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MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 401k Plan overview

Plan NameMEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B)
Plan identification number 010

MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:MEMORIAL HOSPITAL
Employer identification number (EIN):344430849
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about MEMORIAL HOSPITAL

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1915-11-03
Company Identification Number: 38439
Legal Registered Office Address: 715 S. TAFT AVE.
-
FREMONT
United States of America (USA)
43420

More information about MEMORIAL HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0102016-01-01KAREN STRAUSS
0102015-01-01KAREN STRAUSS KAREN STRAUSS2016-10-17
0102014-01-01DAVID BREWER DAVID BREWER2015-10-14
0102013-01-01DAVID BREWER
0102012-01-01DAVID BREWER
0102011-01-01RICK RUPPEL
0102009-01-01RICK RUPPEL

Plan Statistics for MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B)

401k plan membership statisitcs for MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B)

Measure Date Value
2016: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2016 401k membership
Total participants, beginning-of-year2016-01-01444
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-010
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2015 401k membership
Total participants, beginning-of-year2015-01-01491
Total number of active participants reported on line 7a of the Form 55002015-01-01348
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0196
Total of all active and inactive participants2015-01-01444
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01444
Number of participants with account balances2015-01-01383
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-019
2014: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2014 401k membership
Total participants, beginning-of-year2014-01-01529
Total number of active participants reported on line 7a of the Form 55002014-01-01431
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0157
Total of all active and inactive participants2014-01-01488
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01488
Number of participants with account balances2014-01-01421
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0114
2013: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2013 401k membership
Total participants, beginning-of-year2013-01-01537
Total number of active participants reported on line 7a of the Form 55002013-01-01454
Number of other retired or separated participants entitled to future benefits2013-01-0167
Total of all active and inactive participants2013-01-01521
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01521
Number of participants with account balances2013-01-01443
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0116
2012: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2012 401k membership
Total participants, beginning-of-year2012-01-01566
Total number of active participants reported on line 7a of the Form 55002012-01-01471
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0157
Total of all active and inactive participants2012-01-01528
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01528
Number of participants with account balances2012-01-01442
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0120
2011: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2011 401k membership
Total participants, beginning-of-year2011-01-01599
Total number of active participants reported on line 7a of the Form 55002011-01-01516
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0151
Total of all active and inactive participants2011-01-01567
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-01568
Number of participants with account balances2011-01-01457
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0121
2009: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2009 401k membership
Total participants, beginning-of-year2009-01-01650
Total number of active participants reported on line 7a of the Form 55002009-01-01586
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0194
Total of all active and inactive participants2009-01-01680
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-01681
Number of participants with account balances2009-01-01464
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0113

Financial Data on MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B)

Measure Date Value
2016 : MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-04-29$0
Total transfer of assets from this plan2016-04-29$18,147,494
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-29$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-29$0
Total income from all sources (including contributions)2016-04-29$423,491
Total loss/gain on sale of assets2016-04-29$0
Total of all expenses incurred2016-04-29$3,995,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-29$3,915,594
Expenses. Certain deemed distributions of participant loans2016-04-29$58,477
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-29$320,298
Value of total assets at end of year2016-04-29$0
Value of total assets at beginning of year2016-04-29$21,719,871
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-29$21,797
Total interest from all sources2016-04-29$30,786
Total dividends received (eg from common stock, registered investment company shares)2016-04-29$16,606
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-29No
Total dividends received from registered investment company shares (eg mutual funds)2016-04-29$16,606
Was this plan covered by a fidelity bond2016-04-29Yes
Value of fidelity bond cover2016-04-29$1,000,000
If this is an individual account plan, was there a blackout period2016-04-29Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-04-29$0
Were there any nonexempt tranactions with any party-in-interest2016-04-29No
Contributions received from participants2016-04-29$223,658
Participant contributions at end of year2016-04-29$0
Participant contributions at beginning of year2016-04-29$427,316
Income. Received or receivable in cash from other sources (including rollovers)2016-04-29$44,107
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-29No
Value of net income/loss2016-04-29$-3,572,377
Value of net assets at end of year (total assets less liabilities)2016-04-29$0
Value of net assets at beginning of year (total assets less liabilities)2016-04-29$21,719,871
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-29No
Were any leases to which the plan was party in default or uncollectible2016-04-29No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-04-29$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-04-29$17,411,453
Interest on participant loans2016-04-29$3,917
Interest earned on other investments2016-04-29$26,869
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-04-29$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-04-29$3,881,102
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-04-29$55,801
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-29No
Was there a failure to transmit to the plan any participant contributions2016-04-29Yes
Has the plan failed to provide any benefit when due under the plan2016-04-29No
Contributions received in cash from employer2016-04-29$52,533
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-29$3,915,594
Contract administrator fees2016-04-29$21,797
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-04-29Yes
Did the plan have assets held for investment2016-04-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-29Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-29Yes
Opinion of an independent qualified public accountant for this plan2016-04-29Disclaimer
Accountancy firm name2016-04-29PLANTE & MORAN, PLLC
Accountancy firm EIN2016-04-29381357951
2015 : MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
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$0
Total income from all sources (including contributions)2015-12-31$1,267,887
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$3,764,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,612,362
Expenses. Certain deemed distributions of participant loans2015-12-31$76,896
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,234,473
Value of total assets at end of year2015-12-31$21,719,871
Value of total assets at beginning of year2015-12-31$24,216,132
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$74,890
Total interest from all sources2015-12-31$181,250
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$160,691
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$160,691
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$877,155
Participant contributions at end of year2015-12-31$427,316
Participant contributions at beginning of year2015-12-31$497,481
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$159,103
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-2,496,261
Value of net assets at end of year (total assets less liabilities)2015-12-31$21,719,871
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$24,216,132
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$17,411,453
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$19,801,446
Interest on participant loans2015-12-31$15,500
Interest earned on other investments2015-12-31$165,750
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$3,881,102
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$3,917,205
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-308,527
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$198,215
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,612,362
Contract administrator fees2015-12-31$74,890
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 name2015-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2015-12-31381357951
2014 : MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$2,898,857
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,953,021
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,840,823
Expenses. Certain deemed distributions of participant loans2014-12-31$36,485
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,501,620
Value of total assets at end of year2014-12-31$24,216,132
Value of total assets at beginning of year2014-12-31$23,270,296
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$75,713
Total interest from all sources2014-12-31$192,843
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$202,835
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$202,835
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,300,500
Participant contributions at end of year2014-12-31$497,481
Participant contributions at beginning of year2014-12-31$536,885
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$53,812
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$60,045
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$945,836
Value of net assets at end of year (total assets less liabilities)2014-12-31$24,216,132
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$23,270,296
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$19,801,446
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$18,769,392
Interest on participant loans2014-12-31$23,096
Interest earned on other investments2014-12-31$169,747
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$3,917,205
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$3,903,528
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,001,559
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$141,075
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$6,679
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,840,823
Contract administrator fees2014-12-31$75,713
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2014-12-31381357951
2013 : MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$5,653,905
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,822,163
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,719,408
Expenses. Certain deemed distributions of participant loans2013-12-31$25,086
Value of total corrective distributions2013-12-31$9,550
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,561,839
Value of total assets at end of year2013-12-31$23,270,296
Value of total assets at beginning of year2013-12-31$19,438,554
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$68,119
Total interest from all sources2013-12-31$136,276
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$155,865
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$155,865
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,358,602
Participant contributions at end of year2013-12-31$536,885
Participant contributions at beginning of year2013-12-31$530,351
Participant contributions at end of year2013-12-31$53,812
Participant contributions at beginning of year2013-12-31$54,670
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$32,054
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,831,742
Value of net assets at end of year (total assets less liabilities)2013-12-31$23,270,296
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$19,438,554
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$18,769,392
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$14,897,693
Interest on participant loans2013-12-31$21,222
Interest earned on other investments2013-12-31$115,054
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$3,903,528
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$3,948,867
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$3,799,925
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$171,183
Employer contributions (assets) at end of year2013-12-31$6,679
Employer contributions (assets) at beginning of year2013-12-31$6,973
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,719,408
Contract administrator fees2013-12-31$68,119
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BLUE & CO., LLC
Accountancy firm EIN2013-12-31351178661
2012 : MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$3,808,097
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,722,072
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,664,068
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,620,237
Value of total assets at end of year2012-12-31$19,438,554
Value of total assets at beginning of year2012-12-31$17,352,529
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$58,004
Total interest from all sources2012-12-31$128,335
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$197,152
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$197,152
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,339,799
Participant contributions at end of year2012-12-31$530,351
Participant contributions at beginning of year2012-12-31$474,585
Participant contributions at end of year2012-12-31$54,670
Participant contributions at beginning of year2012-12-31$49,677
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$132,379
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,086,025
Value of net assets at end of year (total assets less liabilities)2012-12-31$19,438,554
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$17,352,529
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$14,897,693
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$13,200,709
Interest on participant loans2012-12-31$20,681
Interest earned on other investments2012-12-31$107,654
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$3,948,867
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$3,453,390
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,862,373
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$148,059
Employer contributions (assets) at end of year2012-12-31$6,973
Employer contributions (assets) at beginning of year2012-12-31$174,168
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,664,068
Contract administrator fees2012-12-31$58,004
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BLUE & CO., LLC
Accountancy firm EIN2012-12-31351178661
2011 : MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$1,321,119
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$2,085,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,026,242
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,634,617
Value of total assets at end of year2011-12-31$17,352,529
Value of total assets at beginning of year2011-12-31$18,116,616
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$58,964
Total interest from all sources2011-12-31$126,503
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$152,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$152,987
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,419,312
Participant contributions at end of year2011-12-31$474,585
Participant contributions at beginning of year2011-12-31$432,121
Participant contributions at end of year2011-12-31$49,677
Participant contributions at beginning of year2011-12-31$45,843
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$22,591
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-764,087
Value of net assets at end of year (total assets less liabilities)2011-12-31$17,352,529
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$18,116,616
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$13,200,709
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$14,086,298
Interest on participant loans2011-12-31$20,887
Interest earned on other investments2011-12-31$105,616
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$3,453,390
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$3,552,354
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-592,988
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$192,714
Employer contributions (assets) at end of year2011-12-31$174,168
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,026,242
Contract administrator fees2011-12-31$58,964
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BLUE & CO., LLC
Accountancy firm EIN2011-12-31351178661
2010 : MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$3,451,660
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,844,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,770,609
Expenses. Certain deemed distributions of participant loans2010-12-31$16,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,548,459
Value of total assets at end of year2010-12-31$18,116,616
Value of total assets at beginning of year2010-12-31$16,509,770
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$57,883
Total interest from all sources2010-12-31$130,069
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$170,358
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$170,358
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,357,829
Participant contributions at end of year2010-12-31$432,121
Participant contributions at beginning of year2010-12-31$368,654
Participant contributions at end of year2010-12-31$45,843
Participant contributions at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$13,294
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$453
Other income not declared elsewhere2010-12-31$971
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,606,846
Value of net assets at end of year (total assets less liabilities)2010-12-31$18,116,616
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$16,509,770
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$14,086,298
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$12,541,060
Interest on participant loans2010-12-31$22,422
Interest earned on other investments2010-12-31$107,647
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$3,552,354
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$3,600,056
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,601,803
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$177,336
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,770,156
Contract administrator fees2010-12-31$57,883
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BLUE & CO., LLC
Accountancy firm EIN2010-12-31351178661

Form 5500 Responses for MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B)

2016: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-01Plan is a collectively bargained planNo
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: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
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: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
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: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 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: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 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: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 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
2009: MEMORIAL HOSPITAL EMPLOYEES SAVINGS PLAN 403(B) 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered0
Insurance policy start date2016-01-01
Insurance policy end date2016-04-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $485
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees485
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDCUTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameKESTRA INVESTMENT SERVICES LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered444
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,679
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1679
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDCUTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameNFP ADVISOR SERVICES LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered488
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $698
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees698
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDCUTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameNFP ADVISOR SERVICES LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered521
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $11,233
Total amount of fees paid to insurance companyUSD $33,405
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
Commission paid to Insurance BrokerUSD $9,492
Amount paid for insurance broker fees24627
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker nameNFP SECURITIES
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered528
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $25,521
Total amount of fees paid to insurance companyUSD $7,935
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
Commission paid to Insurance BrokerUSD $25,521
Amount paid for insurance broker fees7935
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker nameG & W EQUITY SALES INC.
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered568
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $12,708
Total amount of fees paid to insurance companyUSD $30,847
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered599
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $13,292
Total amount of fees paid to insurance companyUSD $27,421
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

Potentially related plans

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