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Plan Name | SUSQUEHANNA VALLEY WOMEN'S HEALTH CARE, P.C. GROUP MEDICAL PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | SUSQUEHANNA VALLEY WOMEN'S HEALTH CARE |
Employer identification number (EIN): | 231729982 |
NAIC Classification: | 621111 |
NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2022-01-01 | ||||
502 | 2021-01-01 |
Measure | Date | Value |
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2022: SUSQUEHANNA VALLEY WOMEN'S HEALTH CARE, P.C. GROUP MEDICAL PLAN 2022 401k membership | ||
Total participants, beginning-of-year | 2022-01-01 | 82 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 73 |
Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
Total of all active and inactive participants | 2022-01-01 | 73 |
2021: SUSQUEHANNA VALLEY WOMEN'S HEALTH CARE, P.C. GROUP MEDICAL PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-01-01 | 82 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 80 |
Number of retired or separated participants receiving benefits | 2021-01-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
Total of all active and inactive participants | 2021-01-01 | 82 |
Measure | Date | Value |
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2021 : SUSQUEHANNA VALLEY WOMEN'S HEALTH CARE, P.C. GROUP MEDICAL PLAN 2021 401k financial data | ||
Total plan liabilities at end of year | 2021-12-31 | $80,287 |
Total plan liabilities at beginning of year | 2021-12-31 | $0 |
Total income from all sources | 2021-12-31 | $809,326 |
Expenses. Total of all expenses incurred | 2021-12-31 | $881,038 |
Benefits paid (including direct rollovers) | 2021-12-31 | $598,835 |
Total plan assets at end of year | 2021-12-31 | $8,575 |
Total plan assets at beginning of year | 2021-12-31 | $0 |
Value of fidelity bond covering the plan | 2021-12-31 | $500,000 |
Total contributions received or receivable from participants | 2021-12-31 | $226,269 |
Expenses. Other expenses not covered elsewhere | 2021-12-31 | $263,488 |
Contributions received from other sources (not participants or employers) | 2021-12-31 | $23,644 |
Other income received | 2021-12-31 | $74 |
Net income (gross income less expenses) | 2021-12-31 | $-71,712 |
Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $-71,712 |
Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $0 |
Total contributions received or receivable from employer(s) | 2021-12-31 | $559,339 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $18,715 |
2022: SUSQUEHANNA VALLEY WOMEN'S HEALTH CARE, P.C. GROUP MEDICAL PLAN 2022 form 5500 responses | ||
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2022-01-01 | Type of plan entity | Single employer plan |
2022-01-01 | Submission has been amended | No |
2022-01-01 | This submission is the final filing | No |
2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-01-01 | Plan is a collectively bargained plan | No |
2022-01-01 | Plan funding arrangement – Insurance | Yes |
2022-01-01 | Plan benefit arrangement – Insurance | Yes |
2021: SUSQUEHANNA VALLEY WOMEN'S HEALTH CARE, P.C. GROUP MEDICAL PLAN 2021 form 5500 responses | ||
2021-01-01 | Type of plan entity | Single employer plan |
2021-01-01 | First time form 5500 has been submitted | Yes |
2021-01-01 | Submission has been amended | No |
2021-01-01 | This submission is the final filing | No |
2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-01-01 | Plan is a collectively bargained plan | No |
2021-01-01 | Plan funding arrangement – Insurance | Yes |
2021-01-01 | Plan funding arrangement – Trust | Yes |
2021-01-01 | Plan benefit arrangement – Insurance | Yes |
2021-01-01 | Plan benefit arrangement - Trust | Yes |
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 30500753 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 30500753 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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