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BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 401k Plan overview

Plan NameBAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K
Plan identification number 002

BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name:BAPTIST EASLEY HOSPITAL
Employer identification number (EIN):352363050
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022019-01-01KATHLEEN STAPLETON2019-09-12
0022018-01-01KATHLEEN STAPLETON2019-09-12
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01KATHLEEN STAPLETON KATHLEEN STAPLETON2015-08-12
0022013-01-01KATHLEEN STAPLETON
0022012-01-01KATHLEEN STAPLETON
0022011-01-01RODDEY E. GETTYS III

Plan Statistics for BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K

401k plan membership statisitcs for BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K

Measure Date Value
2019: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2019 401k membership
Total participants, beginning-of-year2019-01-01449
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2018 401k membership
Total participants, beginning-of-year2018-01-01504
Total number of active participants reported on line 7a of the Form 55002018-01-0115
Number of retired or separated participants receiving benefits2018-01-01433
Total of all active and inactive participants2018-01-01448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01449
Number of participants with account balances2018-01-01449
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0114
2017: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2017 401k membership
Total participants, beginning-of-year2017-01-01459
Total number of active participants reported on line 7a of the Form 55002017-01-01480
Number of retired or separated participants receiving benefits2017-01-0123
Total of all active and inactive participants2017-01-01503
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01504
Number of participants with account balances2017-01-01480
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-01124
2016: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2016 401k membership
Total participants, beginning-of-year2016-01-01439
Total number of active participants reported on line 7a of the Form 55002016-01-01459
Number of retired or separated participants receiving benefits2016-01-018
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01467
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01468
Number of participants with account balances2016-01-01459
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0181
2015: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2015 401k membership
Total participants, beginning-of-year2015-01-01614
Total number of active participants reported on line 7a of the Form 55002015-01-01439
Number of retired or separated participants receiving benefits2015-01-0131
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-01471
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-013
Total participants2015-01-01474
Number of participants with account balances2015-01-01439
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-01514
2014: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2014 401k membership
Total participants, beginning-of-year2014-01-01629
Total number of active participants reported on line 7a of the Form 55002014-01-01574
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-0139
Total of all active and inactive participants2014-01-01614
Total participants2014-01-01614
Number of participants with account balances2014-01-01372
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0120
2013: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2013 401k membership
Total participants, beginning-of-year2013-01-01646
Total number of active participants reported on line 7a of the Form 55002013-01-01601
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-0127
Total of all active and inactive participants2013-01-01629
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01629
Number of participants with account balances2013-01-01384
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0112
2012: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2012 401k membership
Total participants, beginning-of-year2012-01-01729
Total number of active participants reported on line 7a of the Form 55002012-01-01618
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-0127
Total of all active and inactive participants2012-01-01646
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01646
Number of participants with account balances2012-01-01402
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-016
2011: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2011 401k membership
Total participants, beginning-of-year2011-01-01918
Total number of active participants reported on line 7a of the Form 55002011-01-01709
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0120
Total of all active and inactive participants2011-01-01729
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01729
Number of participants with account balances2011-01-01429
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-017

Financial Data on BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K

Measure Date Value
2018 : BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-1,389,117
Total unrealized appreciation/depreciation of assets2018-12-31$-1,389,117
Total income from all sources (including contributions)2018-12-31$30,864
Total of all expenses incurred2018-12-31$1,378,870
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,339,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$712,265
Value of total assets at end of year2018-12-31$12,489,527
Value of total assets at beginning of year2018-12-31$13,837,533
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$39,278
Total interest from all sources2018-12-31$15,668
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$692,048
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$692,048
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$5,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Participant contributions at end of year2018-12-31$319,758
Participant contributions at beginning of year2018-12-31$360,841
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$0
Administrative expenses (other) incurred2018-12-31$39,278
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,348,006
Value of net assets at end of year (total assets less liabilities)2018-12-31$12,489,527
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$13,837,533
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$10,925,840
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$12,137,064
Interest on participant loans2018-12-31$15,668
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,243,929
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,339,628
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$712,265
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,339,592
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
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 name2018-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2018-12-31560747981
2017 : BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,452,769
Total unrealized appreciation/depreciation of assets2017-12-31$1,452,769
Total income from all sources (including contributions)2017-12-31$2,922,373
Total of all expenses incurred2017-12-31$1,706,441
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,654,917
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$879,861
Value of total assets at end of year2017-12-31$13,837,533
Value of total assets at beginning of year2017-12-31$12,621,601
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$51,524
Total interest from all sources2017-12-31$16,118
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$573,625
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$573,625
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$5,000,000
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
Participant contributions at end of year2017-12-31$360,841
Participant contributions at beginning of year2017-12-31$386,186
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$65,461
Administrative expenses (other) incurred2017-12-31$51,524
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$1,215,932
Value of net assets at end of year (total assets less liabilities)2017-12-31$13,837,533
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$12,621,601
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$12,137,064
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$10,605,819
Interest on participant loans2017-12-31$16,118
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,339,628
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,616,807
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
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$814,400
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$12,789
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,654,917
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
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 name2017-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2017-12-31560747981
2016 : BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$353,694
Total unrealized appreciation/depreciation of assets2016-12-31$353,694
Total income from all sources (including contributions)2016-12-31$1,664,174
Total of all expenses incurred2016-12-31$696,476
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$674,934
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$825,070
Value of total assets at end of year2016-12-31$12,621,601
Value of total assets at beginning of year2016-12-31$11,653,903
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$21,542
Total interest from all sources2016-12-31$18,372
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$467,038
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$467,038
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
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
Participant contributions at end of year2016-12-31$386,186
Participant contributions at beginning of year2016-12-31$506,789
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$9,375
Administrative expenses (other) incurred2016-12-31$21,542
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$967,698
Value of net assets at end of year (total assets less liabilities)2016-12-31$12,621,601
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,653,903
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$10,605,819
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$9,691,954
Interest on participant loans2016-12-31$18,372
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,616,807
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,455,160
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
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$815,695
Employer contributions (assets) at end of year2016-12-31$12,789
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$674,934
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2016-12-31560747981
2015 : BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-582,688
Total unrealized appreciation/depreciation of assets2015-12-31$-582,688
Total income from all sources (including contributions)2015-12-31$802,852
Total of all expenses incurred2015-12-31$892,532
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$878,058
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$780,419
Value of total assets at end of year2015-12-31$11,653,903
Value of total assets at beginning of year2015-12-31$11,743,583
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$14,474
Total interest from all sources2015-12-31$20,882
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$584,239
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$584,239
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$5,000,000
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
Participant contributions at end of year2015-12-31$506,789
Participant contributions at beginning of year2015-12-31$540,913
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$3,287
Administrative expenses (other) incurred2015-12-31$14,474
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-89,680
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,653,903
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,743,583
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$9,691,954
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$9,774,349
Interest on participant loans2015-12-31$20,882
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,455,160
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,428,321
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 contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$777,132
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$878,058
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
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 name2015-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2015-12-31560747981
2014 : BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$130,008
Total unrealized appreciation/depreciation of assets2014-12-31$130,008
Total income from all sources (including contributions)2014-12-31$1,584,890
Total of all expenses incurred2014-12-31$995,279
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$969,928
Expenses. Certain deemed distributions of participant loans2014-12-31$9,551
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$857,311
Value of total assets at end of year2014-12-31$11,743,583
Value of total assets at beginning of year2014-12-31$11,153,972
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$15,800
Total interest from all sources2014-12-31$24,291
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$573,280
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$573,280
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$5,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Participant contributions at end of year2014-12-31$540,913
Participant contributions at beginning of year2014-12-31$524,441
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$16,390
Administrative expenses (other) incurred2014-12-31$15,800
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$589,611
Value of net assets at end of year (total assets less liabilities)2014-12-31$11,743,583
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$11,153,972
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$9,774,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$9,191,767
Interest on participant loans2014-12-31$24,291
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,428,321
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,422,019
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 contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$840,921
Employer contributions (assets) at end of year2014-12-31$0
Employer contributions (assets) at beginning of year2014-12-31$15,745
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$969,928
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
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 name2014-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2014-12-31560747981
2013 : BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets to this plan2013-12-31$57,346
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$46,644
Total income from all sources (including contributions)2013-12-31$2,810,409
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$812,799
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$797,653
Value of total corrective distributions2013-12-31$545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$894,831
Value of total assets at end of year2013-12-31$11,153,972
Value of total assets at beginning of year2013-12-31$9,145,660
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$14,601
Total interest from all sources2013-12-31$47,694
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$286,723
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$286,723
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
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
Participant contributions at end of year2013-12-31$524,441
Participant contributions at beginning of year2013-12-31$295,324
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$83
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$46,644
Administrative expenses (other) incurred2013-12-31$14,601
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$1,997,610
Value of net assets at end of year (total assets less liabilities)2013-12-31$11,153,972
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$9,099,016
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$9,191,767
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$7,401,790
Interest on participant loans2013-12-31$15,391
Interest earned on other investments2013-12-31$32,303
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,422,019
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,434,531
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,581,161
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 contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$894,831
Employer contributions (assets) at end of year2013-12-31$15,745
Employer contributions (assets) at beginning of year2013-12-31$13,932
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$797,653
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 name2013-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2013-12-31560747981
2012 : BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 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$46,644
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$1,948,320
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$698,911
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$681,711
Expenses. Certain deemed distributions of participant loans2012-12-31$538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$956,826
Value of total assets at end of year2012-12-31$9,145,660
Value of total assets at beginning of year2012-12-31$7,849,607
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$16,662
Total interest from all sources2012-12-31$41,650
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$155,105
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$155,105
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
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
Participant contributions at end of year2012-12-31$295,324
Participant contributions at beginning of year2012-12-31$231,395
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$83
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$46,644
Administrative expenses (other) incurred2012-12-31$16,662
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$1,249,409
Value of net assets at end of year (total assets less liabilities)2012-12-31$9,099,016
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$7,849,607
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$7,401,790
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$6,066,153
Interest on participant loans2012-12-31$11,220
Interest earned on other investments2012-12-31$30,430
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,434,531
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$1,504,433
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$794,739
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$956,826
Employer contributions (assets) at end of year2012-12-31$13,932
Employer contributions (assets) at beginning of year2012-12-31$47,626
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$681,711
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 name2012-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2012-12-31560747981
2011 : BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$7,403,949
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$774,464
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$355,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$354,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$956,397
Value of total assets at end of year2011-12-31$7,822,666
Value of total assets at beginning of year2011-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,614
Total interest from all sources2011-12-31$51,108
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$128,006
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$128,006
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
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
Participant contributions at end of year2011-12-31$231,395
Participant contributions at beginning of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$11,683
Other income not declared elsewhere2011-12-31$-44
Administrative expenses (other) incurred2011-12-31$1,614
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$418,717
Value of net assets at end of year (total assets less liabilities)2011-12-31$7,822,666
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$0
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$6,045,424
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$0
Interest on participant loans2011-12-31$9,636
Interest earned on other investments2011-12-31$41,472
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$1,513,435
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-361,003
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$956,397
Employer contributions (assets) at end of year2011-12-31$20,729
Employer contributions (assets) at beginning of year2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$354,133
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 name2011-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2011-12-31560747981
2010 : BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2010 401k financial data
Value of total assets at end of year2010-12-31$0
Value of total assets at beginning of year2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$5,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Total non interest bearing cash at end of year2010-12-31$0
Total non interest bearing cash at beginning of year2010-12-31$0
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 assets at end of year (total assets less liabilities)2010-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$0
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
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
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No

Form 5500 Responses for BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K

2019: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 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: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 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: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 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: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 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: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 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: BAPTIST EASLEY HOSPITAL MATCHING SAVINGS AND 401(K 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
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

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85001
Policy instance 1
Insurance contract or identification numberGA85001
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85001
Policy instance 1
Insurance contract or identification numberGA85001
Number of Individuals Covered449
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85001
Policy instance 1
Insurance contract or identification numberGA85001
Number of Individuals Covered480
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85001
Policy instance 1
Insurance contract or identification numberGA85001
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 $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85001
Policy instance 1
Insurance contract or identification numberGA85001
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 $0
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 guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number57947
Policy instance 2
Insurance contract or identification number57947
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 $0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85001
Policy instance 1
Insurance contract or identification numberGA85001
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 $0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number57947
Policy instance 2
Insurance contract or identification number57947
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 $0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85001
Policy instance 1
Insurance contract or identification numberGA85001
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 $0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85001
Policy instance 1
Insurance contract or identification numberGA85001
Insurance policy start date2011-01-06
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number57947
Policy instance 2
Insurance contract or identification number57947
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 $0
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 Administration1
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?No
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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