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FLAMBEAU HOSPITAL, INC. 403(B) PLAN 401k Plan overview

Plan NameFLAMBEAU HOSPITAL, INC. 403(B) PLAN
Plan identification number 001

FLAMBEAU HOSPITAL, INC. 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

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

Company Name:FLAMBEAU HOSPITAL INC
Employer identification number (EIN):390973724
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLAMBEAU HOSPITAL, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-10-01
0012019-10-01
0012018-10-01
0012017-10-01
0012016-10-01ELIZABETH HARROP
0012015-10-01ELIZABETH HARROP
0012014-10-01ELIZABETH HARROP
0012013-10-01ELIZABETH HARROP
0012012-10-01PAUL RYBAK
0012011-10-01PAUL RYBAK
0012009-10-01JAMES BRAUN
0012009-10-012011-07-14

Plan Statistics for FLAMBEAU HOSPITAL, INC. 403(B) PLAN

401k plan membership statisitcs for FLAMBEAU HOSPITAL, INC. 403(B) PLAN

Measure Date Value
2020: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01283
Total number of active participants reported on line 7a of the Form 55002020-10-010
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-010
Total participants2020-10-010
Number of participants with account balances2020-10-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-010
2019: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01287
Total number of active participants reported on line 7a of the Form 55002019-10-01224
Number of retired or separated participants receiving benefits2019-10-018
Number of other retired or separated participants entitled to future benefits2019-10-0151
Total of all active and inactive participants2019-10-01283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-01283
Number of participants with account balances2019-10-01281
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-010
2018: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01279
Total number of active participants reported on line 7a of the Form 55002018-10-01231
Number of retired or separated participants receiving benefits2018-10-016
Number of other retired or separated participants entitled to future benefits2018-10-0150
Total of all active and inactive participants2018-10-01287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-01287
Number of participants with account balances2018-10-01260
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-010
2017: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01314
Total number of active participants reported on line 7a of the Form 55002017-10-01227
Number of retired or separated participants receiving benefits2017-10-015
Number of other retired or separated participants entitled to future benefits2017-10-0147
Total of all active and inactive participants2017-10-01279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-01279
Number of participants with account balances2017-10-01237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-010
2016: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01309
Total number of active participants reported on line 7a of the Form 55002016-10-01241
Number of retired or separated participants receiving benefits2016-10-013
Number of other retired or separated participants entitled to future benefits2016-10-0170
Total of all active and inactive participants2016-10-01314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-01314
Number of participants with account balances2016-10-01213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-010
2015: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01312
Total number of active participants reported on line 7a of the Form 55002015-10-01275
Number of retired or separated participants receiving benefits2015-10-014
Number of other retired or separated participants entitled to future benefits2015-10-0130
Total of all active and inactive participants2015-10-01309
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01309
Number of participants with account balances2015-10-01216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-010
2014: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01310
Total number of active participants reported on line 7a of the Form 55002014-10-01276
Number of retired or separated participants receiving benefits2014-10-012
Number of other retired or separated participants entitled to future benefits2014-10-0134
Total of all active and inactive participants2014-10-01312
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-01312
Number of participants with account balances2014-10-01211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-010
2013: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01314
Total number of active participants reported on line 7a of the Form 55002013-10-01234
Number of retired or separated participants receiving benefits2013-10-013
Number of other retired or separated participants entitled to future benefits2013-10-0173
Total of all active and inactive participants2013-10-01310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-01310
Number of participants with account balances2013-10-01212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-010
2012: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01313
Total number of active participants reported on line 7a of the Form 55002012-10-01232
Number of retired or separated participants receiving benefits2012-10-013
Number of other retired or separated participants entitled to future benefits2012-10-0179
Total of all active and inactive participants2012-10-01314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-01314
Number of participants with account balances2012-10-01221
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-010
2011: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01306
Total number of active participants reported on line 7a of the Form 55002011-10-01232
Number of retired or separated participants receiving benefits2011-10-011
Number of other retired or separated participants entitled to future benefits2011-10-0180
Total of all active and inactive participants2011-10-01313
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-01313
Number of participants with account balances2011-10-01218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-010
2009: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01312
Total number of active participants reported on line 7a of the Form 55002009-10-01237
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-0172
Total of all active and inactive participants2009-10-01309
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-01309
Number of participants with account balances2009-10-01209
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on FLAMBEAU HOSPITAL, INC. 403(B) PLAN

Measure Date Value
2021 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-02-26$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-26$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-02-26$0
Total income from all sources (including contributions)2021-02-26$1,876,392
Total loss/gain on sale of assets2021-02-26$0
Total of all expenses incurred2021-02-26$21,108,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-02-26$21,060,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-02-26$307,856
Value of total assets at end of year2021-02-26$0
Value of total assets at beginning of year2021-02-26$19,231,696
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-02-26$47,095
Total interest from all sources2021-02-26$55,543
Total dividends received (eg from common stock, registered investment company shares)2021-02-26$217,257
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-02-26Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-02-26$0
Total dividends received from registered investment company shares (eg mutual funds)2021-02-26$217,257
Was this plan covered by a fidelity bond2021-02-26Yes
Value of fidelity bond cover2021-02-26$10,000,000
If this is an individual account plan, was there a blackout period2021-02-26No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-02-26$0
Were there any nonexempt tranactions with any party-in-interest2021-02-26No
Contributions received from participants2021-02-26$190,207
Participant contributions at end of year2021-02-26$0
Participant contributions at beginning of year2021-02-26$171,150
Income. Received or receivable in cash from other sources (including rollovers)2021-02-26$7,686
Other income not declared elsewhere2021-02-26$20,937
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-26No
Value of net income/loss2021-02-26$-19,231,696
Value of net assets at end of year (total assets less liabilities)2021-02-26$0
Value of net assets at beginning of year (total assets less liabilities)2021-02-26$19,231,696
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-02-26No
Were any loans by the plan or fixed income obligations due to the plan in default2021-02-26No
Were any leases to which the plan was party in default or uncollectible2021-02-26No
Investment advisory and management fees2021-02-26$20,937
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-02-26$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-02-26$13,108,786
Interest on participant loans2021-02-26$3,403
Interest earned on other investments2021-02-26$52,140
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-02-26$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-02-26$5,951,760
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-02-26$1,274,799
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-02-26No
Was there a failure to transmit to the plan any participant contributions2021-02-26No
Has the plan failed to provide any benefit when due under the plan2021-02-26No
Contributions received in cash from employer2021-02-26$109,963
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-02-26$21,060,993
Contract administrator fees2021-02-26$26,158
Did the plan have assets held for investment2021-02-26Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-02-26No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-02-26Yes
Opinion of an independent qualified public accountant for this plan2021-02-26Unqualified
Accountancy firm name2021-02-26WIPFLI, LLP
Accountancy firm EIN2021-02-26390758449
2020 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$0
Total income from all sources (including contributions)2020-09-30$2,516,194
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$835,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$732,643
Expenses. Certain deemed distributions of participant loans2020-09-30$742
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$1,098,188
Value of total assets at end of year2020-09-30$19,231,696
Value of total assets at beginning of year2020-09-30$17,551,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$102,425
Total interest from all sources2020-09-30$154,637
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$327,534
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$327,534
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$689,778
Participant contributions at end of year2020-09-30$171,150
Participant contributions at beginning of year2020-09-30$234,887
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$52,174
Other income not declared elsewhere2020-09-30$30,737
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$1,680,384
Value of net assets at end of year (total assets less liabilities)2020-09-30$19,231,696
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$17,551,312
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Investment advisory and management fees2020-09-30$30,737
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$13,108,786
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$11,373,340
Interest on participant loans2020-09-30$13,181
Interest earned on other investments2020-09-30$141,456
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-09-30$5,951,760
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-09-30$5,943,085
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$905,098
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$356,236
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$732,643
Contract administrator fees2020-09-30$71,688
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30WIPFLI, LLP
Accountancy firm EIN2020-09-30390758449
2019 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total income from all sources (including contributions)2019-09-30$1,664,219
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$1,489,234
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$1,394,397
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$983,476
Value of total assets at end of year2019-09-30$17,551,312
Value of total assets at beginning of year2019-09-30$17,376,327
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$94,837
Total interest from all sources2019-09-30$154,420
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$393,459
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$393,459
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$649,135
Participant contributions at end of year2019-09-30$234,887
Participant contributions at beginning of year2019-09-30$277,307
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$3,370
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Income. Non cash contributions2019-09-30$0
Value of net income/loss2019-09-30$174,985
Value of net assets at end of year (total assets less liabilities)2019-09-30$17,551,312
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$17,376,327
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Investment advisory and management fees2019-09-30$29,929
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$11,373,340
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$11,077,032
Interest on participant loans2019-09-30$14,309
Interest earned on other investments2019-09-30$140,111
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-09-30$5,943,085
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$6,021,988
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$132,864
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$330,971
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$1,394,397
Contract administrator fees2019-09-30$64,908
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30WIPFLI, LLP
Accountancy firm EIN2019-09-30390758449
2018 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total income from all sources (including contributions)2018-09-30$1,944,735
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$1,228,507
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$1,108,045
Expenses. Certain deemed distributions of participant loans2018-09-30$28,552
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$958,986
Value of total assets at end of year2018-09-30$17,376,327
Value of total assets at beginning of year2018-09-30$16,660,099
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$91,910
Total interest from all sources2018-09-30$141,523
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$382,683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$382,683
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$621,773
Participant contributions at end of year2018-09-30$277,307
Participant contributions at beginning of year2018-09-30$163,277
Income. Received or receivable in cash from other sources (including rollovers)2018-09-30$19,698
Other income not declared elsewhere2018-09-30$28,801
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$716,228
Value of net assets at end of year (total assets less liabilities)2018-09-30$17,376,327
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$16,660,099
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Investment advisory and management fees2018-09-30$28,801
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$11,077,032
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$10,689,214
Interest on participant loans2018-09-30$15,675
Interest earned on other investments2018-09-30$125,848
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$6,021,988
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$5,807,608
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$432,742
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$317,515
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$1,108,045
Contract administrator fees2018-09-30$63,109
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30WIPFLI, LLP
Accountancy firm EIN2018-09-30390758449
2017 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total income from all sources (including contributions)2017-09-30$2,143,848
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$865,554
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$784,410
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$879,917
Value of total assets at end of year2017-09-30$16,660,099
Value of total assets at beginning of year2017-09-30$15,381,805
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$81,144
Total interest from all sources2017-09-30$133,270
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$292,091
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$292,091
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$1,000,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$572,206
Participant contributions at end of year2017-09-30$163,277
Participant contributions at beginning of year2017-09-30$158,636
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$15,762
Other income not declared elsewhere2017-09-30$22,839
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$1,278,294
Value of net assets at end of year (total assets less liabilities)2017-09-30$16,660,099
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$15,381,805
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Investment advisory and management fees2017-09-30$22,839
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$10,689,214
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$9,436,012
Interest on participant loans2017-09-30$8,159
Interest earned on other investments2017-09-30$125,111
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-09-30$5,807,608
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-09-30$5,787,157
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$815,731
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$291,949
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$784,410
Contract administrator fees2017-09-30$58,305
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30WIPFLI, LLP
Accountancy firm EIN2017-09-30390758449
2016 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total income from all sources (including contributions)2016-09-30$1,931,523
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$702,918
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$649,055
Value of total corrective distributions2016-09-30$90
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$860,542
Value of total assets at end of year2016-09-30$15,381,805
Value of total assets at beginning of year2016-09-30$14,153,200
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$53,773
Total interest from all sources2016-09-30$124,382
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$304,673
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-09-30$304,673
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$500,006
Participant contributions at end of year2016-09-30$158,636
Participant contributions at beginning of year2016-09-30$187,226
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$97,609
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$1,228,605
Value of net assets at end of year (total assets less liabilities)2016-09-30$15,381,805
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$14,153,200
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$9,436,012
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$8,835,440
Interest on participant loans2016-09-30$7,108
Interest earned on other investments2016-09-30$117,274
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$5,787,157
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$5,130,534
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$641,926
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$262,927
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$649,055
Contract administrator fees2016-09-30$53,773
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30WIPFLI, LLP
Accountancy firm EIN2016-09-30390758449
2015 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$919,073
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$1,091,343
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$1,018,397
Expenses. Certain deemed distributions of participant loans2015-09-30$19,596
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$801,182
Value of total assets at end of year2015-09-30$14,153,200
Value of total assets at beginning of year2015-09-30$14,325,470
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$53,350
Total interest from all sources2015-09-30$111,864
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$358,299
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$358,299
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$510,758
Participant contributions at end of year2015-09-30$187,226
Participant contributions at beginning of year2015-09-30$129,750
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$43,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-172,270
Value of net assets at end of year (total assets less liabilities)2015-09-30$14,153,200
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$14,325,470
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$8,835,440
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$9,423,445
Interest on participant loans2015-09-30$6,522
Interest earned on other investments2015-09-30$105,342
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$5,130,534
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$4,772,275
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-352,272
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$246,721
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$1,018,397
Contract administrator fees2015-09-30$53,350
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30WIPFLI, LLP
Accountancy firm EIN2015-09-30390758449
2014 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total income from all sources (including contributions)2014-09-30$2,081,679
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$1,155,410
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$1,110,372
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$984,584
Value of total assets at end of year2014-09-30$14,325,470
Value of total assets at beginning of year2014-09-30$13,399,201
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$45,038
Total interest from all sources2014-09-30$112,149
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$230,234
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-09-30$230,234
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$486,547
Participant contributions at end of year2014-09-30$129,750
Participant contributions at beginning of year2014-09-30$54,471
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$256,352
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$926,269
Value of net assets at end of year (total assets less liabilities)2014-09-30$14,325,470
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$13,399,201
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$9,423,445
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$7,956,244
Interest on participant loans2014-09-30$3,459
Interest earned on other investments2014-09-30$108,690
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-09-30$4,772,275
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-09-30$5,388,486
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$754,712
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$241,685
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$1,110,372
Contract administrator fees2014-09-30$45,038
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30WIPFLI, LLP
Accountancy firm EIN2014-09-30390758449
2013 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$30,857
Total income from all sources (including contributions)2013-09-30$1,978,605
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$1,078,691
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,010,330
Expenses. Certain deemed distributions of participant loans2013-09-30$7,080
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$759,838
Value of total assets at end of year2013-09-30$13,399,201
Value of total assets at beginning of year2013-09-30$12,530,144
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$61,281
Total interest from all sources2013-09-30$105,166
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$161,359
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-09-30$161,359
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
If this is an individual account plan, was there a blackout period2013-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$501,522
Participant contributions at end of year2013-09-30$54,471
Participant contributions at beginning of year2013-09-30$46,352
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$16,317
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-09-30$1
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-09-30$30,857
Total non interest bearing cash at end of year2013-09-30$0
Total non interest bearing cash at beginning of year2013-09-30$212
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$899,914
Value of net assets at end of year (total assets less liabilities)2013-09-30$13,399,201
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$12,499,287
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$7,956,244
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$7,656,434
Interest on participant loans2013-09-30$1,893
Interest earned on other investments2013-09-30$103,270
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-09-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-09-30$41,315
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-09-30$41,315
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$5,388,486
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$4,785,830
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$952,242
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$241,999
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$1,010,330
Contract administrator fees2013-09-30$61,281
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30WIPFLI, LLP
Accountancy firm EIN2013-09-30390758449
2012 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$30,857
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$3,075
Total income from all sources (including contributions)2012-09-30$2,255,345
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$527,485
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$472,139
Expenses. Certain deemed distributions of participant loans2012-09-30$18,748
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$785,615
Value of total assets at end of year2012-09-30$12,530,144
Value of total assets at beginning of year2012-09-30$10,774,502
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$36,598
Total interest from all sources2012-09-30$114,834
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$112,859
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-09-30$112,859
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
If this is an individual account plan, was there a blackout period2012-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$507,244
Participant contributions at end of year2012-09-30$46,352
Participant contributions at beginning of year2012-09-30$122,293
Income. Received or receivable in cash from other sources (including rollovers)2012-09-30$33,858
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-09-30$1
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-09-30$15,200
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-09-30$30,857
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-09-30$3,075
Total non interest bearing cash at end of year2012-09-30$212
Total non interest bearing cash at beginning of year2012-09-30$218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$1,727,860
Value of net assets at end of year (total assets less liabilities)2012-09-30$12,499,287
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$10,771,427
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-09-30$7,656,434
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-09-30$6,100,096
Interest on participant loans2012-09-30$3,983
Interest earned on other investments2012-09-30$110,849
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-09-30$41,315
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$11,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$11,830
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-09-30$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-09-30$4,785,830
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-09-30$4,524,865
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$1,242,037
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$244,513
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$472,139
Contract administrator fees2012-09-30$36,598
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30Yes
Opinion of an independent qualified public accountant for this plan2012-09-30Disclaimer
Accountancy firm name2012-09-30WIPFLI, LLP
Accountancy firm EIN2012-09-30390758449
2011 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$3,075
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$10,989
Total income from all sources (including contributions)2011-09-30$851,006
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$244,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$210,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$761,779
Value of total assets at end of year2011-09-30$10,774,502
Value of total assets at beginning of year2011-09-30$10,175,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$34,035
Total interest from all sources2011-09-30$140,825
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$93,633
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-09-30$93,633
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
If this is an individual account plan, was there a blackout period2011-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$507,777
Participant contributions at end of year2011-09-30$122,293
Participant contributions at beginning of year2011-09-30$115,902
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$4,977
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-09-30$15,200
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-09-30$11,189
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-09-30$3,075
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-09-30$10,989
Total non interest bearing cash at end of year2011-09-30$218
Total non interest bearing cash at beginning of year2011-09-30$218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$606,433
Value of net assets at end of year (total assets less liabilities)2011-09-30$10,771,427
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$10,164,994
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-09-30$6,100,096
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-09-30$5,908,962
Interest on participant loans2011-09-30$5,321
Interest earned on other investments2011-09-30$135,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$11,830
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-09-30$7,889
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-09-30$7,889
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-09-30$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-09-30$4,524,865
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-09-30$4,131,823
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-09-30$-145,231
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$249,025
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$210,538
Contract administrator fees2011-09-30$34,035
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30Yes
Opinion of an independent qualified public accountant for this plan2011-09-30Disclaimer
Accountancy firm name2011-09-30WIPFLI LLP
Accountancy firm EIN2011-09-30390758449
2010 : FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for FLAMBEAU HOSPITAL, INC. 403(B) PLAN

2020: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingYes
2020-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2009: FLAMBEAU HOSPITAL, INC. 403(B) PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedYes
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number892771-007
Policy instance 1
Insurance contract or identification number892771-007
Number of Individuals Covered0
Insurance policy start date2020-10-01
Insurance policy end date2021-02-26
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR14835
Policy instance 2
Insurance contract or identification numberCR14835
Number of Individuals Covered0
Insurance policy start date2020-10-01
Insurance policy end date2021-02-26
Total amount of commissions paid to insurance brokerUSD $1,590
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,590
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number892771-007
Policy instance 1
Insurance contract or identification number892771-007
Number of Individuals Covered214
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR14835
Policy instance 2
Insurance contract or identification numberCR14835
Number of Individuals Covered39
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $4,645
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,645
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR14835
Policy instance 2
Insurance contract or identification numberCR14835
Number of Individuals Covered41
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $5,084
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,084
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number892771-007
Policy instance 1
Insurance contract or identification number892771-007
Number of Individuals Covered214
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR14835
Policy instance 2
Insurance contract or identification numberCR14835
Number of Individuals Covered44
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $5,525
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number892771-007
Policy instance 1
Insurance contract or identification number892771-007
Number of Individuals Covered189
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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