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SHARED SERVICES HEALTH PLAN 401k Plan overview

Plan NameSHARED SERVICES HEALTH PLAN
Plan identification number 501

SHARED SERVICES HEALTH PLAN Benefits

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

401k Sponsoring company profile

SHARED SERVICES CONSORTIUM, LLC has sponsored the creation of one or more 401k plans.

Company Name:SHARED SERVICES CONSORTIUM, LLC
Employer identification number (EIN):251882792
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHARED SERVICES HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01JEFF STRADER2023-04-10
5012020-07-01MICHAEL A. COYNE2022-04-15
5012019-07-01MICHAEL A. COYNE2021-04-12
5012018-07-01MICHAEL A. COYNE2020-04-06
5012017-07-01MICHAEL A. COYNE2019-04-05
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01MICHAEL COYNE
5012011-07-01MICHAEL COYNE MICHAEL COYNE2013-01-28
5012011-01-01MICHAEL COYNE EDWARD LOFTUS2012-01-30
5012010-01-01MICHAEL COYNE EDWARD LOFTUS2011-09-13
5012009-01-01HELEN Y BOWMAN HELEN Y BOWMAN2010-10-14
5012008-11-01

Plan Statistics for SHARED SERVICES HEALTH PLAN

401k plan membership statisitcs for SHARED SERVICES HEALTH PLAN

Measure Date Value
2021: SHARED SERVICES HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-013,040
Total number of active participants reported on line 7a of the Form 55002021-07-012,724
Number of retired or separated participants receiving benefits2021-07-01148
Total of all active and inactive participants2021-07-012,872
2020: SHARED SERVICES HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-013,025
Total number of active participants reported on line 7a of the Form 55002020-07-012,865
Number of retired or separated participants receiving benefits2020-07-01175
Total of all active and inactive participants2020-07-013,040
2019: SHARED SERVICES HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-012,871
Total number of active participants reported on line 7a of the Form 55002019-07-012,844
Number of retired or separated participants receiving benefits2019-07-01181
Total of all active and inactive participants2019-07-013,025
2018: SHARED SERVICES HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-012,493
Total number of active participants reported on line 7a of the Form 55002018-07-012,585
Number of retired or separated participants receiving benefits2018-07-01176
Total of all active and inactive participants2018-07-012,761
2017: SHARED SERVICES HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-012,498
Total number of active participants reported on line 7a of the Form 55002017-07-012,324
Number of retired or separated participants receiving benefits2017-07-01169
Total of all active and inactive participants2017-07-012,493
2016: SHARED SERVICES HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-012,523
Total number of active participants reported on line 7a of the Form 55002016-07-012,315
Number of retired or separated participants receiving benefits2016-07-01183
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-012,498
2015: SHARED SERVICES HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-012,241
Total number of active participants reported on line 7a of the Form 55002015-07-012,302
Number of retired or separated participants receiving benefits2015-07-01221
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-012,523
2014: SHARED SERVICES HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-011,705
Total number of active participants reported on line 7a of the Form 55002014-07-012,064
Number of retired or separated participants receiving benefits2014-07-01177
Total of all active and inactive participants2014-07-012,241
2013: SHARED SERVICES HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-011,676
Total number of active participants reported on line 7a of the Form 55002013-07-011,561
Number of retired or separated participants receiving benefits2013-07-01171
Total of all active and inactive participants2013-07-011,732
2012: SHARED SERVICES HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-011,640
Total number of active participants reported on line 7a of the Form 55002012-07-011,454
Number of retired or separated participants receiving benefits2012-07-01188
Total of all active and inactive participants2012-07-011,642
2011: SHARED SERVICES HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-011,233
Total number of active participants reported on line 7a of the Form 55002011-07-011,469
Number of retired or separated participants receiving benefits2011-07-01171
Total of all active and inactive participants2011-07-011,640
Total participants, beginning-of-year2011-01-011,258
Total number of active participants reported on line 7a of the Form 55002011-01-011,168
Number of retired or separated participants receiving benefits2011-01-01112
Total of all active and inactive participants2011-01-011,280
2010: SHARED SERVICES HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,225
Total number of active participants reported on line 7a of the Form 55002010-01-011,086
Number of retired or separated participants receiving benefits2010-01-01174
Total of all active and inactive participants2010-01-011,260
2009: SHARED SERVICES HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,146
Total number of active participants reported on line 7a of the Form 55002009-01-011,014
Number of retired or separated participants receiving benefits2009-01-01181
Total of all active and inactive participants2009-01-011,195

Financial Data on SHARED SERVICES HEALTH PLAN

Measure Date Value
2022 : SHARED SERVICES HEALTH PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$2,272,566
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$1,372,460
Total income from all sources (including contributions)2022-06-30$54,150,631
Total of all expenses incurred2022-06-30$49,950,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$48,021,164
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$46,383,445
Value of total assets at end of year2022-06-30$20,020,263
Value of total assets at beginning of year2022-06-30$14,920,287
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$1,929,597
Total interest from all sources2022-06-30$8,733
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$164,941
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$18,025,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$9,130,541
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$2,755,345
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$3,116,430
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$1,578,772
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$197,520
Other income not declared elsewhere2022-06-30$7,758,453
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$4,199,870
Value of net assets at end of year (total assets less liabilities)2022-06-30$17,747,697
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$13,547,827
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$579,852
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$17,264,918
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$11,803,857
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$11,803,857
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$8,733
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$9,223,505
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$37,252,904
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$38,797,659
Contract administrator fees2022-06-30$1,184,804
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-06-30No
Liabilities. Value of benefit claims payable at end of year2022-06-30$693,794
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$1,174,940
Did the plan have assets held for investment2022-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30BAKER TILLY US, LLP
Accountancy firm EIN2022-06-30390859910
2021 : SHARED SERVICES HEALTH PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$1,372,460
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$2,254,759
Total income from all sources (including contributions)2021-06-30$54,154,189
Total of all expenses incurred2021-06-30$51,185,778
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$48,903,681
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$45,602,618
Value of total assets at end of year2021-06-30$14,920,287
Value of total assets at beginning of year2021-06-30$12,834,175
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$2,282,097
Total interest from all sources2021-06-30$7,377
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$284,700
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$17,525,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$9,666,572
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$3,116,430
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$1,162,514
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$197,520
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$1,508,671
Other income not declared elsewhere2021-06-30$8,544,194
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$2,968,411
Value of net assets at end of year (total assets less liabilities)2021-06-30$13,547,827
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$10,579,416
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$584,983
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$11,803,857
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$11,671,661
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$11,671,661
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$7,377
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$9,230,552
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$35,936,046
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$39,673,129
Contract administrator fees2021-06-30$1,412,414
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Liabilities. Value of benefit claims payable at end of year2021-06-30$1,174,940
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$746,088
Did the plan have assets held for investment2021-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30BAKER TILLY US, LLP
Accountancy firm EIN2021-06-30390859910
2020 : SHARED SERVICES HEALTH PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$2,254,759
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$1,963,363
Total income from all sources (including contributions)2020-06-30$44,774,466
Total of all expenses incurred2020-06-30$44,942,448
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$42,703,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$36,957,096
Value of total assets at end of year2020-06-30$12,834,175
Value of total assets at beginning of year2020-06-30$12,710,761
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$2,239,197
Total interest from all sources2020-06-30$18,565
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$267,919
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$15,525,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$7,513,726
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$1,162,514
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$1,193,625
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$1,508,671
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$1,137,343
Other income not declared elsewhere2020-06-30$7,798,805
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-167,982
Value of net assets at end of year (total assets less liabilities)2020-06-30$10,579,416
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$10,747,398
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$531,313
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$11,671,661
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$11,517,136
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$11,517,136
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$18,565
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$8,390,316
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$29,443,370
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$34,312,935
Contract administrator fees2020-06-30$1,439,965
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Liabilities. Value of benefit claims payable at end of year2020-06-30$746,088
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$826,020
Did the plan have assets held for investment2020-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30BAKER TILLY US, LLP
Accountancy firm EIN2020-06-30390859910
2019 : SHARED SERVICES HEALTH PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$1,963,363
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$2,040,579
Total income from all sources (including contributions)2019-06-30$44,015,624
Total of all expenses incurred2019-06-30$45,270,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$43,423,346
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$35,684,781
Value of total assets at end of year2019-06-30$12,710,761
Value of total assets at beginning of year2019-06-30$14,042,383
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$1,846,684
Total interest from all sources2019-06-30$26,168
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$233,618
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$8,500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$6,772,199
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$1,193,625
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$1,389,672
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$1,137,343
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$1,200,125
Other income not declared elsewhere2019-06-30$8,304,675
Total non interest bearing cash at end of year2019-06-30$0
Total non interest bearing cash at beginning of year2019-06-30$45,623
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-1,254,406
Value of net assets at end of year (total assets less liabilities)2019-06-30$10,747,398
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$12,001,804
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$509,833
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$11,517,136
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$12,607,088
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$12,607,088
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$26,168
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$7,588,666
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$28,912,582
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$35,834,680
Contract administrator fees2019-06-30$1,103,233
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Liabilities. Value of benefit claims payable at end of year2019-06-30$826,020
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$840,454
Did the plan have assets held for investment2019-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30BAKER TILLY VIRCHOW KRAUSE
Accountancy firm EIN2019-06-30390859910
2018 : SHARED SERVICES HEALTH PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$2,040,579
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$990,044
Total income from all sources (including contributions)2018-06-30$37,371,736
Total of all expenses incurred2018-06-30$35,260,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$33,480,318
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$33,409,759
Value of total assets at end of year2018-06-30$14,042,383
Value of total assets at beginning of year2018-06-30$10,880,474
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$1,780,044
Total interest from all sources2018-06-30$24,034
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$42,024
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$8,500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$5,749,073
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$1,389,672
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$892,780
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$1,200,125
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$469,266
Other income not declared elsewhere2018-06-30$3,937,943
Total non interest bearing cash at end of year2018-06-30$45,623
Total non interest bearing cash at beginning of year2018-06-30$33,249
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$2,111,374
Value of net assets at end of year (total assets less liabilities)2018-06-30$12,001,804
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$9,890,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$446,093
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$12,607,088
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$9,954,445
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$9,954,445
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$24,034
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$6,169,750
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$27,660,686
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$27,310,568
Contract administrator fees2018-06-30$1,291,927
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Liabilities. Value of benefit claims payable at end of year2018-06-30$840,454
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$520,778
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2018-06-30390859910
2017 : SHARED SERVICES HEALTH PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$990,044
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$669,469
Total income from all sources (including contributions)2017-06-30$37,181,514
Total of all expenses incurred2017-06-30$35,944,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$34,046,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$31,520,425
Value of total assets at end of year2017-06-30$10,880,474
Value of total assets at beginning of year2017-06-30$9,322,535
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$1,897,178
Total interest from all sources2017-06-30$18,477
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$62,953
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$8,500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$5,585,710
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$892,780
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$833,676
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$469,266
Other income not declared elsewhere2017-06-30$5,642,612
Total non interest bearing cash at end of year2017-06-30$33,249
Total non interest bearing cash at beginning of year2017-06-30$882,622
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$1,237,364
Value of net assets at end of year (total assets less liabilities)2017-06-30$9,890,430
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$8,653,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$9,954,445
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$7,606,237
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$7,606,237
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$18,477
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$4,898,214
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$25,934,715
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$29,148,758
Contract administrator fees2017-06-30$1,834,225
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Liabilities. Value of benefit claims payable at end of year2017-06-30$520,778
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$669,469
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30RKL LLP
Accountancy firm EIN2017-06-30232108173
2016 : SHARED SERVICES HEALTH PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$669,469
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$513,734
Total income from all sources (including contributions)2016-06-30$34,595,573
Total of all expenses incurred2016-06-30$31,732,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$29,890,829
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$31,077,720
Value of total assets at end of year2016-06-30$9,322,535
Value of total assets at beginning of year2016-06-30$6,303,379
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$1,841,323
Total interest from all sources2016-06-30$16,036
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$43,186
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$8,500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$5,213,777
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$833,676
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$613,269
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$127,620
Other income not declared elsewhere2016-06-30$3,501,817
Total non interest bearing cash at end of year2016-06-30$882,622
Total non interest bearing cash at beginning of year2016-06-30$237,176
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$2,863,421
Value of net assets at end of year (total assets less liabilities)2016-06-30$8,653,066
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$5,789,645
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$7,606,237
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$5,452,934
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$5,452,934
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$16,036
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$4,297,282
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$25,863,943
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$25,593,547
Contract administrator fees2016-06-30$1,798,137
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Liabilities. Value of benefit claims payable at end of year2016-06-30$669,469
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$386,114
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30RKL LLP
Accountancy firm EIN2016-06-30232108173
2015 : SHARED SERVICES HEALTH PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$513,734
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$401,454
Total income from all sources (including contributions)2015-06-30$23,799,623
Total of all expenses incurred2015-06-30$23,542,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$22,208,186
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$21,033,733
Value of total assets at end of year2015-06-30$6,303,379
Value of total assets at beginning of year2015-06-30$5,934,187
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$1,334,525
Total interest from all sources2015-06-30$13,696
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$10,080
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$10,500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$4,225,546
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$613,269
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$429,610
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$127,620
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$174,925
Other income not declared elsewhere2015-06-30$2,752,194
Total non interest bearing cash at end of year2015-06-30$237,176
Total non interest bearing cash at beginning of year2015-06-30$964,899
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$256,912
Value of net assets at end of year (total assets less liabilities)2015-06-30$5,789,645
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$5,532,733
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$5,452,934
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$4,426,983
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$4,426,983
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$13,696
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$2,854,172
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$16,808,187
Employer contributions (assets) at end of year2015-06-30$0
Employer contributions (assets) at beginning of year2015-06-30$112,695
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$19,354,014
Contract administrator fees2015-06-30$1,324,445
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Liabilities. Value of benefit claims payable at end of year2015-06-30$386,114
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$226,529
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30REINSEL KUNTZ LESHER LLP
Accountancy firm EIN2015-06-30232108173
2014 : SHARED SERVICES HEALTH PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$401,454
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$20,119,460
Total of all expenses incurred2014-06-30$21,117,374
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$19,891,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$18,060,171
Value of total assets at end of year2014-06-30$5,934,187
Value of total assets at beginning of year2014-06-30$6,530,647
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$1,225,428
Total interest from all sources2014-06-30$15,296
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$30,649
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$8,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$3,874,938
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$429,610
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$750,804
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$174,925
Other income not declared elsewhere2014-06-30$2,043,993
Total non interest bearing cash at end of year2014-06-30$964,899
Total non interest bearing cash at beginning of year2014-06-30$52,051
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-997,914
Value of net assets at end of year (total assets less liabilities)2014-06-30$5,532,733
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$6,530,647
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$4,426,983
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$5,488,018
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$5,488,018
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$15,296
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$2,468,551
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$14,185,233
Employer contributions (assets) at end of year2014-06-30$112,695
Employer contributions (assets) at beginning of year2014-06-30$239,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$17,423,395
Contract administrator fees2014-06-30$1,194,779
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Liabilities. Value of benefit claims payable at end of year2014-06-30$226,529
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$0
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30REINSEL KUNTZ LESHER LLP
Accountancy firm EIN2014-06-30232108173
2013 : SHARED SERVICES HEALTH PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-06-30$20,884,872
Total of all expenses incurred2013-06-30$19,272,512
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$18,072,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$19,072,402
Value of total assets at end of year2013-06-30$6,530,647
Value of total assets at beginning of year2013-06-30$4,918,287
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$1,199,787
Total interest from all sources2013-06-30$11,298
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$36,100
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$8,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$3,540,164
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$750,804
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$489,396
Other income not declared elsewhere2013-06-30$1,801,172
Total non interest bearing cash at end of year2013-06-30$52,051
Total non interest bearing cash at beginning of year2013-06-30$372,684
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$1,612,360
Value of net assets at end of year (total assets less liabilities)2013-06-30$6,530,647
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$4,918,287
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$5,488,018
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$4,056,207
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$4,056,207
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$11,298
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$2,781,741
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$15,532,238
Employer contributions (assets) at end of year2013-06-30$239,774
Employer contributions (assets) at beginning of year2013-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$15,290,984
Contract administrator fees2013-06-30$1,163,687
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30REINSEL KUNTZ LESHER LLP
Accountancy firm EIN2013-06-30232108173
2012 : SHARED SERVICES HEALTH PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-06-30$16,803,040
Total of all expenses incurred2012-06-30$15,365,226
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$14,345,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$15,779,919
Value of total assets at end of year2012-06-30$4,918,287
Value of total assets at beginning of year2012-06-30$3,480,473
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$1,019,805
Total interest from all sources2012-06-30$8,200
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$29,238
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$8,000,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$3,152,514
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$489,396
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$552,426
Other income not declared elsewhere2012-06-30$1,014,921
Administrative expenses (other) incurred2012-06-30$6,169
Total non interest bearing cash at end of year2012-06-30$372,684
Total non interest bearing cash at beginning of year2012-06-30$165,834
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$1,437,814
Value of net assets at end of year (total assets less liabilities)2012-06-30$4,918,287
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$3,480,473
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$4,056,207
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$2,762,213
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$2,762,213
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$8,200
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$1,970,446
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$12,627,405
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$12,374,975
Contract administrator fees2012-06-30$984,398
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Did the plan have assets held for investment2012-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30TROUT, EBERSOLE & GROFF LLP
Accountancy firm EIN2012-06-30231551315
2011 : SHARED SERVICES HEALTH PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-06-30$7,370,880
Total of all expenses incurred2011-06-30$6,558,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$5,197,766
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$6,953,683
Value of total assets at end of year2011-06-30$3,480,473
Value of total assets at beginning of year2011-06-30$2,667,747
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$1,360,388
Total interest from all sources2011-06-30$3,979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$23,639
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$9,000,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$1,263,587
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$552,426
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$473,690
Other income not declared elsewhere2011-06-30$413,218
Administrative expenses (other) incurred2011-06-30$937,807
Total non interest bearing cash at end of year2011-06-30$165,834
Total non interest bearing cash at beginning of year2011-06-30$312
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$812,726
Value of net assets at end of year (total assets less liabilities)2011-06-30$3,480,473
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$2,667,747
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$2,762,213
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$2,193,745
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$2,193,745
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$3,979
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$5,690,096
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$5,197,766
Contract administrator fees2011-06-30$398,942
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Did the plan have assets held for investment2011-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
2010 : SHARED SERVICES HEALTH PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$13,866,636
Total of all expenses incurred2010-12-31$13,475,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$10,633,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$12,705,770
Value of total assets at end of year2010-12-31$2,667,747
Value of total assets at beginning of year2010-12-31$2,276,344
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,841,264
Total interest from all sources2010-12-31$6,065
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$20,608
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$9,000,000
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$2,134,450
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$473,690
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$487,538
Other income not declared elsewhere2010-12-31$1,154,801
Administrative expenses (other) incurred2010-12-31$1,953,451
Total non interest bearing cash at end of year2010-12-31$312
Total non interest bearing cash at beginning of year2010-12-31$826,161
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$391,403
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,667,747
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,276,344
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$2,193,745
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$962,645
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$962,645
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$6,065
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$10,571,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$10,633,969
Contract administrator fees2010-12-31$867,205
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31No
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 name2010-12-31TROUT EBERSOLE & GROFF LLP
Accountancy firm EIN2010-12-31231551315

Form 5500 Responses for SHARED SERVICES HEALTH PLAN

2021: SHARED SERVICES HEALTH PLAN 2021 form 5500 responses
2021-07-01Type of plan entityMulitple employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: SHARED SERVICES HEALTH PLAN 2020 form 5500 responses
2020-07-01Type of plan entityMulitple employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: SHARED SERVICES HEALTH PLAN 2019 form 5500 responses
2019-07-01Type of plan entityMulitple employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: SHARED SERVICES HEALTH PLAN 2018 form 5500 responses
2018-07-01Type of plan entityMulitple employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: SHARED SERVICES HEALTH PLAN 2017 form 5500 responses
2017-07-01Type of plan entityMulitple employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: SHARED SERVICES HEALTH PLAN 2016 form 5500 responses
2016-07-01Type of plan entityMulitple employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: SHARED SERVICES HEALTH PLAN 2015 form 5500 responses
2015-07-01Type of plan entityMulitple employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: SHARED SERVICES HEALTH PLAN 2014 form 5500 responses
2014-07-01Type of plan entityMulitple employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: SHARED SERVICES HEALTH PLAN 2013 form 5500 responses
2013-07-01Type of plan entityMulitple employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: SHARED SERVICES HEALTH PLAN 2012 form 5500 responses
2012-07-01Type of plan entityMulitple employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: SHARED SERVICES HEALTH PLAN 2011 form 5500 responses
2011-07-01Type of plan entityMulitple employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2011-01-01Type of plan entityMulitple employer plan
2011-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: SHARED SERVICES HEALTH PLAN 2010 form 5500 responses
2010-01-01Type of plan entityMulitple employer plan
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SHARED SERVICES HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2008: SHARED SERVICES HEALTH PLAN 2008 form 5500 responses
2008-11-01Type of plan entityMulitple employer plan
2008-11-01First time form 5500 has been submittedYes
2008-11-01Submission has been amendedYes
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSL3120001-201
Policy instance 1
Insurance contract or identification numberSL3120001-201
Number of Individuals Covered2872
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $4,233,541
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 numberSL3120001-201
Policy instance 1
Insurance contract or identification numberSL3120001-201
Number of Individuals Covered3008
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $4,351,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404237-0010
Policy instance 1
Insurance contract or identification number404237-0010
Number of Individuals Covered352
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $645,615
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404241-0010
Policy instance 2
Insurance contract or identification number404241-0010
Number of Individuals Covered99
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $175,221
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405622-0010
Policy instance 3
Insurance contract or identification number405622-0010
Number of Individuals Covered288
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $400,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404236-0010
Policy instance 4
Insurance contract or identification number404236-0010
Number of Individuals Covered785
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,138,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404255-0010
Policy instance 5
Insurance contract or identification number404255-0010
Number of Individuals Covered391
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $672,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405507-0010
Policy instance 6
Insurance contract or identification number405507-0010
Number of Individuals Covered60
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $84,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405444-0010
Policy instance 7
Insurance contract or identification number405444-0010
Number of Individuals Covered173
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $103,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405556-0010
Policy instance 8
Insurance contract or identification number405556-0010
Number of Individuals Covered252
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $366,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number406887-010
Policy instance 9
Insurance contract or identification number406887-010
Number of Individuals Covered250
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $320,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407202-010
Policy instance 10
Insurance contract or identification number407202-010
Number of Individuals Covered111
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $90,541
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 numberSL3120001-201
Policy instance 11
Insurance contract or identification numberSL3120001-201
Number of Individuals Covered430
Insurance policy start date2020-06-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $37,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number406887-010
Policy instance 9
Insurance contract or identification number406887-010
Number of Individuals Covered276
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $275,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405556-0010
Policy instance 8
Insurance contract or identification number405556-0010
Number of Individuals Covered251
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $312,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405444-0010
Policy instance 7
Insurance contract or identification number405444-0010
Number of Individuals Covered170
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $170,673
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404237-0010
Policy instance 1
Insurance contract or identification number404237-0010
Number of Individuals Covered375
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $581,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404241-0010
Policy instance 2
Insurance contract or identification number404241-0010
Number of Individuals Covered98
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $154,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405622-0010
Policy instance 3
Insurance contract or identification number405622-0010
Number of Individuals Covered311
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $394,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404236-0010
Policy instance 4
Insurance contract or identification number404236-0010
Number of Individuals Covered813
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,038,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404255-0010
Policy instance 5
Insurance contract or identification number404255-0010
Number of Individuals Covered409
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $584,433
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405507-0010
Policy instance 6
Insurance contract or identification number405507-0010
Number of Individuals Covered60
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $75,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404241-0010
Policy instance 2
Insurance contract or identification number404241-0010
Number of Individuals Covered103
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $130,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405622-0010
Policy instance 3
Insurance contract or identification number405622-0010
Number of Individuals Covered314
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $377,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404236-0010
Policy instance 4
Insurance contract or identification number404236-0010
Number of Individuals Covered815
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $891,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405507-0010
Policy instance 6
Insurance contract or identification number405507-0010
Number of Individuals Covered61
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $73,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404255-0010
Policy instance 5
Insurance contract or identification number404255-0010
Number of Individuals Covered411
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $523,128
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405444-0010
Policy instance 7
Insurance contract or identification number405444-0010
Number of Individuals Covered164
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $155,267
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number405556-0010
Policy instance 8
Insurance contract or identification number405556-0010
Number of Individuals Covered264
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $277,886
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404237-0010
Policy instance 1
Insurance contract or identification number404237-0010
Number of Individuals Covered361
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $500,251
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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