offset prior years funding requirement2018-09-300
Amount remaining of carryover balance2018-09-300
Amount remaining of prefunding balance2018-09-300
Present value of excess contributions2018-09-300
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2018-09-300
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2018-09-300
Reductions in caryover balances due to elections or deemed elections2018-09-300
Reductions in prefunding balances due to elections or deemed elections2018-09-300
Balance of carryovers at beginning of current year2018-09-300
Balance of prefunding at beginning of current year2018-09-300
Total employer contributions2018-09-3018,327,614
Total employee contributions2018-09-300
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2018-09-3016,901,855
Liquidity shortfalls end of Q12018-09-300
Liquidity shortfalls end of Q22018-09-300
Liquidity shortfalls end of Q32018-09-300
Liquidity shortfalls end of Q42018-09-300
Unpaid minimum required contributions for all prior years2018-09-300
Remaining amount of unpaid minimum required contributions2018-09-300
Minimum required contributions for current year target normal cost2018-09-30962,240
Net shortfall amortization installment of oustanding balance2018-09-306,976,438
Waiver amortization installment2018-09-300
Total funding amount beforereflecting carryover/prefunding balances2018-09-304,519,722
Additional cash requirement2018-09-304,519,722
Contributions allocatedtoward minimum required contributions for current year2018-09-3016,901,855
Unpaid minimum required contributions for current year2018-09-300
Unpaid minimum required contributions for all years2018-09-300
2017: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-011,366
Total number of active participants reported on line 7a of the Form 55002017-10-01340
Number of retired or separated participants receiving benefits2017-10-01422
Number of other retired or separated participants entitled to future benefits2017-10-01338
Total of all active and inactive participants2017-10-011,100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-0127
Total participants2017-10-011,127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-011
Market value of plan assets2017-09-3057,143,944
Acturial value of plan assets2017-09-3055,957,910
Funding target for retired participants and beneficiaries receiving payment2017-09-3034,033,341
Number of terminated vested participants2017-09-30484
Fundng target for terminated vested participants2017-09-3018,149,664
Active participant vested funding target2017-09-3017,006,941
Number of active participants2017-09-30373
Total funding liabilities for active participants2017-09-3017,031,807
Total participant count2017-09-301,400
Total funding target for all participants2017-09-3069,214,812
Balance at beginning of prior year after applicable adjustments2017-09-300
Prefunding balance at beginning of prior year after applicable adjustments2017-09-300
Carryover balanced portion elected for use to offset prior years funding requirement2017-09-300
Prefunding balanced used to offset prior years funding requirement2017-09-300
Amount remaining of carryover balance2017-09-300
Amount remaining of prefunding balance2017-09-300
Present value of excess contributions2017-09-300
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-09-300
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-09-300
Reductions in prefunding balances due to elections or deemed elections2017-09-300
Balance of carryovers at beginning of current year2017-09-300
Balance of prefunding at beginning of current year2017-09-300
Total employer contributions2017-09-305,195,736
Total employee contributions2017-09-300
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-09-304,951,919
Liquidity shortfalls end of Q12017-09-300
Liquidity shortfalls end of Q22017-09-300
Liquidity shortfalls end of Q32017-09-300
Liquidity shortfalls end of Q42017-09-300
Unpaid minimum required contributions for all prior years2017-09-300
Remaining amount of unpaid minimum required contributions2017-09-300
Minimum required contributions for current year target normal cost2017-09-30935,256
Net shortfall amortization installment of oustanding balance2017-09-3013,256,902
Waiver amortization installment2017-09-300
Total funding amount beforereflecting carryover/prefunding balances2017-09-304,951,919
Additional cash requirement2017-09-304,951,919
Contributions allocatedtoward minimum required contributions for current year2017-09-304,951,919
Unpaid minimum required contributions for current year2017-09-300
Unpaid minimum required contributions for all years2017-09-300
2016: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-011,394
Total number of active participants reported on line 7a of the Form 55002016-10-01345
Number of retired or separated participants receiving benefits2016-10-01499
Number of other retired or separated participants entitled to future benefits2016-10-01475
Total of all active and inactive participants2016-10-011,319
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-0147
Total participants2016-10-011,366
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-011
2015: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-011,419
Total number of active participants reported on line 7a of the Form 55002015-10-01373
Number of retired or separated participants receiving benefits2015-10-01496
Number of other retired or separated participants entitled to future benefits2015-10-01482
Total of all active and inactive participants2015-10-011,351
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-0143
Total participants2015-10-011,394
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-011
2014: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-011,440
Total number of active participants reported on line 7a of the Form 55002014-10-01412
Number of retired or separated participants receiving benefits2014-10-01471
Number of other retired or separated participants entitled to future benefits2014-10-01492
Total of all active and inactive participants2014-10-011,375
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-0144
Total participants2014-10-011,419
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-014
2013: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-011,457
Total number of active participants reported on line 7a of the Form 55002013-10-01466
Number of retired or separated participants receiving benefits2013-10-01436
Number of other retired or separated participants entitled to future benefits2013-10-01497
Total of all active and inactive participants2013-10-011,399
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-0141
Total participants2013-10-011,440
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-013
2012: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-011,482
Total number of active participants reported on line 7a of the Form 55002012-10-01568
Number of retired or separated participants receiving benefits2012-10-01418
Number of other retired or separated participants entitled to future benefits2012-10-01439
Total of all active and inactive participants2012-10-011,425
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-0132
Total participants2012-10-011,457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-016
2011: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-011,491
Total number of active participants reported on line 7a of the Form 55002011-10-01594
Number of retired or separated participants receiving benefits2011-10-01401
Number of other retired or separated participants entitled to future benefits2011-10-01460
Total of all active and inactive participants2011-10-011,455
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-0127
Total participants2011-10-011,482
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-010
2010: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-011,555
Total number of active participants reported on line 7a of the Form 55002010-10-01626
Number of retired or separated participants receiving benefits2010-10-01353
Number of other retired or separated participants entitled to future benefits2010-10-01490
Total of all active and inactive participants2010-10-011,469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-10-0122
Total participants2010-10-011,491
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-10-011
2009: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-011,653
Total number of active participants reported on line 7a of the Form 55002009-10-01664
Number of retired or separated participants receiving benefits2009-10-01356
Number of other retired or separated participants entitled to future benefits2009-10-01512
Total of all active and inactive participants2009-10-011,532
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-0123
Total participants2009-10-011,555
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-0113

Financial Data on BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN

Measure Date Value
2020 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-09-30$-65,845
Total unrealized appreciation/depreciation of assets2020-09-30$-65,845
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$244,472
Total income from all sources (including contributions)2020-09-30$13,510,389
Total loss/gain on sale of assets2020-09-30$-200
Total of all expenses incurred2020-09-30$46,921,269
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$46,659,259
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$13,076,582
Value of total assets at end of year2020-09-30$0
Value of total assets at beginning of year2020-09-30$33,655,352
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$262,010
Total interest from all sources2020-09-30$499,852
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-09-30$0
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-09-30$244,472
Administrative expenses (other) incurred2020-09-30$242,606
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$-33,410,880
Value of net assets at end of year (total assets less liabilities)2020-09-30$0
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$33,410,880
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Investment advisory and management fees2020-09-30$19,404
Interest earned on other investments2020-09-30$-9,059
Income. Interest from US Government securities2020-09-30$368,268
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-09-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-09-30$11,660,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-09-30$11,660,885
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-09-30$140,643
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$19,537,452
Asset value of US Government securities at end of year2020-09-30$0
Asset value of US Government securities at beginning of year2020-09-30$21,994,467
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$13,076,582
Employer contributions (assets) at end of year2020-09-30$0
Employer contributions (assets) at beginning of year2020-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$27,121,807
Did the plan have assets held for investment2020-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30Yes
Aggregate proceeds on sale of assets2020-09-30$25,350,000
Aggregate carrying amount (costs) on sale of assets2020-09-30$25,350,200
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30CROWE LLP
Accountancy firm EIN2020-09-30350921680
2019 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-09-30$-22,870
Total unrealized appreciation/depreciation of assets2019-09-30$-22,870
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$244,472
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total income from all sources (including contributions)2019-09-30$12,098,447
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$46,515,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$46,224,387
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$12,000,000
Value of total assets at end of year2019-09-30$33,655,352
Value of total assets at beginning of year2019-09-30$67,827,660
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$290,840
Total interest from all sources2019-09-30$349,131
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$2,889,932
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-09-30$0
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$2,889,932
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Assets. Other investments not covered elsewhere at beginning of year2019-09-30$4,948,375
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-09-30$244,472
Other income not declared elsewhere2019-09-30$-925,556
Administrative expenses (other) incurred2019-09-30$219,937
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$-34,416,780
Value of net assets at end of year (total assets less liabilities)2019-09-30$33,410,880
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$67,827,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Investment advisory and management fees2019-09-30$70,903
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$58,420,979
Income. Interest from US Government securities2019-09-30$129,580
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-09-30$11,660,885
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-09-30$1,181,506
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-09-30$1,181,506
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-09-30$219,551
Expenses. Payments to insurance carriers foe the provision of benefits2019-09-30$42,677,369
Asset value of US Government securities at end of year2019-09-30$21,994,467
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$-2,192,190
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30Yes
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$12,000,000
Employer contributions (assets) at end of year2019-09-30$0
Employer contributions (assets) at beginning of year2019-09-30$3,276,800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$3,547,018
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Aggregate proceeds on sale of assets2019-09-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30CROWE LLP
Accountancy firm EIN2019-09-30350921680
2018 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-09-30$0
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$-40,977
Total income from all sources (including contributions)2018-09-30$11,297,697
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$8,355,750
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$7,269,590
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$6,327,614
Value of total assets at end of year2018-09-30$67,827,660
Value of total assets at beginning of year2018-09-30$64,844,736
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$1,086,160
Total interest from all sources2018-09-30$14,981
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$1,551,128
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$1,551,128
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Assets. Other investments not covered elsewhere at end of year2018-09-30$4,948,375
Assets. Other investments not covered elsewhere at beginning of year2018-09-30$6,173,434
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-09-30$-40,977
Other income not declared elsewhere2018-09-30$297,958
Administrative expenses (other) incurred2018-09-30$1,028,991
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$2,941,947
Value of net assets at end of year (total assets less liabilities)2018-09-30$67,827,660
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$64,885,713
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Investment advisory and management fees2018-09-30$57,169
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$58,420,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$55,201,932
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-09-30$1,181,506
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-09-30$1,542,032
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-09-30$1,542,032
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-09-30$14,981
Expenses. Payments to insurance carriers foe the provision of benefits2018-09-30$1,960,981
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$3,106,016
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30Yes
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$6,327,614
Employer contributions (assets) at end of year2018-09-30$3,276,800
Employer contributions (assets) at beginning of year2018-09-30$1,927,338
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$5,308,609
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Aggregate proceeds on sale of assets2018-09-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30CROWE LLP
Accountancy firm EIN2018-09-30350921680
2017 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$-40,977
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$-11,940
Total income from all sources (including contributions)2017-09-30$12,450,703
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$4,775,480
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$3,772,122
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$5,195,736
Value of total assets at end of year2017-09-30$64,844,736
Value of total assets at beginning of year2017-09-30$57,198,550
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$1,003,358
Total interest from all sources2017-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2017-09-30Yes
Amount of non-exempt transactions with any party-in-interest2017-09-30$40,977
Assets. Other investments not covered elsewhere at end of year2017-09-30$6,173,434
Assets. Other investments not covered elsewhere at beginning of year2017-09-30$5,613,509
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-09-30$-40,977
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-09-30$-11,940
Other income not declared elsewhere2017-09-30$7,254,967
Administrative expenses (other) incurred2017-09-30$1,003,358
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$7,675,223
Value of net assets at end of year (total assets less liabilities)2017-09-30$64,885,713
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$57,210,490
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$55,201,932
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$48,507,935
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-09-30$1,542,032
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-09-30$832,068
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-09-30$832,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30Yes
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$5,195,736
Employer contributions (assets) at end of year2017-09-30$1,927,338
Employer contributions (assets) at beginning of year2017-09-30$2,245,038
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$3,772,122
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30CROWE LLP
Accountancy firm EIN2017-09-30350921680
2016 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$-11,940
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$-7,500
Total income from all sources (including contributions)2016-09-30$10,017,102
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$4,614,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$3,756,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$4,624,368
Value of total assets at end of year2016-09-30$57,198,550
Value of total assets at beginning of year2016-09-30$51,800,704
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$858,589
Total interest from all sources2016-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30Yes
Amount of non-exempt transactions with any party-in-interest2016-09-30$11,940
Assets. Other investments not covered elsewhere at end of year2016-09-30$5,613,509
Assets. Other investments not covered elsewhere at beginning of year2016-09-30$5,320,602
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-09-30$-11,940
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-09-30$-7,500
Other income not declared elsewhere2016-09-30$5,392,734
Administrative expenses (other) incurred2016-09-30$858,589
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$5,402,286
Value of net assets at end of year (total assets less liabilities)2016-09-30$57,210,490
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$51,808,204
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$48,507,935
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$44,693,944
Value of interest in common/collective trusts at beginning of year2016-09-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-09-30$832,068
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-09-30$129,606
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-09-30$129,606
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30Yes
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$4,624,368
Employer contributions (assets) at end of year2016-09-30$2,245,038
Employer contributions (assets) at beginning of year2016-09-30$1,656,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$3,756,227
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Liabilities. Value of acquisition indebtedness at beginning of year2016-09-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30CROWE HORWATH LLP
Accountancy firm EIN2016-09-30350921680
2015 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$-7,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$510,671
Total income from all sources (including contributions)2015-09-30$2,462,577
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$4,228,053
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$3,523,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$3,647,920
Value of total assets at end of year2015-09-30$51,800,704
Value of total assets at beginning of year2015-09-30$54,084,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$705,004
Total interest from all sources2015-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30Yes
Amount of non-exempt transactions with any party-in-interest2015-09-30$7,500
Assets. Other investments not covered elsewhere at end of year2015-09-30$5,320,602
Assets. Other investments not covered elsewhere at beginning of year2015-09-30$26,732,984
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-09-30$196,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$-7,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$510,671
Other income not declared elsewhere2015-09-30$-1,185,343
Administrative expenses (other) incurred2015-09-30$705,004
Total non interest bearing cash at beginning of year2015-09-30$329,227
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-1,765,476
Value of net assets at end of year (total assets less liabilities)2015-09-30$51,808,204
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$53,573,680
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$44,693,944
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$18,068,072
Value of interest in common/collective trusts at end of year2015-09-30$0
Value of interest in common/collective trusts at beginning of year2015-09-30$4,034,543
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$129,606
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$3,966,833
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$3,966,833
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30Yes
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$3,647,920
Employer contributions (assets) at end of year2015-09-30$1,656,552
Employer contributions (assets) at beginning of year2015-09-30$756,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$3,523,049
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Liabilities. Value of acquisition indebtedness at end of year2015-09-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30CROWE HORWATH LLP
Accountancy firm EIN2015-09-30350921680
2014 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$510,671
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$8,647
Total income from all sources (including contributions)2014-09-30$3,359,023
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$3,510,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$3,118,806
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$2,776,059
Value of total assets at end of year2014-09-30$54,084,351
Value of total assets at beginning of year2014-09-30$53,733,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$391,584
Total interest from all sources2014-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30Yes
Amount of non-exempt transactions with any party-in-interest2014-09-30$7,500
Assets. Other investments not covered elsewhere at end of year2014-09-30$26,732,984
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-09-30$196,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-09-30$510,671
Other income not declared elsewhere2014-09-30$582,964
Administrative expenses (other) incurred2014-09-30$391,584
Liabilities. Value of operating payables at beginning of year2014-09-30$8,647
Total non interest bearing cash at end of year2014-09-30$329,227
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$-151,367
Value of net assets at end of year (total assets less liabilities)2014-09-30$53,573,680
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$53,725,047
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$18,068,072
Value of interest in common/collective trusts at end of year2014-09-30$4,034,543
Value of interest in common/collective trusts at beginning of year2014-09-30$4,016,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$3,966,833
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-09-30$48,695,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-09-30$48,695,604
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30Yes
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$2,776,059
Employer contributions (assets) at end of year2014-09-30$756,552
Employer contributions (assets) at beginning of year2014-09-30$1,021,594
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$3,118,806
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30CROWE HORWATH LLP
Accountancy firm EIN2014-09-30350921680
2013 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$8,647
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$464,119
Total income from all sources (including contributions)2013-09-30$6,307,409
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$3,030,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$2,949,331
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$2,839,081
Value of total assets at end of year2013-09-30$53,733,694
Value of total assets at beginning of year2013-09-30$50,912,372
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$81,284
Total interest from all sources2013-09-30$443
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$613,185
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-09-30$613,185
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-09-30$0
Other income not declared elsewhere2013-09-30$607,263
Administrative expenses (other) incurred2013-09-30$81,284
Liabilities. Value of operating payables at end of year2013-09-30$8,647
Liabilities. Value of operating payables at beginning of year2013-09-30$464,119
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$3,276,794
Value of net assets at end of year (total assets less liabilities)2013-09-30$53,725,047
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$50,448,253
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$43,595,524
Value of interest in common/collective trusts at end of year2013-09-30$4,016,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-09-30$48,695,604
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-09-30$197,342
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-09-30$197,342
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$443
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$3,993,533
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$3,028,704
Net investment gain or loss from common/collective trusts2013-09-30$-781,267
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30Yes
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$2,839,081
Employer contributions (assets) at end of year2013-09-30$1,021,594
Employer contributions (assets) at beginning of year2013-09-30$3,097,590
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$2,949,331
Assets. Corporate common stocks other than exployer securities at beginning of year2013-09-30$28,383
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30SASLOW LUFKIN & BUGGY, LLP
Accountancy firm EIN2013-09-30061533253
2012 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-09-30$6,443,699
Total unrealized appreciation/depreciation of assets2012-09-30$6,443,699
Total transfer of assets to this plan2012-09-30$0
Total transfer of assets from this plan2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$464,119
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$151,118
Total income from all sources (including contributions)2012-09-30$11,508,981
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$3,114,039
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$2,671,398
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$4,030,589
Value of total assets at end of year2012-09-30$50,912,372
Value of total assets at beginning of year2012-09-30$42,204,429
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$442,641
Total interest from all sources2012-09-30$300,317
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-09-30$6,130
Other income not declared elsewhere2012-09-30$734,376
Administrative expenses (other) incurred2012-09-30$442,641
Liabilities. Value of operating payables at end of year2012-09-30$464,119
Liabilities. Value of operating payables at beginning of year2012-09-30$144,988
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$8,394,942
Value of net assets at end of year (total assets less liabilities)2012-09-30$50,448,253
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$42,053,311
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$43,595,524
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$37,573,111
Interest earned on other investments2012-09-30$300,317
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-09-30$197,342
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$14,441
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$14,441
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-09-30$3,993,533
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$3,977,526
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30Yes
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$4,030,589
Employer contributions (assets) at end of year2012-09-30$3,097,590
Employer contributions (assets) at beginning of year2012-09-30$614,929
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$2,671,398
Assets. Corporate common stocks other than exployer securities at end of year2012-09-30$28,383
Assets. Corporate common stocks other than exployer securities at beginning of year2012-09-30$24,422
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30SASLOW LUFKIN & BUGGY, LLP
Accountancy firm EIN2012-09-30061533253
2011 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-09-30$-1,254,880
Total unrealized appreciation/depreciation of assets2011-09-30$-1,254,880
Total transfer of assets to this plan2011-09-30$0
Total transfer of assets from this plan2011-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$151,118
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$209,847
Total income from all sources (including contributions)2011-09-30$122,249
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$5,916,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$5,601,809
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$839,921
Value of total assets at end of year2011-09-30$42,204,429
Value of total assets at beginning of year2011-09-30$48,057,245
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$314,527
Total interest from all sources2011-09-30$305,092
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$5,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-09-30$22,703
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-09-30$6,130
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-09-30$87,353
Other income not declared elsewhere2011-09-30$232,116
Administrative expenses (other) incurred2011-09-30$314,527
Liabilities. Value of operating payables at end of year2011-09-30$144,988
Liabilities. Value of operating payables at beginning of year2011-09-30$122,494
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$-5,794,087
Value of net assets at end of year (total assets less liabilities)2011-09-30$42,053,311
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$47,847,398
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$37,573,111
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$41,916,758
Interest earned on other investments2011-09-30$305,092
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$14,441
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-09-30$2,548
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-09-30$2,548
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$3,977,526
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$4,606,999
Expenses. Payments to insurance carriers foe the provision of benefits2011-09-30$3,080,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30Yes
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$839,921
Employer contributions (assets) at end of year2011-09-30$614,929
Employer contributions (assets) at beginning of year2011-09-30$1,475,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$2,521,809
Assets. Corporate common stocks other than exployer securities at end of year2011-09-30$24,422
Assets. Corporate common stocks other than exployer securities at beginning of year2011-09-30$33,237
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30SASLOW LUFKIN & BUGGY, LLP
Accountancy firm EIN2011-09-30061533253
2010 : BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN

2019: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingYes
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement - TrustYes
2015: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement - TrustYes
2014: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement - TrustYes
2013: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedYes
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement - TrustYes
2012: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2010: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedYes
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement - TrustYes
2009: BRISTOL HOSPITAL & HEALTH CARE GROUP RETIREMENT PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 )
Policy contract number031-2581-4/790
Policy instance 1
Insurance contract or identification number031-2581-4/790
Number of Individuals Covered71
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $36,531
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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 planYes
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
Commission paid to Insurance BrokerUSD $36,531
Amount paid for insurance broker fees0
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSPG-27604
Policy instance 2
Insurance contract or identification numberSPG-27604
Number of Individuals Covered146
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $51,387
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?Yes
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 planYes
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
Commission paid to Insurance BrokerUSD $51,387
Amount paid for insurance broker fees0
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberTFO-45197
Policy instance 1
Insurance contract or identification numberTFO-45197
Number of Individuals Covered387
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $119,501
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $119,501
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSPG-24484
Policy instance 2
Insurance contract or identification numberSPG-24484
Number of Individuals Covered85
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $44,429
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?Yes
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
Commission paid to Insurance BrokerUSD $44,429
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSPG-24484
Policy instance 1
Insurance contract or identification numberSPG-24484
Number of Individuals Covered115
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $29,415
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?Yes
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
UNION BOND & TRUST COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number0
Policy instance 1
Insurance contract or identification number0
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
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
UNION BOND & TRUST COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number0
Policy instance 1
Insurance contract or identification number0
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number040094
Policy instance 1
Insurance contract or identification number040094
Number of Individuals Covered125
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $46,119
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?Yes
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
Other information about contractSINGLE PREMIUM GROUP ANNUITY CONTR.
UNION BOND & TRUST COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number0
Policy instance 2
Insurance contract or identification number0
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
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

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