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GENESIS PHYSICIANS 401(K) PLAN 401k Plan overview

Plan NameGENESIS PHYSICIANS 401(K) PLAN
Plan identification number 008

GENESIS PHYSICIANS 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

GENESIS HEALTHCARE SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:GENESIS HEALTHCARE SYSTEM
Employer identification number (EIN):311480941
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about GENESIS HEALTHCARE SYSTEM

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1996-09-20
Company Identification Number: 953587
Legal Registered Office Address: 2951 MAPLE AVE
-
ZANESVILLE
United States of America (USA)
43701

More information about GENESIS HEALTHCARE SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GENESIS PHYSICIANS 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0082022-01-01TERRY WILSON2023-10-13
0082021-01-01TERRY WILSON2022-10-13
0082020-01-01TERRY WILSON2021-10-13
0082019-01-01TERRY WILSON2020-10-14
0082018-01-01TERRY WILSON2019-10-15
0082017-01-01TERRY WILSON TERRY WILSON2018-10-15
0082017-01-01TERRY WILSON TERRY WILSON
0082016-01-01LISA CARPENTER MARTHA NASH2017-10-16
0082015-01-01MARTHA NASH MARTHA NASH2016-10-14
0082014-01-01MARTHA NASH MARTHA NASH2015-07-31
0082013-01-01MARTHA NASH
0082012-01-01MARTHA NASH
0082011-01-01JEFF ROBINSON
0082010-01-01JEFF ROBINSON
0082009-03-01JEFF ROBINSON

Plan Statistics for GENESIS PHYSICIANS 401(K) PLAN

401k plan membership statisitcs for GENESIS PHYSICIANS 401(K) PLAN

Measure Date Value
2022: GENESIS PHYSICIANS 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01187
Total number of active participants reported on line 7a of the Form 55002022-01-01150
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0137
Total of all active and inactive participants2022-01-01187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01187
Number of participants with account balances2022-01-01187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: GENESIS PHYSICIANS 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01177
Total number of active participants reported on line 7a of the Form 55002021-01-01144
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0143
Total of all active and inactive participants2021-01-01187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01187
Number of participants with account balances2021-01-01187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: GENESIS PHYSICIANS 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01168
Total number of active participants reported on line 7a of the Form 55002020-01-01142
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0135
Total of all active and inactive participants2020-01-01177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01177
Number of participants with account balances2020-01-01177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: GENESIS PHYSICIANS 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01147
Total number of active participants reported on line 7a of the Form 55002019-01-01141
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0127
Total of all active and inactive participants2019-01-01168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01168
Number of participants with account balances2019-01-01168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: GENESIS PHYSICIANS 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01123
Total number of active participants reported on line 7a of the Form 55002018-01-01123
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0124
Total of all active and inactive participants2018-01-01147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01147
Number of participants with account balances2018-01-01147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: GENESIS PHYSICIANS 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01134
Total number of active participants reported on line 7a of the Form 55002017-01-01120
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0118
Total of all active and inactive participants2017-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01138
Number of participants with account balances2017-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: GENESIS PHYSICIANS 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01132
Total number of active participants reported on line 7a of the Form 55002016-01-01123
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0111
Total of all active and inactive participants2016-01-01134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01134
Number of participants with account balances2016-01-01134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: GENESIS PHYSICIANS 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01128
Total number of active participants reported on line 7a of the Form 55002015-01-01120
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0112
Total of all active and inactive participants2015-01-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01132
Number of participants with account balances2015-01-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: GENESIS PHYSICIANS 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01112
Total number of active participants reported on line 7a of the Form 55002014-01-01120
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-018
Total of all active and inactive participants2014-01-01128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01128
Number of participants with account balances2014-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: GENESIS PHYSICIANS 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0197
Total number of active participants reported on line 7a of the Form 55002013-01-01101
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0111
Total of all active and inactive participants2013-01-01112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01112
Number of participants with account balances2013-01-01112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: GENESIS PHYSICIANS 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0164
Total number of active participants reported on line 7a of the Form 55002012-01-0194
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-013
Total of all active and inactive participants2012-01-0197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0197
Number of participants with account balances2012-01-0197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: GENESIS PHYSICIANS 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0145
Total number of active participants reported on line 7a of the Form 55002011-01-0162
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-0164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0164
Number of participants with account balances2011-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: GENESIS PHYSICIANS 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0129
Total number of active participants reported on line 7a of the Form 55002010-01-0143
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-012
Total of all active and inactive participants2010-01-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0145
Number of participants with account balances2010-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: GENESIS PHYSICIANS 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-010
Total number of active participants reported on line 7a of the Form 55002009-03-0129
Number of retired or separated participants receiving benefits2009-03-010
Number of other retired or separated participants entitled to future benefits2009-03-010
Total of all active and inactive participants2009-03-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-03-010
Total participants2009-03-0129
Number of participants with account balances2009-03-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-03-010

Financial Data on GENESIS PHYSICIANS 401(K) PLAN

Measure Date Value
2022 : GENESIS PHYSICIANS 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-1,767,505
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$3,370,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,239,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,548,535
Value of total assets at end of year2022-12-31$28,162,500
Value of total assets at beginning of year2022-12-31$33,300,484
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$131,387
Total interest from all sources2022-12-31$133,078
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$298,272
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$298,272
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$2,745,842
Participant contributions at end of year2022-12-31$95,304
Participant contributions at beginning of year2022-12-31$86,068
Participant contributions at end of year2022-12-31$53,065
Participant contributions at beginning of year2022-12-31$44,076
Assets. Other investments not covered elsewhere at end of year2022-12-31$192,478
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$269,878
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$208,533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-5,137,984
Value of net assets at end of year (total assets less liabilities)2022-12-31$28,162,500
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$33,300,484
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$21,744,677
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$26,488,370
Value of interest in pooled separate accounts at end of year2022-12-31$1,746,676
Value of interest in pooled separate accounts at beginning of year2022-12-31$1,754,499
Interest on participant loans2022-12-31$5,501
Interest earned on other investments2022-12-31$127,577
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$4,203,001
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$4,571,722
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-5,511,905
Net investment gain/loss from pooled separate accounts2022-12-31$-235,485
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$594,160
Employer contributions (assets) at end of year2022-12-31$127,299
Employer contributions (assets) at beginning of year2022-12-31$85,871
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,239,092
Contract administrator fees2022-12-31$131,387
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31REA & ASSOCIATES
Accountancy firm EIN2022-12-31341310124
2021 : GENESIS PHYSICIANS 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$9,526,562
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$4,056,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$3,924,219
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$5,277,092
Value of total assets at end of year2021-12-31$33,300,484
Value of total assets at beginning of year2021-12-31$27,830,523
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$132,382
Total interest from all sources2021-12-31$133,615
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$273,042
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$273,042
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,653,126
Participant contributions at end of year2021-12-31$86,068
Participant contributions at beginning of year2021-12-31$107,468
Participant contributions at end of year2021-12-31$44,076
Participant contributions at beginning of year2021-12-31$61,586
Assets. Other investments not covered elsewhere at end of year2021-12-31$269,878
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$261,772
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$2,087,375
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$5,469,961
Value of net assets at end of year (total assets less liabilities)2021-12-31$33,300,484
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$27,830,523
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$26,488,370
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$20,969,547
Value of interest in pooled separate accounts at end of year2021-12-31$1,754,499
Value of interest in pooled separate accounts at beginning of year2021-12-31$1,746,883
Interest on participant loans2021-12-31$5,387
Interest earned on other investments2021-12-31$128,228
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$4,571,722
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$4,594,387
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$3,628,716
Net investment gain/loss from pooled separate accounts2021-12-31$214,097
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$536,591
Employer contributions (assets) at end of year2021-12-31$85,871
Employer contributions (assets) at beginning of year2021-12-31$88,880
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,924,219
Contract administrator fees2021-12-31$132,382
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31REA & ASSOCIATES
Accountancy firm EIN2021-12-31341310124
2020 : GENESIS PHYSICIANS 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$7,790,648
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,257,717
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,161,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$3,447,350
Value of total assets at end of year2020-12-31$27,830,523
Value of total assets at beginning of year2020-12-31$22,297,592
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$96,539
Total interest from all sources2020-12-31$126,231
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$211,438
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$211,438
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$2,690,840
Participant contributions at end of year2020-12-31$107,468
Participant contributions at beginning of year2020-12-31$148,408
Participant contributions at end of year2020-12-31$61,586
Participant contributions at beginning of year2020-12-31$58,771
Assets. Other investments not covered elsewhere at end of year2020-12-31$261,772
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$113,018
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$224,587
Administrative expenses (other) incurred2020-12-31$96,539
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$5,532,931
Value of net assets at end of year (total assets less liabilities)2020-12-31$27,830,523
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$22,297,592
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$20,969,547
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$16,445,733
Value of interest in pooled separate accounts at end of year2020-12-31$1,746,883
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,467,293
Interest on participant loans2020-12-31$6,688
Interest earned on other investments2020-12-31$119,543
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$4,594,387
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$4,015,605
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$3,836,515
Net investment gain/loss from pooled separate accounts2020-12-31$169,114
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$531,923
Employer contributions (assets) at end of year2020-12-31$88,880
Employer contributions (assets) at beginning of year2020-12-31$48,764
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,161,178
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31REA & ASSOCIATES
Accountancy firm EIN2020-12-31341310124
2019 : GENESIS PHYSICIANS 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$6,695,216
Total income from all sources (including contributions)2019-12-31$6,695,216
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,014,161
Total of all expenses incurred2019-12-31$1,014,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$925,811
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$925,811
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,990,812
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,990,812
Value of total assets at end of year2019-12-31$22,297,592
Value of total assets at end of year2019-12-31$22,297,592
Value of total assets at beginning of year2019-12-31$16,616,537
Value of total assets at beginning of year2019-12-31$16,616,537
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$88,350
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$88,350
Total interest from all sources2019-12-31$120,368
Total interest from all sources2019-12-31$120,368
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$204,951
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$204,951
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$204,951
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$204,951
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$2,489,315
Contributions received from participants2019-12-31$2,489,315
Participant contributions at end of year2019-12-31$148,408
Participant contributions at end of year2019-12-31$148,408
Participant contributions at beginning of year2019-12-31$106,106
Participant contributions at beginning of year2019-12-31$106,106
Participant contributions at end of year2019-12-31$58,771
Participant contributions at end of year2019-12-31$58,771
Participant contributions at beginning of year2019-12-31$45,846
Participant contributions at beginning of year2019-12-31$45,846
Assets. Other investments not covered elsewhere at end of year2019-12-31$113,018
Assets. Other investments not covered elsewhere at end of year2019-12-31$113,018
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$134,807
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$134,807
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$148,562
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$148,562
Administrative expenses (other) incurred2019-12-31$88,350
Administrative expenses (other) incurred2019-12-31$88,350
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$5,681,055
Value of net income/loss2019-12-31$5,681,055
Value of net assets at end of year (total assets less liabilities)2019-12-31$22,297,592
Value of net assets at end of year (total assets less liabilities)2019-12-31$22,297,592
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$16,616,537
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$16,616,537
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$16,445,733
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$16,445,733
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$11,689,665
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$11,689,665
Value of interest in pooled separate accounts at end of year2019-12-31$1,467,293
Value of interest in pooled separate accounts at end of year2019-12-31$1,467,293
Value of interest in pooled separate accounts at beginning of year2019-12-31$998,674
Value of interest in pooled separate accounts at beginning of year2019-12-31$998,674
Interest on participant loans2019-12-31$8,480
Interest on participant loans2019-12-31$8,480
Interest earned on other investments2019-12-31$111,888
Interest earned on other investments2019-12-31$111,888
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$4,015,605
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$4,015,605
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,625,927
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,625,927
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$3,200,323
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$3,200,323
Net investment gain/loss from pooled separate accounts2019-12-31$178,762
Net investment gain/loss from pooled separate accounts2019-12-31$178,762
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$352,935
Contributions received in cash from employer2019-12-31$352,935
Employer contributions (assets) at end of year2019-12-31$48,764
Employer contributions (assets) at end of year2019-12-31$48,764
Employer contributions (assets) at beginning of year2019-12-31$15,512
Employer contributions (assets) at beginning of year2019-12-31$15,512
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$925,811
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$925,811
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31REA & ASSOCIATES
Accountancy firm name2019-12-31REA & ASSOCIATES
Accountancy firm EIN2019-12-31341310124
Accountancy firm EIN2019-12-31341310124
2018 : GENESIS PHYSICIANS 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$14,363
Total income from all sources (including contributions)2018-12-31$1,636,286
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,875,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,853,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,702,918
Value of total assets at end of year2018-12-31$16,616,537
Value of total assets at beginning of year2018-12-31$16,869,633
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$21,583
Total interest from all sources2018-12-31$109,643
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$121,200
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$121,200
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,228,187
Participant contributions at end of year2018-12-31$106,106
Participant contributions at beginning of year2018-12-31$101,072
Participant contributions at end of year2018-12-31$45,846
Participant contributions at beginning of year2018-12-31$39,930
Assets. Other investments not covered elsewhere at end of year2018-12-31$134,807
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$141,535
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$19,481
Administrative expenses (other) incurred2018-12-31$21,583
Liabilities. Value of operating payables at end of year2018-12-31$0
Liabilities. Value of operating payables at beginning of year2018-12-31$14,363
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-238,733
Value of net assets at end of year (total assets less liabilities)2018-12-31$16,616,537
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$16,855,270
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$11,689,665
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$11,984,557
Value of interest in pooled separate accounts at end of year2018-12-31$998,674
Value of interest in pooled separate accounts at beginning of year2018-12-31$990,349
Interest on participant loans2018-12-31$4,610
Interest earned on other investments2018-12-31$105,033
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,625,927
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$3,612,190
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,239,853
Net investment gain/loss from pooled separate accounts2018-12-31$-57,622
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$455,250
Employer contributions (assets) at end of year2018-12-31$15,512
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,853,436
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31REA & ASSOCIATES
Accountancy firm EIN2018-12-31341310124
2017 : GENESIS PHYSICIANS 401(K) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$14,363
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$4,761,227
Total of all expenses incurred2017-12-31$1,164,078
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,160,093
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,581,359
Value of total assets at end of year2017-12-31$16,869,633
Value of total assets at beginning of year2017-12-31$13,258,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,985
Total interest from all sources2017-12-31$91,217
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$117,421
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$117,421
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,064,636
Participant contributions at end of year2017-12-31$101,072
Participant contributions at beginning of year2017-12-31$91,969
Participant contributions at end of year2017-12-31$39,930
Participant contributions at beginning of year2017-12-31$63,605
Assets. Other investments not covered elsewhere at end of year2017-12-31$141,535
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$95,657
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$120,947
Administrative expenses (other) incurred2017-12-31$3,985
Liabilities. Value of operating payables at end of year2017-12-31$14,363
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$3,597,149
Value of net assets at end of year (total assets less liabilities)2017-12-31$16,855,270
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$13,258,121
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$11,984,557
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$9,570,250
Value of interest in pooled separate accounts at end of year2017-12-31$990,349
Value of interest in pooled separate accounts at beginning of year2017-12-31$708,720
Interest on participant loans2017-12-31$4,508
Interest earned on other investments2017-12-31$86,709
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$3,612,190
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$2,683,870
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,880,354
Net investment gain/loss from pooled separate accounts2017-12-31$90,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$395,776
Employer contributions (assets) at beginning of year2017-12-31$44,050
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,160,093
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MCLAIN, HILL, RUGG & ASSOCIATES
Accountancy firm EIN2017-12-31311038077
2016 : GENESIS PHYSICIANS 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$3,679,289
Total of all expenses incurred2016-12-31$949,699
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$948,717
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,618,741
Value of total assets at end of year2016-12-31$13,258,121
Value of total assets at beginning of year2016-12-31$10,528,531
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$982
Total interest from all sources2016-12-31$71,335
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$93,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$93,682
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,035,117
Participant contributions at end of year2016-12-31$91,969
Participant contributions at beginning of year2016-12-31$114,068
Participant contributions at end of year2016-12-31$63,605
Participant contributions at beginning of year2016-12-31$51,275
Assets. Other investments not covered elsewhere at end of year2016-12-31$95,657
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$18,317
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$181,215
Administrative expenses (other) incurred2016-12-31$982
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,729,590
Value of net assets at end of year (total assets less liabilities)2016-12-31$13,258,121
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$10,528,531
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$9,570,250
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$7,906,016
Value of interest in pooled separate accounts at end of year2016-12-31$708,720
Value of interest in pooled separate accounts at beginning of year2016-12-31$513,399
Interest on participant loans2016-12-31$6,028
Interest earned on other investments2016-12-31$65,307
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$2,683,870
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,921,035
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$855,267
Net investment gain/loss from pooled separate accounts2016-12-31$40,264
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$402,409
Employer contributions (assets) at end of year2016-12-31$44,050
Employer contributions (assets) at beginning of year2016-12-31$4,421
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$948,717
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MCLAIN, HILL, RUGG & ASSOCIATES
Accountancy firm EIN2016-12-31311038077
2015 : GENESIS PHYSICIANS 401(K) PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$23,977
Total income from all sources (including contributions)2015-12-31$2,548,481
Total of all expenses incurred2015-12-31$512,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$512,611
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,441,900
Value of total assets at end of year2015-12-31$10,528,531
Value of total assets at beginning of year2015-12-31$8,516,638
Total interest from all sources2015-12-31$52,163
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$90,894
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$90,894
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,028,772
Participant contributions at end of year2015-12-31$114,068
Participant contributions at beginning of year2015-12-31$76,841
Participant contributions at end of year2015-12-31$51,275
Assets. Other investments not covered elsewhere at end of year2015-12-31$18,317
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$7,168
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$83,580
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$23,977
Other income not declared elsewhere2015-12-31$-587
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$2,035,870
Value of net assets at end of year (total assets less liabilities)2015-12-31$10,528,531
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$8,492,661
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$7,906,016
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$6,648,525
Value of interest in pooled separate accounts at end of year2015-12-31$513,399
Value of interest in pooled separate accounts at beginning of year2015-12-31$401,200
Interest on participant loans2015-12-31$3,091
Interest earned on other investments2015-12-31$49,072
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,921,035
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,382,904
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-24,874
Net investment gain/loss from pooled separate accounts2015-12-31$-11,015
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$329,548
Employer contributions (assets) at end of year2015-12-31$4,421
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$512,611
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31MCLAIN, HILL, RUGG & ASSOCIATES
Accountancy firm EIN2015-12-31311038077
2014 : GENESIS PHYSICIANS 401(K) PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$23,977
Total income from all sources2014-12-31$2,433,677
Expenses. Total of all expenses incurred2014-12-31$1,846,477
Benefits paid (including direct rollovers)2014-12-31$1,818,742
Total plan assets at end of year2014-12-31$8,516,638
Total plan assets at beginning of year2014-12-31$7,905,461
Value of fidelity bond covering the plan2014-12-31$200,000
Total contributions received or receivable from participants2014-12-31$1,731,249
Expenses. Other expenses not covered elsewhere2014-12-31$27,735
Other income received2014-12-31$448,873
Net income (gross income less expenses)2014-12-31$587,200
Net plan assets at end of year (total assets less liabilities)2014-12-31$8,492,661
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$7,905,461
Assets. Value of participant loans2014-12-31$76,841
Total contributions received or receivable from employer(s)2014-12-31$253,555
2013 : GENESIS PHYSICIANS 401(K) PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$3,297,379
Expenses. Total of all expenses incurred2013-12-31$613,028
Benefits paid (including direct rollovers)2013-12-31$612,784
Total plan assets at end of year2013-12-31$7,905,461
Total plan assets at beginning of year2013-12-31$5,221,110
Value of fidelity bond covering the plan2013-12-31$2,000,000
Total contributions received or receivable from participants2013-12-31$1,678,667
Expenses. Other expenses not covered elsewhere2013-12-31$244
Contributions received from other sources (not participants or employers)2013-12-31$103,836
Other income received2013-12-31$1,274,242
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$2,684,351
Net plan assets at end of year (total assets less liabilities)2013-12-31$7,905,461
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$5,221,110
Assets. Value of participant loans2013-12-31$36,713
Total contributions received or receivable from employer(s)2013-12-31$240,634
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : GENESIS PHYSICIANS 401(K) PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$2,217,540
Expenses. Total of all expenses incurred2012-12-31$291,208
Benefits paid (including direct rollovers)2012-12-31$276,872
Total plan assets at end of year2012-12-31$5,221,110
Total plan assets at beginning of year2012-12-31$3,294,778
Value of fidelity bond covering the plan2012-12-31$2,000,000
Total contributions received or receivable from participants2012-12-31$1,532,936
Expenses. Other expenses not covered elsewhere2012-12-31$14,336
Contributions received from other sources (not participants or employers)2012-12-31$74,885
Other income received2012-12-31$438,695
Net income (gross income less expenses)2012-12-31$1,926,332
Net plan assets at end of year (total assets less liabilities)2012-12-31$5,221,110
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,294,778
Assets. Value of participant loans2012-12-31$52,751
Total contributions received or receivable from employer(s)2012-12-31$171,024
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : GENESIS PHYSICIANS 401(K) PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$1,487,436
Expenses. Total of all expenses incurred2011-12-31$79,895
Benefits paid (including direct rollovers)2011-12-31$79,895
Total plan assets at end of year2011-12-31$3,294,778
Total plan assets at beginning of year2011-12-31$1,887,237
Value of fidelity bond covering the plan2011-12-31$2,000,000
Total contributions received or receivable from participants2011-12-31$968,807
Contributions received from other sources (not participants or employers)2011-12-31$428,139
Other income received2011-12-31$-40,785
Net income (gross income less expenses)2011-12-31$1,407,541
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,294,778
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,887,237
Assets. Value of participant loans2011-12-31$16,973
Total contributions received or receivable from employer(s)2011-12-31$131,275
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : GENESIS PHYSICIANS 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$1,405,533
Total plan assets at end of year2010-12-31$1,887,237
Total plan assets at beginning of year2010-12-31$481,704
Value of fidelity bond covering the plan2010-12-31$2,000,000
Total contributions received or receivable from participants2010-12-31$738,909
Contributions received from other sources (not participants or employers)2010-12-31$447,918
Other income received2010-12-31$126,933
Net income (gross income less expenses)2010-12-31$1,405,533
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,887,237
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$481,704
Assets. Value of participant loans2010-12-31$21,314
Total contributions received or receivable from employer(s)2010-12-31$91,773

Form 5500 Responses for GENESIS PHYSICIANS 401(K) PLAN

2022: GENESIS PHYSICIANS 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: GENESIS PHYSICIANS 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: GENESIS PHYSICIANS 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: GENESIS PHYSICIANS 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GENESIS PHYSICIANS 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GENESIS PHYSICIANS 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GENESIS PHYSICIANS 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: GENESIS PHYSICIANS 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: GENESIS PHYSICIANS 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: GENESIS PHYSICIANS 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
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: GENESIS PHYSICIANS 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
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: GENESIS PHYSICIANS 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
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: GENESIS PHYSICIANS 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
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: GENESIS PHYSICIANS 401(K) PLAN 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01First time form 5500 has been submittedYes
2009-03-01Submission has been amendedNo
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-03-01Plan is a collectively bargained planNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan funding arrangement – TrustYes
2009-03-01Plan benefit arrangement – InsuranceYes
2009-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number007156
Policy instance 1
Insurance contract or identification number007156
Number of Individuals Covered187
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered187
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered177
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered168
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered147
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered138
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerSERVICE TO INSURER OR PLAN
Insurance broker nameUBS FINANCIAL SRVCS INS AGENCY INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered132
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $3,821
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3821
Additional information about fees paid to insurance brokerSERVICE TO INSURER OR PLAN
Insurance broker nameUBS FINANCIAL SRVCS INS AGENCY INC
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number007163
Policy instance 2
Insurance contract or identification number007163
Number of Individuals Covered132
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $1,098
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1098
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker nameUBS FINANCIAL SRVCS INS AGENCY INC
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number7163
Policy instance 2
Insurance contract or identification number7163
Number of Individuals Covered128
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of fees paid to insurance companyUSD $793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees793
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker nameUBS FINANCIAL SRVCS INS AGENCY INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered128
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of fees paid to insurance companyUSD $3,428
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3428
Additional information about fees paid to insurance brokerSERVICE TO INSURER OR PLAN
Insurance broker nameUBS FINANCIAL SRVCS INS AGENCY INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered112
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,105
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4105
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?0
Insurance broker nameUBS FINANCIAL SRVCS INS AGENCY INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered97
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,363
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2363
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?0
Insurance broker nameUBS FINANCIAL SRVCS INS AGENCY INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered64
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,459
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007163
Policy instance 1
Insurance contract or identification number007163
Number of Individuals Covered45
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $862
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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