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RIVERSTONE MEWA HEALTH PLAN 401k Plan overview

Plan NameRIVERSTONE MEWA HEALTH PLAN
Plan identification number 501

RIVERSTONE MEWA HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • 10 or more employer plan under Code section 419A(f)(6).

401k Sponsoring company profile

RIVERSTONE HEALTH PLAN has sponsored the creation of one or more 401k plans.

Company Name:RIVERSTONE HEALTH PLAN
Employer identification number (EIN):364787994
NAIC Classification:524210
NAIC Description:Insurance Agencies and Brokerages

Additional information about RIVERSTONE HEALTH PLAN

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2004-11-17
Company Identification Number: L04000083380
Legal Registered Office Address: 11380 PROSPERITY FARMS ROAD #221E

PALM BEACH GARDENS

33410

More information about RIVERSTONE HEALTH PLAN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RIVERSTONE MEWA HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01
5012020-01-01
5012019-01-01

Plan Statistics for RIVERSTONE MEWA HEALTH PLAN

401k plan membership statisitcs for RIVERSTONE MEWA HEALTH PLAN

Measure Date Value
2020: RIVERSTONE MEWA HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0124,219
Total number of active participants reported on line 7a of the Form 55002020-01-0124,219
Total of all active and inactive participants2020-01-0124,219
Total participants2020-01-0124,219
Number of employers contributing to the scheme2020-01-01100
2019: RIVERSTONE MEWA HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0124,219
Total number of active participants reported on line 7a of the Form 55002019-01-0124,219
Total of all active and inactive participants2019-01-0124,219
Total participants2019-01-0124,219
Number of employers contributing to the scheme2019-01-01100

Financial Data on RIVERSTONE MEWA HEALTH PLAN

Measure Date Value
2020 : RIVERSTONE MEWA HEALTH PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$10,000
Total transfer of assets from this plan2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$29,307,091
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$29,285,787
Expenses. Interest paid2020-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$0
Total income from all sources (including contributions)2020-12-31$23,096
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,351,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$0
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Value of total corrective distributions2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$0
Value of total assets at end of year2020-12-31$3,417,167
Value of total assets at beginning of year2020-12-31$4,714,425
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,351,658
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$23,096
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$0
Assets. Real estate other than employer real property at end of year2020-12-31$0
Assets. Real estate other than employer real property at beginning of year2020-12-31$0
Administrative expenses professional fees incurred2020-12-31$149,062
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$0
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Assets. Other investments not covered elsewhere at end of year2020-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Assets. Loans (other than to participants) at end of year2020-12-31$0
Assets. Loans (other than to participants) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$0
Administrative expenses (other) incurred2020-12-31$18,345
Liabilities. Value of operating payables at end of year2020-12-31$66,237
Liabilities. Value of operating payables at beginning of year2020-12-31$44,933
Total non interest bearing cash at end of year2020-12-31$5,529
Total non interest bearing cash at beginning of year2020-12-31$353,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$-1,328,562
Value of net assets at end of year (total assets less liabilities)2020-12-31$-25,889,924
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$-24,571,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at end of year2020-12-31$0
Assets. partnership/joint venture interests at beginning of year2020-12-31$0
Investment advisory and management fees2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$0
Value of interest in pooled separate accounts at end of year2020-12-31$0
Value of interest in pooled separate accounts at beginning of year2020-12-31$0
Interest on participant loans2020-12-31$0
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$0
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Value of interest in master investment trust accounts at end of year2020-12-31$0
Value of interest in master investment trust accounts at beginning of year2020-12-31$0
Value of interest in common/collective trusts at end of year2020-12-31$0
Value of interest in common/collective trusts at beginning of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$3,411,638
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,384,185
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,384,185
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$23,096
Assets. Value of investments in 103.12 investment entities at end of year2020-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Asset value of US Government securities at end of year2020-12-31$0
Asset value of US Government securities at beginning of year2020-12-31$2,977,211
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$0
Net investment gain/loss from pooled separate accounts2020-12-31$0
Net investment gain or loss from common/collective trusts2020-12-31$0
Net gain/loss from 103.12 investment entities2020-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Assets. Invements in employer securities at end of year2020-12-31$0
Assets. Invements in employer securities at beginning of year2020-12-31$0
Assets. Value of employer real property at end of year2020-12-31$0
Assets. Value of employer real property at beginning of year2020-12-31$0
Contributions received in cash from employer2020-12-31$0
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$0
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$0
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$0
Contract administrator fees2020-12-31$1,184,251
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$0
Liabilities. Value of benefit claims payable at end of year2020-12-31$29,240,854
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$29,240,854
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$0
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
2019 : RIVERSTONE MEWA HEALTH PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$0
Total transfer of assets from this plan2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$29,285,787
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$48,525,055
Total income from all sources (including contributions)2019-12-31$23,573,127
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$8,655,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,108,190
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$23,551,639
Value of total assets at end of year2019-12-31$4,714,425
Value of total assets at beginning of year2019-12-31$9,036,425
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,547,669
Total interest from all sources2019-12-31$21,488
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$2,261,592
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$4,666,349
Administrative expenses (other) incurred2019-12-31$764,635
Liabilities. Value of operating payables at end of year2019-12-31$44,933
Liabilities. Value of operating payables at beginning of year2019-12-31$745,130
Total non interest bearing cash at end of year2019-12-31$353,029
Total non interest bearing cash at beginning of year2019-12-31$1,504,070
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$14,917,268
Value of net assets at end of year (total assets less liabilities)2019-12-31$-24,571,362
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-39,488,630
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Income. Interest from US Government securities2019-12-31$15,452
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,384,185
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,024,766
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,024,766
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$6,036
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$441,841
Asset value of US Government securities at end of year2019-12-31$2,977,211
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$23,551,639
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$6,507,589
Contract administrator fees2019-12-31$521,442
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$29,240,854
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$47,779,925
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No

Form 5500 Responses for RIVERSTONE MEWA HEALTH PLAN

2020: RIVERSTONE MEWA HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: RIVERSTONE MEWA HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract number
Policy instance 1
Number of Individuals Covered4092
Insurance policy start date2019-01-01
Insurance policy end date2019-02-28
Total amount of fees paid to insurance companyUSD $379,894
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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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