BERKS COMMUNITY HEALTH CENTER has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BERKS COMMUNITY HEALTH CENTER 403(B) PLAN
| Measure | Date | Value |
|---|
| 2022: BERKS COMMUNITY HEALTH CENTER 403(B) PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 79 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 67 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 14 |
| Total of all active and inactive participants | 2022-01-01 | 82 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2022-01-01 | 0 |
| Total participants | 2022-01-01 | 82 |
| Number of participants with account balances | 2022-01-01 | 69 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2022-01-01 | 0 |
| 2021: BERKS COMMUNITY HEALTH CENTER 403(B) PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 66 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 71 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 9 |
| Total of all active and inactive participants | 2021-01-01 | 80 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2021-01-01 | 0 |
| Total participants | 2021-01-01 | 80 |
| Number of participants with account balances | 2021-01-01 | 66 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2021-01-01 | 0 |
| Measure | Date | Value |
|---|
| 2022 : BERKS COMMUNITY HEALTH CENTER 403(B) PLAN 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-12-31 | $1,321 |
| Total plan liabilities at beginning of year | 2022-12-31 | $733 |
| Total income from all sources | 2022-12-31 | $552,354 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $80,464 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $68,714 |
| Total plan assets at end of year | 2022-12-31 | $1,058,938 |
| Total plan assets at beginning of year | 2022-12-31 | $586,460 |
| Value of fidelity bond covering the plan | 2022-12-31 | $2,000,000 |
| Total contributions received or receivable from participants | 2022-12-31 | $495,657 |
| Contributions received from other sources (not participants or employers) | 2022-12-31 | $24,305 |
| Other income received | 2022-12-31 | $-130,030 |
| Net income (gross income less expenses) | 2022-12-31 | $471,890 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $1,057,617 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $585,727 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $162,422 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $11,750 |
| 2021 : BERKS COMMUNITY HEALTH CENTER 403(B) PLAN 2021 401k financial data |
|---|
| Total plan liabilities at end of year | 2021-12-31 | $733 |
| Total income from all sources | 2021-12-31 | $596,090 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $10,363 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $2,700 |
| Total plan assets at end of year | 2021-12-31 | $586,460 |
| Total plan assets at beginning of year | 2021-12-31 | $0 |
| Value of fidelity bond covering the plan | 2021-12-31 | $2,000,000 |
| Total contributions received or receivable from participants | 2021-12-31 | $432,721 |
| Other income received | 2021-12-31 | $28,169 |
| Net income (gross income less expenses) | 2021-12-31 | $585,727 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $585,727 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $135,200 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $7,663 |
| 2022: BERKS COMMUNITY HEALTH CENTER 403(B) PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2021: BERKS COMMUNITY HEALTH CENTER 403(B) PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 814664A |
| Policy instance | 1 |
| Insurance contract or identification number | 814664A | | Number of Individuals Covered | 11 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 814664A |
| Policy instance | 1 |
| Insurance contract or identification number | 814664A | | Number of Individuals Covered | 12 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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