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NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameNULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN
Plan identification number 501

NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

NULTON DIAGNOSTIC & TREATMENT CENTER, PC has sponsored the creation of one or more 401k plans.

Company Name:NULTON DIAGNOSTIC & TREATMENT CENTER, PC
Employer identification number (EIN):232889239
NAIC Classification:621510
NAIC Description: Medical and Diagnostic Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-12-01
5012020-12-01
5012019-12-01
5012018-12-01

Plan Statistics for NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0190
Total number of active participants reported on line 7a of the Form 55002022-01-0192
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 participants2022-01-0192
2021: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-0190
Total number of active participants reported on line 7a of the Form 55002021-12-0194
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-0194
2020: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-0174
Total number of active participants reported on line 7a of the Form 55002020-12-0190
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-0190
2019: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-0197
Total number of active participants reported on line 7a of the Form 55002019-12-0174
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-0174
2018: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-0184
Total number of active participants reported on line 7a of the Form 55002018-12-0197
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-0197

Financial Data on NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN

Measure Date Value
2022 : NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$106,617
Total plan liabilities at beginning of year2022-12-31$52,687
Total income from all sources2022-12-31$714,014
Expenses. Total of all expenses incurred2022-12-31$789,815
Benefits paid (including direct rollovers)2022-12-31$492,502
Total plan assets at end of year2022-12-31$14,510
Total plan assets at beginning of year2022-12-31$36,381
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$267,610
Expenses. Other expenses not covered elsewhere2022-12-31$238,691
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$63
Net income (gross income less expenses)2022-12-31$-75,801
Net plan assets at end of year (total assets less liabilities)2022-12-31$-92,107
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-16,306
Total contributions received or receivable from employer(s)2022-12-31$446,341
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$58,622
2021 : NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$52,687
Total plan liabilities at beginning of year2021-12-31$106,189
Total income from all sources2021-12-31$61,887
Expenses. Total of all expenses incurred2021-12-31$71,613
Benefits paid (including direct rollovers)2021-12-31$43,750
Total plan assets at end of year2021-12-31$36,381
Total plan assets at beginning of year2021-12-31$99,609
Value of fidelity bond covering the plan2021-12-31$25,000
Total contributions received or receivable from participants2021-12-31$32,293
Expenses. Other expenses not covered elsewhere2021-12-31$19,205
Other income received2021-12-31$12
Net income (gross income less expenses)2021-12-31$-9,726
Net plan assets at end of year (total assets less liabilities)2021-12-31$-16,306
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$-6,580
Total contributions received or receivable from employer(s)2021-12-31$29,582
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$8,658
Total plan liabilities at end of year2021-11-30$106,189
Total plan liabilities at beginning of year2021-11-30$48,719
Total income from all sources2021-11-30$628,027
Expenses. Total of all expenses incurred2021-11-30$589,866
Benefits paid (including direct rollovers)2021-11-30$357,094
Total plan assets at end of year2021-11-30$99,609
Total plan assets at beginning of year2021-11-30$3,978
Value of fidelity bond covering the plan2021-11-30$25,000
Total contributions received or receivable from participants2021-11-30$366,153
Expenses. Other expenses not covered elsewhere2021-11-30$173,845
Other income received2021-11-30$91
Net income (gross income less expenses)2021-11-30$38,161
Net plan assets at end of year (total assets less liabilities)2021-11-30$-6,580
Net plan assets at beginning of year (total assets less liabilities)2021-11-30$-44,741
Total contributions received or receivable from employer(s)2021-11-30$261,783
Expenses. Administrative service providers (salaries,fees and commissions)2021-11-30$58,927
2020 : NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-11-30$48,719
Total plan liabilities at beginning of year2020-11-30$38,298
Total income from all sources2020-11-30$763,279
Expenses. Total of all expenses incurred2020-11-30$862,240
Benefits paid (including direct rollovers)2020-11-30$444,069
Total plan assets at end of year2020-11-30$3,978
Total plan assets at beginning of year2020-11-30$92,518
Value of fidelity bond covering the plan2020-11-30$25,000
Total contributions received or receivable from participants2020-11-30$433,045
Expenses. Other expenses not covered elsewhere2020-11-30$274,068
Contributions received from other sources (not participants or employers)2020-11-30$0
Other income received2020-11-30$167
Net income (gross income less expenses)2020-11-30$-98,961
Net plan assets at end of year (total assets less liabilities)2020-11-30$-44,741
Net plan assets at beginning of year (total assets less liabilities)2020-11-30$54,220
Total contributions received or receivable from employer(s)2020-11-30$330,067
Value of corrective distributions2020-11-30$78,368
Expenses. Administrative service providers (salaries,fees and commissions)2020-11-30$65,735
2019 : NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-11-30$38,298
Total plan liabilities at beginning of year2019-11-30$0
Total income from all sources2019-11-30$685,480
Expenses. Total of all expenses incurred2019-11-30$631,260
Benefits paid (including direct rollovers)2019-11-30$341,203
Total plan assets at end of year2019-11-30$92,518
Total plan assets at beginning of year2019-11-30$0
Value of fidelity bond covering the plan2019-11-30$25,000
Total contributions received or receivable from participants2019-11-30$260,170
Expenses. Other expenses not covered elsewhere2019-11-30$224,518
Contributions received from other sources (not participants or employers)2019-11-30$0
Other income received2019-11-30$112
Net income (gross income less expenses)2019-11-30$54,220
Net plan assets at end of year (total assets less liabilities)2019-11-30$54,220
Net plan assets at beginning of year (total assets less liabilities)2019-11-30$0
Total contributions received or receivable from employer(s)2019-11-30$425,198
Expenses. Administrative service providers (salaries,fees and commissions)2019-11-30$65,539

Form 5500 Responses for NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN

2022: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2020: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – TrustYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes
2019: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – TrustYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement - TrustYes
2018: NULTON DIAGNOSTIC & TREATMENT CENTER, P.C. EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01First time form 5500 has been submittedYes
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planNo
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – TrustYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500391
Policy instance 1
Insurance contract or identification number30500391
Number of Individuals Covered90
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $187,591
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500391
Policy instance 1
Insurance contract or identification number30500391
Number of Individuals Covered94
Insurance policy start date2021-12-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500391
Policy instance 1
Insurance contract or identification number30500391
Number of Individuals Covered90
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $169,325
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500391
Policy instance 1
Insurance contract or identification number30500391
Number of Individuals Covered74
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $171,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered97
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $169,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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