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ORRSTOWN BANK HEALTH INSURANCE PLAN 401k Plan overview

Plan NameORRSTOWN BANK HEALTH INSURANCE PLAN
Plan identification number 505

ORRSTOWN BANK HEALTH INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

ORRSTOWN BANK has sponsored the creation of one or more 401k plans.

Company Name:ORRSTOWN BANK
Employer identification number (EIN):230934350
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about ORRSTOWN BANK

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number: 261398

More information about ORRSTOWN BANK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORRSTOWN BANK HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-01-01
5052021-01-01
5052020-01-01
5052019-01-01
5052018-01-01
5052017-01-01BARBARA E. BROBST
5052016-01-01BARBARA E. BROBST
5052015-01-01BARBARA E. BROBST
5052014-01-01BARBARA E. BROBST
5052013-01-01BARBARA E. BROBST
5052012-01-01STEPHEN C. CALDWELL
5052011-01-01STEPHEN C. CALDWELL
5052010-01-01STEPHEN C. CALDWELL
5052009-01-01STEPHEN C. CALDWELL

Plan Statistics for ORRSTOWN BANK HEALTH INSURANCE PLAN

401k plan membership statisitcs for ORRSTOWN BANK HEALTH INSURANCE PLAN

Measure Date Value
2022: ORRSTOWN BANK HEALTH INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01325
Total number of active participants reported on line 7a of the Form 55002022-01-01310
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01310
2021: ORRSTOWN BANK HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01421
Total number of active participants reported on line 7a of the Form 55002021-01-01436
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01438
2020: ORRSTOWN BANK HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01466
Total number of active participants reported on line 7a of the Form 55002020-01-01414
Number of retired or separated participants receiving benefits2020-01-017
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01421
2019: ORRSTOWN BANK HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01388
Total number of active participants reported on line 7a of the Form 55002019-01-01461
Number of retired or separated participants receiving benefits2019-01-015
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01466
2018: ORRSTOWN BANK HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01265
Total number of active participants reported on line 7a of the Form 55002018-01-01388
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01388
2017: ORRSTOWN BANK HEALTH INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01250
Total number of active participants reported on line 7a of the Form 55002017-01-01263
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01265
2016: ORRSTOWN BANK HEALTH INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01225
Total number of active participants reported on line 7a of the Form 55002016-01-01250
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01250
2015: ORRSTOWN BANK HEALTH INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01236
Total number of active participants reported on line 7a of the Form 55002015-01-01222
Number of retired or separated participants receiving benefits2015-01-013
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01225
2014: ORRSTOWN BANK HEALTH INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01263
Total number of active participants reported on line 7a of the Form 55002014-01-01234
Number of retired or separated participants receiving benefits2014-01-012
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01236
2013: ORRSTOWN BANK HEALTH INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01256
Total number of active participants reported on line 7a of the Form 55002013-01-01263
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01263
2012: ORRSTOWN BANK HEALTH INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01234
Total number of active participants reported on line 7a of the Form 55002012-01-01254
Number of retired or separated participants receiving benefits2012-01-012
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01256
2011: ORRSTOWN BANK HEALTH INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01228
Total number of active participants reported on line 7a of the Form 55002011-01-01233
Number of retired or separated participants receiving benefits2011-01-011
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01234
2010: ORRSTOWN BANK HEALTH INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01213
Total number of active participants reported on line 7a of the Form 55002010-01-01222
Number of retired or separated participants receiving benefits2010-01-016
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01228
2009: ORRSTOWN BANK HEALTH INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01201
Total number of active participants reported on line 7a of the Form 55002009-01-01227
Number of retired or separated participants receiving benefits2009-01-015
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01232

Financial Data on ORRSTOWN BANK HEALTH INSURANCE PLAN

Measure Date Value
2022 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$267,303
Total income from all sources (including contributions)2022-12-31$3,246,324
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$3,047,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,306,912
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,242,132
Value of total assets at end of year2022-12-31$1,131,353
Value of total assets at beginning of year2022-12-31$1,199,400
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$740,156
Total interest from all sources2022-12-31$4,192
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$2,376,849
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$865,283
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$23,152
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$266,571
Administrative expenses (other) incurred2022-12-31$623,775
Liabilities. Value of operating payables at end of year2022-12-31$0
Liabilities. Value of operating payables at beginning of year2022-12-31$732
Total non interest bearing cash at end of year2022-12-31$5
Total non interest bearing cash at beginning of year2022-12-31$63,035
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$199,256
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,131,353
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$932,097
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$91,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1,108,196
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,136,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,136,365
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$4,192
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,306,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contract administrator fees2022-12-31$24,435
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2022-12-31251589048
2021 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$267,303
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$228,279
Total income from all sources (including contributions)2021-12-31$3,140,504
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,824,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,131,705
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,138,232
Value of total assets at end of year2021-12-31$1,199,400
Value of total assets at beginning of year2021-12-31$844,142
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$692,565
Total interest from all sources2021-12-31$2,272
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$52,734
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$833,659
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$266,571
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$227,649
Liabilities. Value of operating payables at end of year2021-12-31$732
Liabilities. Value of operating payables at beginning of year2021-12-31$630
Total non interest bearing cash at end of year2021-12-31$63,035
Total non interest bearing cash at beginning of year2021-12-31$54,444
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$316,234
Value of net assets at end of year (total assets less liabilities)2021-12-31$932,097
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$615,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$549,100
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,136,365
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$789,698
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$789,698
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$2,272
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$2,131,705
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$2,304,573
Contract administrator fees2021-12-31$90,731
Liabilities. Value of benefit claims payable at end of year2021-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$0
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2021-12-31251589048
2020 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$228,279
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$313,397
Total income from all sources (including contributions)2020-12-31$2,980,213
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$3,341,936
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,635,419
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,964,568
Value of total assets at end of year2020-12-31$844,142
Value of total assets at beginning of year2020-12-31$1,290,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$706,517
Total interest from all sources2020-12-31$15,645
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$2,145,081
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$819,487
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$227,649
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$277,941
Administrative expenses (other) incurred2020-12-31$548,169
Liabilities. Value of operating payables at end of year2020-12-31$630
Liabilities. Value of operating payables at beginning of year2020-12-31$670
Total non interest bearing cash at end of year2020-12-31$54,444
Total non interest bearing cash at beginning of year2020-12-31$278,496
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-361,723
Value of net assets at end of year (total assets less liabilities)2020-12-31$615,863
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$977,586
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$94,447
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$789,698
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,012,487
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,012,487
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$15,645
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,635,419
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contract administrator fees2020-12-31$63,901
Liabilities. Value of benefit claims payable at end of year2020-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$34,786
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2020-12-31251589048
2019 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$313,397
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$382,881
Total income from all sources (including contributions)2019-12-31$3,137,562
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$3,223,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,548,514
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,113,716
Value of total assets at end of year2019-12-31$1,290,983
Value of total assets at beginning of year2019-12-31$1,446,711
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$675,292
Total interest from all sources2019-12-31$23,846
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$848,832
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$277,941
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$318,245
Administrative expenses (other) incurred2019-12-31$492,155
Liabilities. Value of operating payables at end of year2019-12-31$670
Liabilities. Value of operating payables at beginning of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$278,496
Total non interest bearing cash at beginning of year2019-12-31$53,509
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-86,244
Value of net assets at end of year (total assets less liabilities)2019-12-31$977,586
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,063,830
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$87,944
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,012,487
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,393,202
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,393,202
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$23,846
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,548,514
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,264,884
Contract administrator fees2019-12-31$95,193
Liabilities. Value of benefit claims payable at end of year2019-12-31$34,786
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$64,636
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2019-12-31251589048
2018 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$382,881
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$111,200
Total income from all sources (including contributions)2018-12-31$3,410,272
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,735,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,931,381
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,392,368
Value of total assets at end of year2018-12-31$1,446,711
Value of total assets at beginning of year2018-12-31$500,470
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$804,331
Total interest from all sources2018-12-31$17,904
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$799,583
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$318,245
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Administrative expenses (other) incurred2018-12-31$636,836
Total non interest bearing cash at end of year2018-12-31$53,509
Total non interest bearing cash at beginning of year2018-12-31$62,366
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$674,560
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,063,830
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$389,270
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$70,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,393,202
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$438,104
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$438,104
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$17,904
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,931,381
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,592,785
Contract administrator fees2018-12-31$97,016
Liabilities. Value of benefit claims payable at end of year2018-12-31$64,636
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$111,200
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2018-12-31251589048
2017 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$111,200
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$307,330
Total income from all sources (including contributions)2017-12-31$3,079,306
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$3,024,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,130,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$3,075,044
Value of total assets at end of year2017-12-31$500,470
Value of total assets at beginning of year2017-12-31$641,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$893,441
Total interest from all sources2017-12-31$4,262
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$748,766
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$268,065
Administrative expenses (other) incurred2017-12-31$682,105
Total non interest bearing cash at end of year2017-12-31$62,366
Total non interest bearing cash at beginning of year2017-12-31$72,868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$54,906
Value of net assets at end of year (total assets less liabilities)2017-12-31$389,270
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$334,364
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$68,218
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$438,104
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$568,826
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$568,826
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$4,262
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$2,130,959
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,326,278
Contract administrator fees2017-12-31$143,118
Liabilities. Value of benefit claims payable at end of year2017-12-31$111,200
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$39,265
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2017-12-31251589048
2016 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$307,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$389
Total income from all sources (including contributions)2016-12-31$2,451,000
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,938,741
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,125,964
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,448,743
Value of total assets at end of year2016-12-31$641,694
Value of total assets at beginning of year2016-12-31$822,494
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$812,777
Total interest from all sources2016-12-31$2,257
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$701,362
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$268,065
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
Administrative expenses (other) incurred2016-12-31$604,791
Total non interest bearing cash at end of year2016-12-31$72,868
Total non interest bearing cash at beginning of year2016-12-31$389
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-487,741
Value of net assets at end of year (total assets less liabilities)2016-12-31$334,364
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$822,105
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$63,923
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$568,826
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$822,105
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$822,105
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$2,257
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,125,964
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$1,747,381
Contract administrator fees2016-12-31$144,063
Liabilities. Value of benefit claims payable at end of year2016-12-31$39,265
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$389
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2016-12-31251589048
2015 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$389
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$6,451
Total income from all sources (including contributions)2015-12-31$2,687,695
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,467,202
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,807,415
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,685,388
Value of total assets at end of year2015-12-31$822,494
Value of total assets at beginning of year2015-12-31$608,063
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$659,787
Total interest from all sources2015-12-31$2,307
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$709,642
Administrative expenses (other) incurred2015-12-31$471,362
Total non interest bearing cash at end of year2015-12-31$389
Total non interest bearing cash at beginning of year2015-12-31$6,452
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$220,493
Value of net assets at end of year (total assets less liabilities)2015-12-31$822,105
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$601,612
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$60,314
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$822,105
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$601,611
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$601,611
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$2,307
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,807,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,975,746
Contract administrator fees2015-12-31$128,111
Liabilities. Value of benefit claims payable at end of year2015-12-31$389
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$6,451
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2015-12-31251589048
2014 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$6,451
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$66,637
Total income from all sources (including contributions)2014-12-31$1,587,952
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$2,704,591
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,020,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,584,892
Value of total assets at end of year2014-12-31$608,063
Value of total assets at beginning of year2014-12-31$1,784,888
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$683,753
Total interest from all sources2014-12-31$3,060
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$721,025
Administrative expenses (other) incurred2014-12-31$472,014
Total non interest bearing cash at end of year2014-12-31$6,452
Total non interest bearing cash at beginning of year2014-12-31$268
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-1,116,639
Value of net assets at end of year (total assets less liabilities)2014-12-31$601,612
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,718,251
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$75,995
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$601,611
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,784,620
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,784,620
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$3,060
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,020,838
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$863,867
Contract administrator fees2014-12-31$135,744
Liabilities. Value of benefit claims payable at end of year2014-12-31$6,451
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$66,637
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2014-12-31251589048
2013 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$66,637
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$66,037
Total income from all sources (including contributions)2013-12-31$3,065,498
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$2,671,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,934,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,949,796
Value of total assets at end of year2013-12-31$1,784,888
Value of total assets at beginning of year2013-12-31$1,390,520
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$737,564
Total interest from all sources2013-12-31$4,999
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$544,296
Other income not declared elsewhere2013-12-31$110,703
Administrative expenses (other) incurred2013-12-31$507,479
Total non interest bearing cash at end of year2013-12-31$268
Total non interest bearing cash at beginning of year2013-12-31$11,376
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$393,768
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,718,251
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,324,483
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$84,976
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,784,620
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,379,144
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,379,144
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$4,999
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,934,166
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,405,500
Contract administrator fees2013-12-31$145,109
Liabilities. Value of benefit claims payable at end of year2013-12-31$66,637
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$66,037
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2013-12-31251589048
2012 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$66,037
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$35,972
Total income from all sources (including contributions)2012-12-31$2,928,262
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$2,854,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,146,106
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,858,400
Value of total assets at end of year2012-12-31$1,390,520
Value of total assets at beginning of year2012-12-31$1,287,149
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$708,850
Total interest from all sources2012-12-31$9,404
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$502,687
Other income not declared elsewhere2012-12-31$60,458
Administrative expenses (other) incurred2012-12-31$489,119
Total non interest bearing cash at end of year2012-12-31$11,376
Total non interest bearing cash at beginning of year2012-12-31$10,309
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$73,306
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,324,483
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,251,177
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$80,185
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,379,144
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,276,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,276,840
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$9,404
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$2,146,106
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,355,713
Contract administrator fees2012-12-31$139,546
Liabilities. Value of benefit claims payable at end of year2012-12-31$66,037
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$35,972
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2012-12-31251589048
2011 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$35,972
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$2,336,373
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$1,954,445
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,312,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,315,966
Value of total assets at end of year2011-12-31$1,287,149
Value of total assets at beginning of year2011-12-31$869,249
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$641,506
Total interest from all sources2011-12-31$15,905
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$449,497
Other income not declared elsewhere2011-12-31$4,502
Administrative expenses (other) incurred2011-12-31$446,690
Total non interest bearing cash at end of year2011-12-31$10,309
Total non interest bearing cash at beginning of year2011-12-31$-440
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$381,928
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,251,177
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$869,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$71,979
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,276,840
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$869,689
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$869,689
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$15,905
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$1,312,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,866,469
Contract administrator fees2011-12-31$122,837
Liabilities. Value of benefit claims payable at end of year2011-12-31$35,972
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2011-12-31251589048
2010 : ORRSTOWN BANK HEALTH INSURANCE PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$3,195
Total income from all sources (including contributions)2010-12-31$2,479,491
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$2,096,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,920,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,343,901
Value of total assets at end of year2010-12-31$869,249
Value of total assets at beginning of year2010-12-31$489,755
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$176,102
Total interest from all sources2010-12-31$10,856
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$124,734
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$124,734
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,555,810
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$349,350
Liabilities. Value of operating payables at beginning of year2010-12-31$3,195
Total non interest bearing cash at end of year2010-12-31$-440
Total non interest bearing cash at beginning of year2010-12-31$2,759
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$382,689
Value of net assets at end of year (total assets less liabilities)2010-12-31$869,249
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$486,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$65,968
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$869,689
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$486,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$486,996
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$10,856
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,920,700
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,994,551
Contract administrator fees2010-12-31$110,134
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31YOUNG, OAKES, BROWN & CO., PC
Accountancy firm EIN2010-12-31251589048

Form 5500 Responses for ORRSTOWN BANK HEALTH INSURANCE PLAN

2022: ORRSTOWN BANK HEALTH INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – 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
2021: ORRSTOWN BANK HEALTH INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ORRSTOWN BANK HEALTH INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ORRSTOWN BANK HEALTH INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ORRSTOWN BANK HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ORRSTOWN BANK HEALTH INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ORRSTOWN BANK HEALTH INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ORRSTOWN BANK HEALTH INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ORRSTOWN BANK HEALTH INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ORRSTOWN BANK HEALTH INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ORRSTOWN BANK HEALTH INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ORRSTOWN BANK HEALTH INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: ORRSTOWN BANK HEALTH INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ORRSTOWN BANK HEALTH INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00610780
Policy instance 3
Insurance contract or identification numberG 00610780
Number of Individuals Covered436
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,116
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOL LIFE AND VOL DEP LIFE
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 $204,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,116
Insurance broker organization code?3
NVA VISION (National Association of Insurance Commissioners NAIC id number: 11686 )
Policy contract number51772
Policy instance 2
Insurance contract or identification number51772
Number of Individuals Covered319
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $4,121
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $41,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,121
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number17566
Policy instance 1
Insurance contract or identification number17566
Number of Individuals Covered327
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $10,775
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $206,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,775
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00610780
Policy instance 3
Insurance contract or identification numberG 00610780
Number of Individuals Covered414
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $18,631
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOL LIFE AND VOL DEP LIFE
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 $195,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,631
Insurance broker organization code?3
NVA VISION (National Association of Insurance Commissioners NAIC id number: 11686 )
Policy contract number51772
Policy instance 2
Insurance contract or identification number51772
Number of Individuals Covered305
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,249
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $42,486
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,249
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number17566
Policy instance 1
Insurance contract or identification number17566
Number of Individuals Covered316
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $11,321
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $226,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,321
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00610780
Policy instance 3
Insurance contract or identification numberG 00610780
Number of Individuals Covered461
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $16,594
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOL LIFE AND VOL DEP LIFE
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 $177,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,594
Insurance broker organization code?3
NVA VISION (National Association of Insurance Commissioners NAIC id number: 11686 )
Policy contract number51772
Policy instance 2
Insurance contract or identification number51772
Number of Individuals Covered332
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,030
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $40,595
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,030
Insurance broker organization code?3
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number17566
Policy instance 1
Insurance contract or identification number17566
Number of Individuals Covered351
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $11,393
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $227,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,393
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number51772
Policy instance 2
Insurance contract or identification number51772
Number of Individuals Covered261
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,697
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $33,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,697
Insurance broker organization code?3
Insurance broker nameL.R. WEBBER ASSOCIATES, INC.
DELTA DENTAL OF PENNSYLVANIA (National Association of Insurance Commissioners NAIC id number: 54798 )
Policy contract number17566
Policy instance 1
Insurance contract or identification number17566
Number of Individuals Covered260
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $9,216
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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 $184,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,216
Insurance broker organization code?3
Insurance broker nameL.R. WEBBER ASSOCIATES, INC.

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