JAFFE, RAITT, HEUER & WEISS, PROFESSIONAL CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2022 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2022 401k financial data |
|---|
| Total income from all sources (including contributions) | 2022-12-31 | $5,081,596 |
| Total of all expenses incurred | 2022-12-31 | $5,011,609 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $4,902,132 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $4,246,060 |
| Value of total assets at end of year | 2022-12-31 | $860,004 |
| Value of total assets at beginning of year | 2022-12-31 | $790,017 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $109,477 |
| Total interest from all sources | 2022-12-31 | $83 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Contributions received from participants | 2022-12-31 | $815,588 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2022-12-31 | $3,999,711 |
| Other income not declared elsewhere | 2022-12-31 | $835,453 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $69,987 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $860,004 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $790,017 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2022-12-31 | $860,004 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2022-12-31 | $790,017 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2022-12-31 | $790,017 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2022-12-31 | $83 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-12-31 | $902,421 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Contributions received in cash from employer | 2022-12-31 | $3,430,472 |
| Contract administrator fees | 2022-12-31 | $109,477 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2022-12-31 | No |
| Did the plan have assets held for investment | 2022-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Unqualified |
| Accountancy firm name | 2022-12-31 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2022-12-31 | 382517534 |
| 2021 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2021 401k financial data |
|---|
| Total income from all sources (including contributions) | 2021-12-31 | $3,919,270 |
| Total of all expenses incurred | 2021-12-31 | $4,084,256 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $3,978,180 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $3,658,175 |
| Value of total assets at end of year | 2021-12-31 | $790,017 |
| Value of total assets at beginning of year | 2021-12-31 | $955,003 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $106,076 |
| Total interest from all sources | 2021-12-31 | $135 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $669,208 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2021-12-31 | $3,248,451 |
| Other income not declared elsewhere | 2021-12-31 | $260,960 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $-164,986 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $790,017 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $955,003 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $790,017 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $955,003 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $955,003 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2021-12-31 | $135 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $729,729 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Contributions received in cash from employer | 2021-12-31 | $2,988,967 |
| Contract administrator fees | 2021-12-31 | $106,076 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-12-31 | No |
| Did the plan have assets held for investment | 2021-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | BERGER, GHERSI, & LADUKE, PLC |
| Accountancy firm EIN | 2021-12-31 | 382517534 |
| 2020 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2020 401k financial data |
|---|
| Total income from all sources (including contributions) | 2020-12-31 | $4,177,378 |
| Total of all expenses incurred | 2020-12-31 | $3,812,402 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $3,709,026 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $3,983,721 |
| Value of total assets at end of year | 2020-12-31 | $955,003 |
| Value of total assets at beginning of year | 2020-12-31 | $590,027 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $103,376 |
| Total interest from all sources | 2020-12-31 | $274 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $730,797 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2020-12-31 | $3,001,098 |
| Other income not declared elsewhere | 2020-12-31 | $193,383 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $364,976 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $955,003 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $590,027 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $955,003 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $590,027 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $590,027 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2020-12-31 | $274 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $707,928 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $3,252,924 |
| Contract administrator fees | 2020-12-31 | $103,376 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-12-31 | No |
| Did the plan have assets held for investment | 2020-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | BERGER, GHERSI & LADUKE,PLC |
| Accountancy firm EIN | 2020-12-31 | 382517534 |
| 2019 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2019 401k financial data |
|---|
| Total income from all sources (including contributions) | 2019-12-31 | $3,793,445 |
| Total of all expenses incurred | 2019-12-31 | $4,012,454 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $3,912,366 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $3,618,437 |
| Value of total assets at end of year | 2019-12-31 | $590,027 |
| Value of total assets at beginning of year | 2019-12-31 | $809,036 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $100,088 |
| Total interest from all sources | 2019-12-31 | $116 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $701,875 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2019-12-31 | $3,509,043 |
| Other income not declared elsewhere | 2019-12-31 | $174,892 |
| Administrative expenses (other) incurred | 2019-12-31 | $-6,913 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $-219,009 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $590,027 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $809,036 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $590,027 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $809,036 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $809,036 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2019-12-31 | $116 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $403,323 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Contributions received in cash from employer | 2019-12-31 | $2,916,562 |
| Contract administrator fees | 2019-12-31 | $107,001 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-12-31 | No |
| Did the plan have assets held for investment | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2019-12-31 | 382517534 |
| 2018 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2018 401k financial data |
|---|
| Total income from all sources (including contributions) | 2018-12-31 | $2,936,686 |
| Total of all expenses incurred | 2018-12-31 | $2,887,652 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $2,769,343 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $2,853,340 |
| Value of total assets at end of year | 2018-12-31 | $809,036 |
| Value of total assets at beginning of year | 2018-12-31 | $760,002 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $118,309 |
| Total interest from all sources | 2018-12-31 | $155 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $703,861 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2018-12-31 | $2,420,059 |
| Other income not declared elsewhere | 2018-12-31 | $83,191 |
| Administrative expenses (other) incurred | 2018-12-31 | $15,542 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $49,034 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $809,036 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $760,002 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $809,036 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $760,002 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $760,002 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $155 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $349,284 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $2,149,479 |
| Contract administrator fees | 2018-12-31 | $102,767 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-12-31 | No |
| Did the plan have assets held for investment | 2018-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2018-12-31 | 382517534 |
| 2017 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2017 401k financial data |
|---|
| Total income from all sources (including contributions) | 2017-12-31 | $3,908,318 |
| Total of all expenses incurred | 2017-12-31 | $3,764,079 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $3,644,149 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $3,481,579 |
| Value of total assets at end of year | 2017-12-31 | $760,002 |
| Value of total assets at beginning of year | 2017-12-31 | $615,763 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $119,930 |
| Total interest from all sources | 2017-12-31 | $43 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $729,773 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2017-12-31 | $3,346,382 |
| Other income not declared elsewhere | 2017-12-31 | $426,696 |
| Administrative expenses (other) incurred | 2017-12-31 | $17,161 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $144,239 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $760,002 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $615,763 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $760,002 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $615,763 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $615,763 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2017-12-31 | $43 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $297,767 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $2,751,806 |
| Contract administrator fees | 2017-12-31 | $102,769 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
| Did the plan have assets held for investment | 2017-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2017-12-31 | 382517534 |
| 2016 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2016 401k financial data |
|---|
| Total income from all sources (including contributions) | 2016-12-31 | $1,924,116 |
| Total of all expenses incurred | 2016-12-31 | $1,319,114 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $1,260,475 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $1,913,346 |
| Value of total assets at end of year | 2016-12-31 | $615,763 |
| Value of total assets at beginning of year | 2016-12-31 | $10,761 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $58,639 |
| Total interest from all sources | 2016-12-31 | $2 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $253,258 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-12-31 | $1,150,211 |
| Other income not declared elsewhere | 2016-12-31 | $10,768 |
| Administrative expenses (other) incurred | 2016-12-31 | $14,486 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $605,002 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $615,763 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $10,761 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $615,763 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $10,761 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $10,761 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $2 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $110,264 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $1,660,088 |
| Contract administrator fees | 2016-12-31 | $44,153 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Did the plan have assets held for investment | 2016-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Unqualified |
| Accountancy firm name | 2016-12-31 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2016-12-31 | 382517534 |
| Total income from all sources (including contributions) | 2016-06-30 | $2,723,077 |
| Total of all expenses incurred | 2016-06-30 | $2,722,933 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-06-30 | $2,620,471 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-06-30 | $2,709,224 |
| Value of total assets at end of year | 2016-06-30 | $10,761 |
| Value of total assets at beginning of year | 2016-06-30 | $10,617 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-06-30 | $102,462 |
| Total interest from all sources | 2016-06-30 | $109 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-06-30 | No |
| Was this plan covered by a fidelity bond | 2016-06-30 | Yes |
| Value of fidelity bond cover | 2016-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-06-30 | No |
| Contributions received from participants | 2016-06-30 | $499,428 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-06-30 | $2,403,410 |
| Other income not declared elsewhere | 2016-06-30 | $13,744 |
| Administrative expenses (other) incurred | 2016-06-30 | $20,924 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-06-30 | No |
| Value of net income/loss | 2016-06-30 | $144 |
| Value of net assets at end of year (total assets less liabilities) | 2016-06-30 | $10,761 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-06-30 | $10,617 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-06-30 | $10,761 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-06-30 | $10,617 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-06-30 | $10,617 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-06-30 | $109 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-06-30 | $217,061 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-06-30 | No |
| Contributions received in cash from employer | 2016-06-30 | $2,209,796 |
| Contract administrator fees | 2016-06-30 | $81,538 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-06-30 | No |
| Did the plan have assets held for investment | 2016-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-06-30 | Unqualified |
| Accountancy firm name | 2016-06-30 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2016-06-30 | 382517534 |
| 2015 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2015 401k financial data |
|---|
| Total income from all sources (including contributions) | 2015-06-30 | $2,904,583 |
| Total of all expenses incurred | 2015-06-30 | $2,925,436 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-06-30 | $2,809,825 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-06-30 | $2,848,051 |
| Value of total assets at end of year | 2015-06-30 | $10,617 |
| Value of total assets at beginning of year | 2015-06-30 | $31,470 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-06-30 | $115,611 |
| Total interest from all sources | 2015-06-30 | $85 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-06-30 | No |
| Was this plan covered by a fidelity bond | 2015-06-30 | Yes |
| Value of fidelity bond cover | 2015-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-06-30 | No |
| Contributions received from participants | 2015-06-30 | $488,755 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2015-06-30 | $2,579,418 |
| Other income not declared elsewhere | 2015-06-30 | $56,447 |
| Administrative expenses (other) incurred | 2015-06-30 | $29,816 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-06-30 | No |
| Value of net income/loss | 2015-06-30 | $-20,853 |
| Value of net assets at end of year (total assets less liabilities) | 2015-06-30 | $10,617 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-06-30 | $31,470 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-06-30 | $10,617 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-06-30 | $31,470 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-06-30 | $31,470 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-06-30 | $85 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-06-30 | $230,407 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-06-30 | No |
| Contributions received in cash from employer | 2015-06-30 | $2,359,296 |
| Contract administrator fees | 2015-06-30 | $85,795 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-06-30 | No |
| Did the plan have assets held for investment | 2015-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-06-30 | Unqualified |
| Accountancy firm name | 2015-06-30 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2015-06-30 | 382517534 |
| 2014 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2014 401k financial data |
|---|
| Total income from all sources (including contributions) | 2014-06-30 | $2,523,518 |
| Total of all expenses incurred | 2014-06-30 | $2,503,237 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-06-30 | $2,441,471 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-06-30 | $2,523,294 |
| Value of total assets at end of year | 2014-06-30 | $31,470 |
| Value of total assets at beginning of year | 2014-06-30 | $11,189 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-06-30 | $61,766 |
| Total interest from all sources | 2014-06-30 | $224 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-06-30 | No |
| Was this plan covered by a fidelity bond | 2014-06-30 | Yes |
| Value of fidelity bond cover | 2014-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-06-30 | No |
| Contributions received from participants | 2014-06-30 | $456,160 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-06-30 | $2,228,959 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-06-30 | No |
| Value of net income/loss | 2014-06-30 | $20,281 |
| Value of net assets at end of year (total assets less liabilities) | 2014-06-30 | $31,470 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-06-30 | $11,189 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-06-30 | $31,470 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-06-30 | $11,189 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-06-30 | $11,189 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-06-30 | $224 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-06-30 | $212,512 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-06-30 | No |
| Contributions received in cash from employer | 2014-06-30 | $2,067,134 |
| Contract administrator fees | 2014-06-30 | $61,766 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-06-30 | No |
| Did the plan have assets held for investment | 2014-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-06-30 | Unqualified |
| Accountancy firm name | 2014-06-30 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2014-06-30 | 382517534 |
| 2013 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2013 401k financial data |
|---|
| Total income from all sources (including contributions) | 2013-06-30 | $2,362,392 |
| Total of all expenses incurred | 2013-06-30 | $2,361,215 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-06-30 | $2,293,847 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-06-30 | $2,358,438 |
| Value of total assets at end of year | 2013-06-30 | $11,189 |
| Value of total assets at beginning of year | 2013-06-30 | $10,012 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-06-30 | $67,368 |
| Total interest from all sources | 2013-06-30 | $291 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-06-30 | No |
| Was this plan covered by a fidelity bond | 2013-06-30 | Yes |
| Value of fidelity bond cover | 2013-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-06-30 | No |
| Contributions received from participants | 2013-06-30 | $454,392 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-06-30 | $2,108,118 |
| Other income not declared elsewhere | 2013-06-30 | $3,663 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-06-30 | No |
| Value of net income/loss | 2013-06-30 | $1,177 |
| Value of net assets at end of year (total assets less liabilities) | 2013-06-30 | $11,189 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-06-30 | $10,012 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-06-30 | $11,189 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-06-30 | $10,012 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-06-30 | $10,012 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-06-30 | $291 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-06-30 | $185,729 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-06-30 | No |
| Contributions received in cash from employer | 2013-06-30 | $1,904,046 |
| Contract administrator fees | 2013-06-30 | $67,368 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-06-30 | No |
| Did the plan have assets held for investment | 2013-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-06-30 | Unqualified |
| Accountancy firm name | 2013-06-30 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2013-06-30 | 382517534 |
| 2012 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2012 401k financial data |
|---|
| Total income from all sources (including contributions) | 2012-06-30 | $2,206,708 |
| Total of all expenses incurred | 2012-06-30 | $2,296,241 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-06-30 | $2,231,341 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-06-30 | $2,206,510 |
| Value of total assets at end of year | 2012-06-30 | $10,012 |
| Value of total assets at beginning of year | 2012-06-30 | $99,545 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-06-30 | $64,900 |
| Total interest from all sources | 2012-06-30 | $198 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-06-30 | No |
| Was this plan covered by a fidelity bond | 2012-06-30 | Yes |
| Value of fidelity bond cover | 2012-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-06-30 | No |
| Contributions received from participants | 2012-06-30 | $506,221 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-06-30 | $2,011,567 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-06-30 | No |
| Value of net income/loss | 2012-06-30 | $-89,533 |
| Value of net assets at end of year (total assets less liabilities) | 2012-06-30 | $10,012 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-06-30 | $99,545 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-06-30 | $10,012 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-06-30 | $99,545 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-06-30 | $99,545 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-06-30 | $198 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-06-30 | $219,774 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-06-30 | No |
| Contributions received in cash from employer | 2012-06-30 | $1,700,289 |
| Contract administrator fees | 2012-06-30 | $64,900 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-06-30 | No |
| Did the plan have assets held for investment | 2012-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-06-30 | Unqualified |
| Accountancy firm name | 2012-06-30 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2012-06-30 | 382517534 |
| 2011 : JAFFE, RAITT, HEUER & WEISS, PC MEDICAL PLAN 2011 401k financial data |
|---|
| Total income from all sources (including contributions) | 2011-06-30 | $1,994,814 |
| Total of all expenses incurred | 2011-06-30 | $1,905,567 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-06-30 | $1,840,087 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-06-30 | $1,937,228 |
| Value of total assets at end of year | 2011-06-30 | $99,545 |
| Value of total assets at beginning of year | 2011-06-30 | $10,298 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-06-30 | $65,480 |
| Total interest from all sources | 2011-06-30 | $559 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-06-30 | No |
| Was this plan covered by a fidelity bond | 2011-06-30 | Yes |
| Value of fidelity bond cover | 2011-06-30 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2011-06-30 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-06-30 | No |
| Contributions received from participants | 2011-06-30 | $504,692 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2011-06-30 | $1,583,873 |
| Other income not declared elsewhere | 2011-06-30 | $57,027 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-06-30 | No |
| Value of net income/loss | 2011-06-30 | $89,247 |
| Value of net assets at end of year (total assets less liabilities) | 2011-06-30 | $99,545 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-06-30 | $10,298 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-06-30 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-06-30 | $99,545 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-06-30 | $10,298 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-06-30 | $10,298 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-06-30 | $559 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-06-30 | $256,214 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-06-30 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-06-30 | No |
| Contributions received in cash from employer | 2011-06-30 | $1,432,536 |
| Contract administrator fees | 2011-06-30 | $65,480 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-06-30 | No |
| Did the plan have assets held for investment | 2011-06-30 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-06-30 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-06-30 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-06-30 | Unqualified |
| Accountancy firm name | 2011-06-30 | BERGER, GHERSI & LADUKE, PLC |
| Accountancy firm EIN | 2011-06-30 | 382517534 |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5735634 |
| Policy instance | 6 |
| Insurance contract or identification number | E5735634 | | Number of Individuals Covered | 27 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $5,451 | | Total amount of fees paid to insurance company | USD $1,529 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $15,030 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,858 | | Amount paid for insurance broker fees | 792 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5696893 |
| Policy instance | 5 |
| Insurance contract or identification number | E5696893 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $2,899 | | Total amount of fees paid to insurance company | USD $816 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $7,776 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,041 | | Amount paid for insurance broker fees | 419 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 425447 |
| Policy instance | 4 |
| Insurance contract or identification number | 425447 | | Number of Individuals Covered | 62 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $5,136 | | Total amount of fees paid to insurance company | USD $685 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,622 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,136 | | Amount paid for insurance broker fees | 685 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 388515 |
| Policy instance | 3 |
| Insurance contract or identification number | 388515 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $24,385 | | Total amount of fees paid to insurance company | USD $6,185 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $300,703 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $24,385 | | Amount paid for insurance broker fees | 6185 | | Insurance broker organization code? | 3 |
|
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | CLI-SUM20223-00 |
| Policy instance | 2 |
| Insurance contract or identification number | CLI-SUM20223-00 | | Number of Individuals Covered | 160 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $16,410 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,410 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 166 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $1,779 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,598 | | Insurance broker organization code? | 3 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $1,698 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,698 |
|
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | CLI-SUM20223-00 |
| Policy instance | 2 |
| Insurance contract or identification number | CLI-SUM20223-00 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $12,237 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,237 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 388515 |
| Policy instance | 3 |
| Insurance contract or identification number | 388515 | | Number of Individuals Covered | 189 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $19,286 | | Total amount of fees paid to insurance company | USD $4,867 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $255,352 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,286 | | Amount paid for insurance broker fees | 4867 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 425447 |
| Policy instance | 4 |
| Insurance contract or identification number | 425447 | | Number of Individuals Covered | 65 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $4,034 | | Total amount of fees paid to insurance company | USD $538 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,407 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,034 | | Amount paid for insurance broker fees | 538 |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | AGC0000133319 |
| Policy instance | 5 |
| Insurance contract or identification number | AGC0000133319 | | Number of Individuals Covered | 42 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $4,706 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,726 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,706 |
|
| CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 ) |
| Policy contract number | 0000025011 |
| Policy instance | 5 |
| Insurance contract or identification number | 0000025011 | | Number of Individuals Covered | 46 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $4,579 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,564 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,579 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 425447 |
| Policy instance | 4 |
| Insurance contract or identification number | 425447 | | Number of Individuals Covered | 58 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $3,614 | | Total amount of fees paid to insurance company | USD $482 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $24,351 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,614 | | Amount paid for insurance broker fees | 482 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 388515 |
| Policy instance | 3 |
| Insurance contract or identification number | 388515 | | Number of Individuals Covered | 179 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $19,419 | | Total amount of fees paid to insurance company | USD $4,847 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $240,962 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,419 | | Amount paid for insurance broker fees | 4847 |
|
| COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 ) |
| Policy contract number | CLI-SUM20223-00 |
| Policy instance | 2 |
| Insurance contract or identification number | CLI-SUM20223-00 | | Number of Individuals Covered | 150 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $12,943 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,943 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 171 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $1,702 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,702 |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 185 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $1,604 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,604 |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-201926 |
| Policy instance | 2 |
| Insurance contract or identification number | UNI-201926 | | Number of Individuals Covered | 162 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-201926 |
| Policy instance | 2 |
| Insurance contract or identification number | UNI-201926 | | Number of Individuals Covered | 158 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 182 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $1,753 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,753 |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-201926 |
| Policy instance | 2 |
| Insurance contract or identification number | UNI-201926 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 191 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $1,846 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,846 | | Insurance broker name | KAPNICK AND CO. INC. |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 187 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $1,741 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,741 | | Insurance broker name | KAPNICK AND CO. INC. |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | UNI-201926 |
| Policy instance | 2 |
| Insurance contract or identification number | UNI-201926 | | Number of Individuals Covered | 161 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 168 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $402 | | Total amount of fees paid to insurance company | USD $1,644 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1242 | | Commission paid to Insurance Broker | USD $402 | | Insurance broker name | KAPNICK AND CO. INC. |
|
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
| Policy contract number | JS |
| Policy instance | 2 |
| Insurance contract or identification number | JS | | Number of Individuals Covered | 155 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,639 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1639 | | Insurance broker name | FRANKLIN J. ELLIAS & ASSOC, LTD. |
|
| INTERNATIONAL INSURANCE AGENCY (National Association of Insurance Commissioners NAIC id number: 86355 ) |
| Policy contract number | IIS2285 |
| Policy instance | 2 |
| Insurance contract or identification number | IIS2285 | | Number of Individuals Covered | 156 | | Insurance policy start date | 2013-07-01 | | Insurance policy end date | 2014-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16011639-00 |
| Policy instance | 2 |
| Insurance contract or identification number | 16011639-00 | | Number of Individuals Covered | 149 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 167 | | Insurance policy start date | 2012-07-01 | | Insurance policy end date | 2013-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,546 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 1546 | | Insurance broker name | FRANKLIN J. ELLIAS & ASSOC, LTD. |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16011639-00 |
| Policy instance | 2 |
| Insurance contract or identification number | 16011639-00 | | Number of Individuals Covered | 144 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 175 | | Insurance policy start date | 2011-07-01 | | Insurance policy end date | 2012-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,633 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 12023073 |
| Policy instance | 1 |
| Insurance contract or identification number | 12023073 | | Number of Individuals Covered | 171 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $1,630 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 16011639-00 |
| Policy instance | 2 |
| Insurance contract or identification number | 16011639-00 | | Number of Individuals Covered | 155 | | Insurance policy start date | 2010-07-01 | | Insurance policy end date | 2011-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | SPECIFIC & AGGREGATE STOP LOSS | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
