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SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 401k Plan overview

Plan NameSCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR
Plan identification number 502

SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR Benefits

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

401k Sponsoring company profile

FOURSQUARE HEALTHCARE,LTD. (FKA SCC HEALTHCARE GROUP, LTD.) has sponsored the creation of one or more 401k plans.

Company Name:FOURSQUARE HEALTHCARE,LTD. (FKA SCC HEALTHCARE GROUP, LTD.)
Employer identification number (EIN):264219383
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-06-01KOLBY CLARK2024-03-15
5022021-06-01ADOLFO QUIROZ2023-02-08
5022020-06-01ADOLFO QUIROZ2002-03-15
5022019-06-01ADOLFO QUIROZ2021-03-15
5022018-06-01ADOLFO QUIROZ2020-03-16
5022017-06-01
5022016-06-01
5022015-06-01
5022014-06-01ADOLFO QUIROZ ADOLFO QUIROZ2016-03-15
5022013-06-01ADOLFO QUIROZ ADOLFO QUIROZ2015-03-16
5022013-01-01ADOLFO QUIROZ ADOLFO QUIROZ2014-03-07
5022012-01-01ADOLFO QUIROZ ADOLFO QUIROZ2013-10-15
5022011-01-01ADOLFO QUIROZ ADOLFO QUIROZ2012-10-12
5022010-01-01ADOLFO QUIROZ ADOLFO QUIROZ2011-10-17
5022009-01-01ADOLFO QUIROZ ADOLFO QUIROZ2010-10-15

Plan Statistics for SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR

401k plan membership statisitcs for SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR

Measure Date Value
2022: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2022 401k membership
Total participants, beginning-of-year2022-06-01284
Total number of active participants reported on line 7a of the Form 55002022-06-01329
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01329
2021: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2021 401k membership
Total participants, beginning-of-year2021-06-01410
Total number of active participants reported on line 7a of the Form 55002021-06-01284
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01284
2020: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2020 401k membership
Total participants, beginning-of-year2020-06-01429
Total number of active participants reported on line 7a of the Form 55002020-06-01410
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01410
2019: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2019 401k membership
Total participants, beginning-of-year2019-06-01383
Total number of active participants reported on line 7a of the Form 55002019-06-01429
Number of retired or separated participants receiving benefits2019-06-010
Number of other retired or separated participants entitled to future benefits2019-06-010
Total of all active and inactive participants2019-06-01429
2018: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2018 401k membership
Total participants, beginning-of-year2018-06-01412
Total number of active participants reported on line 7a of the Form 55002018-06-01383
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-01383
2017: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2017 401k membership
Total participants, beginning-of-year2017-06-01291
Total number of active participants reported on line 7a of the Form 55002017-06-01412
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-01412
2016: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2016 401k membership
Total participants, beginning-of-year2016-06-01382
Total number of active participants reported on line 7a of the Form 55002016-06-01291
Number of retired or separated participants receiving benefits2016-06-010
Total of all active and inactive participants2016-06-01291
2015: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2015 401k membership
Total participants, beginning-of-year2015-06-01357
Total number of active participants reported on line 7a of the Form 55002015-06-01382
Number of retired or separated participants receiving benefits2015-06-010
Total of all active and inactive participants2015-06-01382
2014: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2014 401k membership
Total participants, beginning-of-year2014-06-01702
Total number of active participants reported on line 7a of the Form 55002014-06-01357
Number of retired or separated participants receiving benefits2014-06-010
Total of all active and inactive participants2014-06-01357
2013: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2013 401k membership
Total participants, beginning-of-year2013-06-01387
Total number of active participants reported on line 7a of the Form 55002013-06-01694
Number of retired or separated participants receiving benefits2013-06-018
Total of all active and inactive participants2013-06-01702
Total participants, beginning-of-year2013-01-01391
Total number of active participants reported on line 7a of the Form 55002013-01-01377
Number of retired or separated participants receiving benefits2013-01-014
Total of all active and inactive participants2013-01-01381
2012: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2012 401k membership
Total participants, beginning-of-year2012-01-01390
Total number of active participants reported on line 7a of the Form 55002012-01-01387
Number of retired or separated participants receiving benefits2012-01-014
Total of all active and inactive participants2012-01-01391
2011: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2011 401k membership
Total participants, beginning-of-year2011-01-01413
Total number of active participants reported on line 7a of the Form 55002011-01-01386
Number of retired or separated participants receiving benefits2011-01-014
Total of all active and inactive participants2011-01-01390
2010: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2010 401k membership
Total participants, beginning-of-year2010-01-01828
Total number of active participants reported on line 7a of the Form 55002010-01-01412
Number of retired or separated participants receiving benefits2010-01-011
Total of all active and inactive participants2010-01-01413
2009: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2009 401k membership
Total participants, beginning-of-year2009-01-01701
Total number of active participants reported on line 7a of the Form 55002009-01-01821
Number of retired or separated participants receiving benefits2009-01-017
Total of all active and inactive participants2009-01-01828

Financial Data on SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR

Measure Date Value
2023 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$253,652
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-05-31$285,713
Total income from all sources (including contributions)2023-05-31$3,320,075
Total of all expenses incurred2023-05-31$3,265,185
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-05-31$2,848,536
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-05-31$3,320,075
Value of total assets at end of year2023-05-31$797,679
Value of total assets at beginning of year2023-05-31$774,850
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-05-31$416,649
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-05-31No
Administrative expenses professional fees incurred2023-05-31$36,572
Was this plan covered by a fidelity bond2023-05-31Yes
Value of fidelity bond cover2023-05-31$1,000,000
If this is an individual account plan, was there a blackout period2023-05-31No
Were there any nonexempt tranactions with any party-in-interest2023-05-31No
Contributions received from participants2023-05-31$1,279,154
Participant contributions at end of year2023-05-31$58,425
Participant contributions at beginning of year2023-05-31$45,452
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-05-31$51,746
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-05-31$60,072
Total non interest bearing cash at end of year2023-05-31$292,949
Total non interest bearing cash at beginning of year2023-05-31$426,384
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Value of net income/loss2023-05-31$54,890
Value of net assets at end of year (total assets less liabilities)2023-05-31$544,027
Value of net assets at beginning of year (total assets less liabilities)2023-05-31$489,137
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-05-31No
Were any leases to which the plan was party in default or uncollectible2023-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2023-05-31$949,184
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-05-31No
Was there a failure to transmit to the plan any participant contributions2023-05-31No
Has the plan failed to provide any benefit when due under the plan2023-05-31No
Contributions received in cash from employer2023-05-31$2,040,921
Employer contributions (assets) at end of year2023-05-31$446,305
Employer contributions (assets) at beginning of year2023-05-31$303,014
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-05-31$1,899,352
Contract administrator fees2023-05-31$380,077
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-05-31No
Liabilities. Value of benefit claims payable at end of year2023-05-31$201,906
Liabilities. Value of benefit claims payable at beginning of year2023-05-31$225,641
Did the plan have assets held for investment2023-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-05-31No
Opinion of an independent qualified public accountant for this plan2023-05-31Unqualified
Accountancy firm name2023-05-31HUSELTON, MORGAN & MAULTSBY, PC
Accountancy firm EIN2023-05-31752409112
2022 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$285,713
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$672,375
Total income from all sources (including contributions)2022-05-31$2,866,947
Total of all expenses incurred2022-05-31$2,847,175
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-05-31$2,402,385
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-05-31$2,866,947
Value of total assets at end of year2022-05-31$774,850
Value of total assets at beginning of year2022-05-31$1,141,740
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-05-31$444,790
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-05-31No
Administrative expenses professional fees incurred2022-05-31$36,861
Was this plan covered by a fidelity bond2022-05-31Yes
Value of fidelity bond cover2022-05-31$1,000,000
If this is an individual account plan, was there a blackout period2022-05-31No
Were there any nonexempt tranactions with any party-in-interest2022-05-31No
Contributions received from participants2022-05-31$1,127,013
Participant contributions at end of year2022-05-31$45,452
Participant contributions at beginning of year2022-05-31$102,068
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-05-31$478,945
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-05-31$60,072
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-05-31$423,204
Total non interest bearing cash at end of year2022-05-31$426,384
Total non interest bearing cash at beginning of year2022-05-31$89,587
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Value of net income/loss2022-05-31$19,772
Value of net assets at end of year (total assets less liabilities)2022-05-31$489,137
Value of net assets at beginning of year (total assets less liabilities)2022-05-31$469,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-05-31No
Were any leases to which the plan was party in default or uncollectible2022-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-05-31$756,806
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-05-31No
Was there a failure to transmit to the plan any participant contributions2022-05-31No
Has the plan failed to provide any benefit when due under the plan2022-05-31No
Contributions received in cash from employer2022-05-31$1,739,934
Employer contributions (assets) at end of year2022-05-31$303,014
Employer contributions (assets) at beginning of year2022-05-31$471,140
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-05-31$1,645,579
Contract administrator fees2022-05-31$407,929
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-05-31No
Liabilities. Value of benefit claims payable at end of year2022-05-31$225,641
Liabilities. Value of benefit claims payable at beginning of year2022-05-31$249,171
Did the plan have assets held for investment2022-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-05-31No
Opinion of an independent qualified public accountant for this plan2022-05-31Unqualified
Accountancy firm name2022-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2022-05-31752409112
2021 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$672,375
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$309,122
Total income from all sources (including contributions)2021-05-31$2,866,290
Total of all expenses incurred2021-05-31$3,102,855
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-05-31$2,673,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-05-31$2,866,290
Value of total assets at end of year2021-05-31$1,141,740
Value of total assets at beginning of year2021-05-31$1,015,052
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-05-31$429,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-05-31No
Administrative expenses professional fees incurred2021-05-31$17,323
Was this plan covered by a fidelity bond2021-05-31Yes
Value of fidelity bond cover2021-05-31$1,000,000
If this is an individual account plan, was there a blackout period2021-05-31No
Were there any nonexempt tranactions with any party-in-interest2021-05-31No
Contributions received from participants2021-05-31$1,359,088
Participant contributions at end of year2021-05-31$102,068
Participant contributions at beginning of year2021-05-31$50,686
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-05-31$478,945
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-05-31$423,204
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-05-31$101,205
Total non interest bearing cash at end of year2021-05-31$89,587
Total non interest bearing cash at beginning of year2021-05-31$302,764
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Value of net income/loss2021-05-31$-236,565
Value of net assets at end of year (total assets less liabilities)2021-05-31$469,365
Value of net assets at beginning of year (total assets less liabilities)2021-05-31$705,930
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-05-31No
Were any leases to which the plan was party in default or uncollectible2021-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-05-31$769,752
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-05-31No
Was there a failure to transmit to the plan any participant contributions2021-05-31No
Has the plan failed to provide any benefit when due under the plan2021-05-31No
Contributions received in cash from employer2021-05-31$1,507,202
Employer contributions (assets) at end of year2021-05-31$471,140
Employer contributions (assets) at beginning of year2021-05-31$661,602
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-05-31$1,903,263
Contract administrator fees2021-05-31$412,517
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-05-31No
Liabilities. Value of benefit claims payable at end of year2021-05-31$249,171
Liabilities. Value of benefit claims payable at beginning of year2021-05-31$207,917
Did the plan have assets held for investment2021-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-05-31No
Opinion of an independent qualified public accountant for this plan2021-05-31Unqualified
Accountancy firm name2021-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2021-05-31752409112
2020 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$309,122
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$173,897
Total income from all sources (including contributions)2020-05-31$2,516,006
Total of all expenses incurred2020-05-31$2,516,983
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-05-31$2,141,415
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-05-31$2,516,006
Value of total assets at end of year2020-05-31$1,015,052
Value of total assets at beginning of year2020-05-31$880,804
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-05-31$375,568
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-05-31No
Administrative expenses professional fees incurred2020-05-31$17,621
Was this plan covered by a fidelity bond2020-05-31Yes
Value of fidelity bond cover2020-05-31$1,000,000
If this is an individual account plan, was there a blackout period2020-05-31No
Were there any nonexempt tranactions with any party-in-interest2020-05-31No
Contributions received from participants2020-05-31$1,157,574
Participant contributions at end of year2020-05-31$50,686
Participant contributions at beginning of year2020-05-31$41,799
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-05-31$101,205
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-05-31$14,866
Total non interest bearing cash at end of year2020-05-31$302,764
Total non interest bearing cash at beginning of year2020-05-31$194,929
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Value of net income/loss2020-05-31$-977
Value of net assets at end of year (total assets less liabilities)2020-05-31$705,930
Value of net assets at beginning of year (total assets less liabilities)2020-05-31$706,907
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-05-31No
Were any leases to which the plan was party in default or uncollectible2020-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-05-31$606,921
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-05-31No
Was there a failure to transmit to the plan any participant contributions2020-05-31No
Has the plan failed to provide any benefit when due under the plan2020-05-31No
Contributions received in cash from employer2020-05-31$1,358,432
Employer contributions (assets) at end of year2020-05-31$661,602
Employer contributions (assets) at beginning of year2020-05-31$644,076
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-05-31$1,534,494
Contract administrator fees2020-05-31$357,947
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-05-31No
Liabilities. Value of benefit claims payable at end of year2020-05-31$207,917
Liabilities. Value of benefit claims payable at beginning of year2020-05-31$159,031
Did the plan have assets held for investment2020-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-05-31No
Opinion of an independent qualified public accountant for this plan2020-05-31Unqualified
Accountancy firm name2020-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2020-05-31752409112
2019 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$173,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$128,919
Total income from all sources (including contributions)2019-05-31$2,001,438
Total of all expenses incurred2019-05-31$2,109,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-05-31$1,789,762
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-05-31$2,001,438
Value of total assets at end of year2019-05-31$880,804
Value of total assets at beginning of year2019-05-31$944,204
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-05-31$320,054
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-05-31No
Administrative expenses professional fees incurred2019-05-31$32,655
Was this plan covered by a fidelity bond2019-05-31Yes
Value of fidelity bond cover2019-05-31$1,000,000
If this is an individual account plan, was there a blackout period2019-05-31No
Were there any nonexempt tranactions with any party-in-interest2019-05-31No
Contributions received from participants2019-05-31$978,195
Participant contributions at end of year2019-05-31$41,799
Participant contributions at beginning of year2019-05-31$37,822
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-05-31$14,866
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-05-31$10,792
Total non interest bearing cash at end of year2019-05-31$194,929
Total non interest bearing cash at beginning of year2019-05-31$71,989
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Value of net income/loss2019-05-31$-108,378
Value of net assets at end of year (total assets less liabilities)2019-05-31$706,907
Value of net assets at beginning of year (total assets less liabilities)2019-05-31$815,285
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-05-31No
Were any leases to which the plan was party in default or uncollectible2019-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-05-31$427,254
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-05-31No
Was there a failure to transmit to the plan any participant contributions2019-05-31No
Has the plan failed to provide any benefit when due under the plan2019-05-31No
Contributions received in cash from employer2019-05-31$1,023,243
Employer contributions (assets) at end of year2019-05-31$644,076
Employer contributions (assets) at beginning of year2019-05-31$834,393
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-05-31$1,362,508
Contract administrator fees2019-05-31$287,399
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-05-31No
Liabilities. Value of benefit claims payable at end of year2019-05-31$159,031
Liabilities. Value of benefit claims payable at beginning of year2019-05-31$118,127
Did the plan have assets held for investment2019-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-05-31No
Opinion of an independent qualified public accountant for this plan2019-05-31Unqualified
Accountancy firm name2019-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2019-05-31752409112
2018 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$128,919
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$249,964
Total income from all sources (including contributions)2018-05-31$1,645,761
Total of all expenses incurred2018-05-31$1,549,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-05-31$1,269,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-05-31$1,645,761
Value of total assets at end of year2018-05-31$944,204
Value of total assets at beginning of year2018-05-31$969,370
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-05-31$280,840
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-05-31No
Administrative expenses professional fees incurred2018-05-31$12,748
Was this plan covered by a fidelity bond2018-05-31Yes
Value of fidelity bond cover2018-05-31$1,000,000
If this is an individual account plan, was there a blackout period2018-05-31No
Were there any nonexempt tranactions with any party-in-interest2018-05-31No
Contributions received from participants2018-05-31$850,857
Participant contributions at end of year2018-05-31$37,822
Participant contributions at beginning of year2018-05-31$33,158
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-05-31$10,792
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-05-31$21,768
Total non interest bearing cash at end of year2018-05-31$71,989
Total non interest bearing cash at beginning of year2018-05-31$128,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Value of net income/loss2018-05-31$95,879
Value of net assets at end of year (total assets less liabilities)2018-05-31$815,285
Value of net assets at beginning of year (total assets less liabilities)2018-05-31$719,406
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-05-31No
Were any leases to which the plan was party in default or uncollectible2018-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-05-31$394,672
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-05-31No
Was there a failure to transmit to the plan any participant contributions2018-05-31No
Has the plan failed to provide any benefit when due under the plan2018-05-31No
Contributions received in cash from employer2018-05-31$794,904
Employer contributions (assets) at end of year2018-05-31$834,393
Employer contributions (assets) at beginning of year2018-05-31$807,712
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-05-31$874,370
Contract administrator fees2018-05-31$268,092
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-05-31No
Liabilities. Value of benefit claims payable at end of year2018-05-31$118,127
Liabilities. Value of benefit claims payable at beginning of year2018-05-31$228,196
Did the plan have assets held for investment2018-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-05-31No
Opinion of an independent qualified public accountant for this plan2018-05-31Unqualified
Accountancy firm name2018-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2018-05-31752409112
2017 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$249,964
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$226,899
Total income from all sources (including contributions)2017-05-31$1,916,648
Total of all expenses incurred2017-05-31$1,838,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-05-31$1,562,396
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-05-31$1,916,648
Value of total assets at end of year2017-05-31$969,370
Value of total assets at beginning of year2017-05-31$868,162
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-05-31$276,109
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-05-31No
Administrative expenses professional fees incurred2017-05-31$42,110
Was this plan covered by a fidelity bond2017-05-31Yes
Value of fidelity bond cover2017-05-31$1,000,000
If this is an individual account plan, was there a blackout period2017-05-31No
Were there any nonexempt tranactions with any party-in-interest2017-05-31No
Contributions received from participants2017-05-31$1,007,601
Participant contributions at end of year2017-05-31$33,158
Participant contributions at beginning of year2017-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-05-31$21,768
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-05-31$19,644
Total non interest bearing cash at end of year2017-05-31$128,500
Total non interest bearing cash at beginning of year2017-05-31$111,546
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Value of net income/loss2017-05-31$78,143
Value of net assets at end of year (total assets less liabilities)2017-05-31$719,406
Value of net assets at beginning of year (total assets less liabilities)2017-05-31$641,263
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-05-31No
Were any leases to which the plan was party in default or uncollectible2017-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-05-31$329,477
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-05-31No
Was there a failure to transmit to the plan any participant contributions2017-05-31No
Has the plan failed to provide any benefit when due under the plan2017-05-31No
Contributions received in cash from employer2017-05-31$909,047
Employer contributions (assets) at end of year2017-05-31$807,712
Employer contributions (assets) at beginning of year2017-05-31$756,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-05-31$1,232,919
Contract administrator fees2017-05-31$233,999
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-05-31No
Liabilities. Value of benefit claims payable at end of year2017-05-31$228,196
Liabilities. Value of benefit claims payable at beginning of year2017-05-31$207,255
Did the plan have assets held for investment2017-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-05-31No
Opinion of an independent qualified public accountant for this plan2017-05-31Unqualified
Accountancy firm name2017-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2017-05-31752409112
2016 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$226,899
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$105,860
Total income from all sources (including contributions)2016-05-31$2,110,916
Total of all expenses incurred2016-05-31$2,459,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$2,111,566
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$2,110,916
Value of total assets at end of year2016-05-31$868,162
Value of total assets at beginning of year2016-05-31$1,095,227
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$347,454
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31No
Administrative expenses professional fees incurred2016-05-31$41,450
Was this plan covered by a fidelity bond2016-05-31Yes
Value of fidelity bond cover2016-05-31$1,000,000
If this is an individual account plan, was there a blackout period2016-05-31No
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$1,013,924
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-05-31$19,644
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-05-31$7,411
Total non interest bearing cash at end of year2016-05-31$111,546
Total non interest bearing cash at beginning of year2016-05-31$196,636
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Value of net income/loss2016-05-31$-348,104
Value of net assets at end of year (total assets less liabilities)2016-05-31$641,263
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$989,367
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$368,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31No
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Contributions received in cash from employer2016-05-31$1,096,992
Employer contributions (assets) at end of year2016-05-31$756,616
Employer contributions (assets) at beginning of year2016-05-31$898,591
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$1,742,659
Contract administrator fees2016-05-31$306,004
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-05-31No
Liabilities. Value of benefit claims payable at end of year2016-05-31$207,255
Liabilities. Value of benefit claims payable at beginning of year2016-05-31$98,449
Did the plan have assets held for investment2016-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31No
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
Accountancy firm name2016-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2016-05-31752409113
2015 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$105,860
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$226,529
Total income from all sources (including contributions)2015-05-31$1,711,530
Total of all expenses incurred2015-05-31$1,501,157
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$1,327,933
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$1,664,589
Value of total assets at end of year2015-05-31$1,095,227
Value of total assets at beginning of year2015-05-31$1,005,523
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$173,224
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Administrative expenses professional fees incurred2015-05-31$17,725
Was this plan covered by a fidelity bond2015-05-31Yes
Value of fidelity bond cover2015-05-31$1,000,000
If this is an individual account plan, was there a blackout period2015-05-31No
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Contributions received from participants2015-05-31$837,445
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-05-31$7,411
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-05-31$17,751
Other income not declared elsewhere2015-05-31$46,941
Total non interest bearing cash at end of year2015-05-31$196,636
Total non interest bearing cash at beginning of year2015-05-31$78,409
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$210,373
Value of net assets at end of year (total assets less liabilities)2015-05-31$989,367
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$778,994
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$285,403
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31No
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Contributions received in cash from employer2015-05-31$827,144
Employer contributions (assets) at end of year2015-05-31$898,591
Employer contributions (assets) at beginning of year2015-05-31$927,114
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$1,042,530
Contract administrator fees2015-05-31$155,499
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-05-31No
Liabilities. Value of benefit claims payable at end of year2015-05-31$98,449
Liabilities. Value of benefit claims payable at beginning of year2015-05-31$208,778
Did the plan have assets held for investment2015-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
Accountancy firm name2015-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2015-05-31752409113
2014 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$226,529
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$263,919
Total income from all sources (including contributions)2014-05-31$1,564,316
Total of all expenses incurred2014-05-31$1,655,672
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$1,473,458
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$1,555,960
Value of total assets at end of year2014-05-31$1,005,523
Value of total assets at beginning of year2014-05-31$1,134,269
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$182,214
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Administrative expenses professional fees incurred2014-05-31$5,895
Was this plan covered by a fidelity bond2014-05-31Yes
Value of fidelity bond cover2014-05-31$1,000,000
If this is an individual account plan, was there a blackout period2014-05-31No
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Contributions received from participants2014-05-31$805,908
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-05-31$17,751
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-05-31$15,695
Other income not declared elsewhere2014-05-31$8,356
Total non interest bearing cash at end of year2014-05-31$78,409
Total non interest bearing cash at beginning of year2014-05-31$109,247
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Value of net income/loss2014-05-31$-91,356
Value of net assets at end of year (total assets less liabilities)2014-05-31$778,994
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$870,350
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-05-31$261,536
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31No
Was there a failure to transmit to the plan any participant contributions2014-05-31No
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Contributions received in cash from employer2014-05-31$750,052
Employer contributions (assets) at end of year2014-05-31$927,114
Employer contributions (assets) at beginning of year2014-05-31$1,025,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-05-31$1,211,922
Contract administrator fees2014-05-31$176,319
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-05-31No
Liabilities. Value of benefit claims payable at end of year2014-05-31$208,778
Liabilities. Value of benefit claims payable at beginning of year2014-05-31$248,224
Did the plan have assets held for investment2014-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-05-31No
Opinion of an independent qualified public accountant for this plan2014-05-31Unqualified
Accountancy firm name2014-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2014-05-31752409112
2013 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$263,919
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$209,887
Total income from all sources (including contributions)2013-05-31$797,890
Total of all expenses incurred2013-05-31$898,234
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-05-31$833,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-05-31$737,545
Value of total assets at end of year2013-05-31$1,134,269
Value of total assets at beginning of year2013-05-31$1,180,581
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-05-31$65,156
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-05-31No
Administrative expenses professional fees incurred2013-05-31$-536
Was this plan covered by a fidelity bond2013-05-31Yes
Value of fidelity bond cover2013-05-31$1,000,000
If this is an individual account plan, was there a blackout period2013-05-31No
Were there any nonexempt tranactions with any party-in-interest2013-05-31No
Contributions received from participants2013-05-31$320,063
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-05-31$15,695
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-05-31$16,734
Other income not declared elsewhere2013-05-31$60,345
Total non interest bearing cash at end of year2013-05-31$109,247
Total non interest bearing cash at beginning of year2013-05-31$109,737
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Value of net income/loss2013-05-31$-100,344
Value of net assets at end of year (total assets less liabilities)2013-05-31$870,350
Value of net assets at beginning of year (total assets less liabilities)2013-05-31$970,694
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-05-31No
Were any leases to which the plan was party in default or uncollectible2013-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-05-31$109,365
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-05-31No
Was there a failure to transmit to the plan any participant contributions2013-05-31No
Has the plan failed to provide any benefit when due under the plan2013-05-31No
Contributions received in cash from employer2013-05-31$417,482
Employer contributions (assets) at end of year2013-05-31$1,025,022
Employer contributions (assets) at beginning of year2013-05-31$1,070,844
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-05-31$723,713
Contract administrator fees2013-05-31$65,692
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-05-31No
Liabilities. Value of benefit claims payable at end of year2013-05-31$248,224
Liabilities. Value of benefit claims payable at beginning of year2013-05-31$193,153
Did the plan have assets held for investment2013-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-05-31No
Opinion of an independent qualified public accountant for this plan2013-05-31Unqualified
Accountancy firm name2013-05-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2013-05-31752409112
2012 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$209,887
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$352,019
Total income from all sources (including contributions)2012-12-31$1,609,697
Total of all expenses incurred2012-12-31$1,359,954
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,206,082
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,463,532
Value of total assets at end of year2012-12-31$1,180,581
Value of total assets at beginning of year2012-12-31$1,072,970
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$153,872
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$6,074
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$688,710
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$16,734
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$24,263
Other income not declared elsewhere2012-12-31$146,165
Total non interest bearing cash at end of year2012-12-31$109,737
Total non interest bearing cash at beginning of year2012-12-31$104,577
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$249,743
Value of net assets at end of year (total assets less liabilities)2012-12-31$970,694
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$720,951
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$279,542
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$774,822
Employer contributions (assets) at end of year2012-12-31$1,070,844
Employer contributions (assets) at beginning of year2012-12-31$968,393
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$926,540
Contract administrator fees2012-12-31$147,798
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$193,153
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$327,756
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2012-12-31752409112
2011 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$352,019
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$353,658
Total income from all sources (including contributions)2011-12-31$1,557,948
Total of all expenses incurred2011-12-31$1,609,097
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,438,118
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,277,991
Value of total assets at end of year2011-12-31$1,072,970
Value of total assets at beginning of year2011-12-31$1,125,758
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$170,979
Total interest from all sources2011-12-31$1,392
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$4,971
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$604,814
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$24,263
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$23,293
Other income not declared elsewhere2011-12-31$278,565
Total non interest bearing cash at end of year2011-12-31$104,577
Total non interest bearing cash at beginning of year2011-12-31$667,771
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-51,149
Value of net assets at end of year (total assets less liabilities)2011-12-31$720,951
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$772,100
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$1,392
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$321,615
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$673,177
Employer contributions (assets) at end of year2011-12-31$968,393
Employer contributions (assets) at beginning of year2011-12-31$457,987
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,116,503
Contract administrator fees2011-12-31$166,008
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$327,756
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$330,365
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2011-12-31752409112
2010 : SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$353,658
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$360,906
Total income from all sources (including contributions)2010-12-31$2,149,125
Total of all expenses incurred2010-12-31$1,899,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,708,934
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,074,220
Value of total assets at end of year2010-12-31$1,125,758
Value of total assets at beginning of year2010-12-31$882,910
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$190,095
Total interest from all sources2010-12-31$2,443
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$12,908
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
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$735,752
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$23,293
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$27,057
Other income not declared elsewhere2010-12-31$72,462
Total non interest bearing cash at end of year2010-12-31$667,771
Total non interest bearing cash at beginning of year2010-12-31$585,284
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$250,096
Value of net assets at end of year (total assets less liabilities)2010-12-31$772,100
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$522,004
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
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$2,443
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$462,893
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,338,468
Employer contributions (assets) at end of year2010-12-31$457,987
Employer contributions (assets) at beginning of year2010-12-31$297,626
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,246,041
Contract administrator fees2010-12-31$177,187
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
Liabilities. Value of benefit claims payable at end of year2010-12-31$330,365
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$333,849
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 name2010-12-31HUSELTON, MORGAN & MAULTSBY, P.C.
Accountancy firm EIN2010-12-31752409112

Form 5500 Responses for SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR

2022: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – TrustYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement - TrustYes
2021: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement - TrustYes
2020: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement - TrustYes
2019: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – TrustYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement - TrustYes
2018: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – TrustYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement - TrustYes
2017: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – TrustYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement - TrustYes
2016: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – TrustYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement - TrustYes
2015: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes
2013: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement - TrustYes
2013-01-01Type of plan entitySingle employer plan
2013-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SCC HEALTHCARE GROUP, LTD. HEALTH CARE BENEFITS TR 2009 form 5500 responses
2009-01-01Type of plan entitySingle 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

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3338856
Policy instance 1
Insurance contract or identification number3338856
Number of Individuals Covered329
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $117,715
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,019,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $117,715
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3338856
Policy instance 1
Insurance contract or identification number3338856
Number of Individuals Covered284
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $164,768
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $818,587
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $164,768
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3338856
Policy instance 1
Insurance contract or identification number3338856
Number of Individuals Covered312
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $83,052
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $835,106
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $83,052
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3338856
Policy instance 1
Insurance contract or identification number3338856
Number of Individuals Covered303
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $135,612
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $663,882
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $135,574
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3338856
Policy instance 1
Insurance contract or identification number3338856
Number of Individuals Covered230
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
Total amount of commissions paid to insurance brokerUSD $49,520
Total amount of fees paid to insurance companyUSD $1,733
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $474,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,520
Amount paid for insurance broker fees1733
Additional information about fees paid to insurance brokerSERVICE/GEN. AGENT FEES
Insurance broker organization code?3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3338856
Policy instance 2
Insurance contract or identification number3338856
Number of Individuals Covered248
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $87,199
Total amount of fees paid to insurance companyUSD $1,008
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $417,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 1
Insurance contract or identification number30019918
Number of Individuals Covered418
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $1,705
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 1
Insurance contract or identification number30019918
Number of Individuals Covered416
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $1,867
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,867
Insurance broker organization code?3
Insurance broker nameIPS ADVISORS, INC.
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3338856
Policy instance 2
Insurance contract or identification number3338856
Number of Individuals Covered294
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $79,126
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $417,704
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,126
Insurance broker organization code?3
Insurance broker nameIPS ADVISORS, INC.
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS00937-14
Policy instance 1
Insurance contract or identification numberLGS00937-14
Number of Individuals Covered189
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $42,894
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $285,962
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,632
Insurance broker organization code?3
Insurance broker nameMC & H LIFE AGENCY - DALLAS
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 2
Insurance contract or identification number30019918
Number of Individuals Covered353
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $1,091
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,384
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,091
Insurance broker organization code?3
Insurance broker nameIPS ADVISORS, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 2
Insurance contract or identification number30019918
Number of Individuals Covered292
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $3,034
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,344
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,034
Insurance broker organization code?3
Insurance broker nameMC & H LIFE AGENCY, INC
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number167007160061
Policy instance 1
Insurance contract or identification number167007160061
Number of Individuals Covered177
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $39,254
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $261,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,254
Insurance broker organization code?3
Insurance broker nameMC & H LIFE AGENCY - DALLAS
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 2
Insurance contract or identification number30019918
Number of Individuals Covered226
Insurance policy start date2013-01-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $1,202
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,202
Insurance broker organization code?3
Insurance broker nameMC & H LIFE AGENCY, INC.
KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )
Policy contract numberK100793001
Policy instance 1
Insurance contract or identification numberK100793001
Number of Individuals Covered150
Insurance policy start date2013-01-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $19,616
Total amount of fees paid to insurance companyUSD $1,619
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $109,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,616
Amount paid for insurance broker fees1619
Additional information about fees paid to insurance brokerVOLUME INCENTIVES
Insurance broker organization code?3
Insurance broker nameMC & H LIFE AGENCY - DALLAS
KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )
Policy contract numberK100793001
Policy instance 1
Insurance contract or identification numberK100793001
Number of Individuals Covered143
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $42,940
Total amount of fees paid to insurance companyUSD $3,609
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $280,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,940
Amount paid for insurance broker fees3609
Additional information about fees paid to insurance brokerVOLUME INCENTIVES
Insurance broker organization code?3
Insurance broker nameMC & H LIFE AGENCY - DALLAS
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 2
Insurance contract or identification number30019918
Number of Individuals Covered216
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,503
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,822
Insurance broker organization code?3
Insurance broker nameMC & H LIFE AGENCY, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30019918
Policy instance 3
Insurance contract or identification number30019918
Number of Individuals Covered198
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,556
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 2
Insurance contract or identification numberEXRK
Number of Individuals Covered227
Insurance policy start date2011-01-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $22,134
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $147,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KANAWHA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65110 )
Policy contract numberK100793001
Policy instance 1
Insurance contract or identification numberK100793001
Number of Individuals Covered134
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $24,997
Total amount of fees paid to insurance companyUSD $268
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $193,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number167003160061
Policy instance 1
Insurance contract or identification number167003160061
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $26,889
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $183,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 2
Insurance contract or identification numberEXRK
Number of Individuals Covered397
Insurance policy start date2010-06-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $31,896
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $212,638
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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