401k Plan data: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN plan

RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 401k Plan overview

Plan Name	RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN
Plan identification number	001

RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN Benefits

401k Plan Type

Defined 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 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

RAMSEY INTEGRATED HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name: RAMSEY INTEGRATED HEALTH SERVICES

Employer identification number (EIN): 411503090

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01 HEIDI CONRAD 2018-10-11 HEIDI CONRAD 2018-10-11
001 2016-01-01 HEIDI CONRAD 2017-10-16 HEIDI CONRAD 2017-10-16
001 2016-01-01 HEIDI CONRAD 2017-10-16
001 2015-01-01 HEIDI CONRAD 2017-11-10 HEIDI CONRAD 2017-11-10
001 2015-01-01 HEIDI CONRAD 2016-10-14
001 2014-01-01 HEIDI CONRAD 2017-10-16 HEIDI CONRAD 2017-10-16
001 2014-01-01 JEANETTE HAGEN 2015-10-15 JEANETTE HAGEN 2015-10-15
001 2013-01-01 JEANETTE HAGEN 2014-10-13 JEANETTE HAGEN 2014-10-13
001 2012-01-01 JEANETTE HAGEN 2013-10-07 JEANETTE HAGEN 2013-10-07
001 2011-01-01 JEANETTE HAGEN 2012-10-15 JEANETTE HAGEN 2012-10-15
001 2010-01-01 JEANETTE HAGEN 2011-09-30 JEANETTE HAGEN 2011-09-30
001 2009-01-01 JEANETTE HAGEN 2010-10-14 JEANETTE HAGEN 2010-10-14
001 2009-01-01 JEANETTE HAGEN 2010-10-14 JEANETTE HAGEN 2010-10-14
001 2009-01-01 JEANETTE HAGEN 2010-11-21 JEANETTE HAGEN 2010-11-21

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2020-01-01
001	2019-01-01
001	2018-01-01
001	2017-01-01	HEIDI CONRAD	2018-10-11	HEIDI CONRAD	2018-10-11
001	2016-01-01	HEIDI CONRAD	2017-10-16	HEIDI CONRAD	2017-10-16
001	2016-01-01			HEIDI CONRAD	2017-10-16
001	2015-01-01	HEIDI CONRAD	2017-11-10	HEIDI CONRAD	2017-11-10
001	2015-01-01			HEIDI CONRAD	2016-10-14
001	2014-01-01	HEIDI CONRAD	2017-10-16	HEIDI CONRAD	2017-10-16
001	2014-01-01	JEANETTE HAGEN	2015-10-15	JEANETTE HAGEN	2015-10-15
001	2013-01-01	JEANETTE HAGEN	2014-10-13	JEANETTE HAGEN	2014-10-13
001	2012-01-01	JEANETTE HAGEN	2013-10-07	JEANETTE HAGEN	2013-10-07
001	2011-01-01	JEANETTE HAGEN	2012-10-15	JEANETTE HAGEN	2012-10-15
001	2010-01-01	JEANETTE HAGEN	2011-09-30	JEANETTE HAGEN	2011-09-30
001	2009-01-01	JEANETTE HAGEN	2010-10-14	JEANETTE HAGEN	2010-10-14
001	2009-01-01	JEANETTE HAGEN	2010-10-14	JEANETTE HAGEN	2010-10-14
001	2009-01-01	JEANETTE HAGEN	2010-11-21	JEANETTE HAGEN	2010-11-21

Plan Statistics for RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN

401k plan membership statisitcs for RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN

Measure Date Value
2020: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 162
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 0
Number of participants with account balances 2020-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 101
Number of other retired or separated participants entitled to future benefits 2019-01-01 61
Total of all active and inactive participants 2019-01-01 162
Total participants 2019-01-01 162
Number of participants with account balances 2019-01-01 109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1
2018: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 66
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 70
Total of all active and inactive participants 2018-01-01 136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 136
Number of participants with account balances 2018-01-01 119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 3
2017: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 66
Number of other retired or separated participants entitled to future benefits 2017-01-01 78
Total of all active and inactive participants 2017-01-01 144
Total participants 2017-01-01 144
Number of participants with account balances 2017-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 4
2016: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 145
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 105
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 78
Total of all active and inactive participants 2016-01-01 183
Total participants 2016-01-01 183
Number of participants with account balances 2016-01-01 107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 4
2015: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 86
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 113
Number of retired or separated participants receiving benefits 2015-01-01 80
Number of other retired or separated participants entitled to future benefits 2015-01-01 65
Total of all active and inactive participants 2015-01-01 258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 258
Number of participants with account balances 2015-01-01 113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 5
2014: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 86
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 67
Total of all active and inactive participants 2014-01-01 153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 153
Number of participants with account balances 2014-01-01 106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 9
2009: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 45
Number of other retired or separated participants entitled to future benefits 2009-01-01 57
Total of all active and inactive participants 2009-01-01 102
Total participants 2009-01-01 102

Measure	Date	Value
2020: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	0
Number of participants with account balances	2020-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	101
Number of other retired or separated participants entitled to future benefits	2019-01-01	61
Total of all active and inactive participants	2019-01-01	162
Total participants	2019-01-01	162
Number of participants with account balances	2019-01-01	109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1
2018: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	66
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	70
Total of all active and inactive participants	2018-01-01	136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	136
Number of participants with account balances	2018-01-01	119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	3
2017: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	66
Number of other retired or separated participants entitled to future benefits	2017-01-01	78
Total of all active and inactive participants	2017-01-01	144
Total participants	2017-01-01	144
Number of participants with account balances	2017-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	4
2016: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	145
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	105
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	78
Total of all active and inactive participants	2016-01-01	183
Total participants	2016-01-01	183
Number of participants with account balances	2016-01-01	107
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	4
2015: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	86
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	113
Number of retired or separated participants receiving benefits	2015-01-01	80
Number of other retired or separated participants entitled to future benefits	2015-01-01	65
Total of all active and inactive participants	2015-01-01	258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	258
Number of participants with account balances	2015-01-01	113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	5
2014: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	86
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	67
Total of all active and inactive participants	2014-01-01	153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	153
Number of participants with account balances	2014-01-01	106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	9
2009: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	45
Number of other retired or separated participants entitled to future benefits	2009-01-01	57
Total of all active and inactive participants	2009-01-01	102
Total participants	2009-01-01	102

Financial Data on RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN

Measure	Date	Value
2020 : RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-07-30	$-93,538
Total of all expenses incurred	2020-07-30	$3,744,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-07-30	$3,741,019
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-07-30	$62,952
Value of total assets at end of year	2020-07-30	$0
Value of total assets at beginning of year	2020-07-30	$3,838,305
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-07-30	$3,748
Total interest from all sources	2020-07-30	$4,117
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-07-30	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2020-07-30	$3,748
Was this plan covered by a fidelity bond	2020-07-30	Yes
Value of fidelity bond cover	2020-07-30	$15,000,000
If this is an individual account plan, was there a blackout period	2020-07-30	No
Were there any nonexempt tranactions with any party-in-interest	2020-07-30	No
Contributions received from participants	2020-07-30	$61,043
Participant contributions at beginning of year	2020-07-30	$28,396
Administrative expenses (other) incurred	2020-07-30	$3,748
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-07-30	No
Value of net income/loss	2020-07-30	$-3,838,305
Value of net assets at end of year (total assets less liabilities)	2020-07-30	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-07-30	$3,838,305
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-07-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-07-30	No
Were any leases to which the plan was party in default or uncollectible	2020-07-30	No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-07-30	$1,918,832
Value of interest in pooled separate accounts at end of year	2020-07-30	$0
Value of interest in pooled separate accounts at beginning of year	2020-07-30	$1,538,168
Interest on participant loans	2020-07-30	$734
Interest earned on other investments	2020-07-30	$3,383
Value of interest in master investment trust accounts at end of year	2020-07-30	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-07-30	$10,209
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-07-30	$10,209
Assets. Value of investments in 103.12 investment entities at end of year	2020-07-30	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-07-30	$218,613
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-07-30	$-160,607
Net investment gain/loss from pooled separate accounts	2020-07-30	$0
Net investment gain or loss from common/collective trusts	2020-07-30	$0
Net gain/loss from 103.12 investment entities	2020-07-30	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-07-30	No
Was there a failure to transmit to the plan any participant contributions	2020-07-30	No
Has the plan failed to provide any benefit when due under the plan	2020-07-30	No
Contributions received in cash from employer	2020-07-30	$1,909
Employer contributions (assets) at beginning of year	2020-07-30	$124,087
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-07-30	$3,741,019
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	2020-07-30	No
Did the plan have assets held for investment	2020-07-30	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	2020-07-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-07-30	No
Opinion of an independent qualified public accountant for this plan	2020-07-30	Disclaimer
Accountancy firm name	2020-07-30	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-07-30	410746749
2019 : RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$1,185,844
Total of all expenses incurred	2019-12-31	$794,464
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$789,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$519,177
Value of total assets at end of year	2019-12-31	$3,838,305
Value of total assets at beginning of year	2019-12-31	$3,446,925
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$4,727
Total interest from all sources	2019-12-31	$56,385
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	$15,000,000
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	$321,757
Participant contributions at end of year	2019-12-31	$28,396
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$72,809
Administrative expenses (other) incurred	2019-12-31	$4,727
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	$391,380
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$3,838,305
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$3,446,925
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 in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$1,918,832
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$1,130,845
Value of interest in pooled separate accounts at end of year	2019-12-31	$1,538,168
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$1,953,427
Interest on participant loans	2019-12-31	$1,369
Interest earned on other investments	2019-12-31	$55,016
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$10,209
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-12-31	$9,026
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-12-31	$9,026
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$218,613
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$266,773
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$610,282
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	$124,611
Employer contributions (assets) at end of year	2019-12-31	$124,087
Employer contributions (assets) at beginning of year	2019-12-31	$86,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$789,737
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	Yes
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	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2019-12-31	410746749
2018 : RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2018 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$27,608
Total income from all sources (including contributions)	2018-12-31	$357,025
Total of all expenses incurred	2018-12-31	$1,365,939
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$1,361,258
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$614,755
Value of total assets at end of year	2018-12-31	$3,446,925
Value of total assets at beginning of year	2018-12-31	$4,483,447
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$4,681
Total interest from all sources	2018-12-31	$45,626
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	$15,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	Yes
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$264,151
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$260,922
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$27,608
Administrative expenses (other) incurred	2018-12-31	$4,681
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	$-1,008,914
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$3,446,925
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,455,839
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 in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,130,845
Value of interest in pooled separate accounts at end of year	2018-12-31	$1,953,427
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$3,773,170
Interest earned on other investments	2018-12-31	$45,626
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2018-12-31	$9,026
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$266,773
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$653,813
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-303,356
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	Yes
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	$89,682
Employer contributions (assets) at end of year	2018-12-31	$86,854
Employer contributions (assets) at beginning of year	2018-12-31	$56,464
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$1,361,258
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	Yes
Did the plan have assets held for investment	2018-12-31	Yes
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	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2018-12-31	410746749
2017 : RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$27,608
Total income from all sources (including contributions)	2017-12-31	$735,310
Total of all expenses incurred	2017-12-31	$182,782
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$180,004
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$207,011
Value of total assets at end of year	2017-12-31	$4,483,447
Value of total assets at beginning of year	2017-12-31	$3,903,311
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$2,778
Total interest from all sources	2017-12-31	$23,068
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	$15,000,000
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	$144,318
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$12,160
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$5,439
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$27,608
Administrative expenses (other) incurred	2017-12-31	$2,778
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	$552,528
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$4,455,839
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,903,311
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 in pooled separate accounts at end of year	2017-12-31	$3,773,170
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$3,040,133
Interest earned on other investments	2017-12-31	$23,068
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$653,813
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$760,737
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$505,231
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	Yes
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	$57,254
Employer contributions (assets) at end of year	2017-12-31	$56,464
Employer contributions (assets) at beginning of year	2017-12-31	$90,281
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$180,004
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	Yes
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	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2017-12-31	410746749
2016 : RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$522,741
Total of all expenses incurred	2016-12-31	$916,426
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$913,606
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$276,647
Value of total assets at end of year	2016-12-31	$3,903,479
Value of total assets at beginning of year	2016-12-31	$4,297,164
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$2,820
Total interest from all sources	2016-12-31	$27,579
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	$15,000,000
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	$186,366
Participant contributions at end of year	2016-12-31	$12,328
Administrative expenses (other) incurred	2016-12-31	$2,820
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	$-393,685
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,903,479
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,297,164
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 in pooled separate accounts at end of year	2016-12-31	$3,040,133
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$3,378,370
Interest earned on other investments	2016-12-31	$27,579
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$760,737
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$805,781
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$218,515
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	Yes
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	$90,281
Employer contributions (assets) at end of year	2016-12-31	$90,281
Employer contributions (assets) at beginning of year	2016-12-31	$113,013
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$913,606
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	Yes
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	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2016-12-31	410746749
2015 : RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$254,869
Total of all expenses incurred	2015-12-31	$83,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$80,220
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$325,623
Value of total assets at end of year	2015-12-31	$4,184,151
Value of total assets at beginning of year	2015-12-31	$4,012,292
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$2,790
Total interest from all sources	2015-12-31	$27,702
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$226,892
Participant contributions at end of year	2015-12-31	$79,982
Participant contributions at beginning of year	2015-12-31	$96,251
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$2,790
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$171,859
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,184,151
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,012,292
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$725,799
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$709,479
Value of interest in pooled separate accounts at end of year	2015-12-31	$460,708
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$452,828
Interest on participant loans	2015-12-31	$2,899
Interest earned on other investments	2015-12-31	$24,803
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$2,917,662
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$2,753,734
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-98,456
Net investment gain/loss from pooled separate accounts	2015-12-31	$-98,456
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$98,731
Employer contributions (assets) at end of year	2015-12-31	$113,013
Employer contributions (assets) at beginning of year	2015-12-31	$98,731
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$80,220
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	2015-12-31	No
Did the plan have assets held for investment	2015-12-31	Yes
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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2015-12-31	410746749
2014 : RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$596,014
Total of all expenses incurred	2014-12-31	$204,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$201,775
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$405,255
Value of total assets at end of year	2014-12-31	$4,111,023
Value of total assets at beginning of year	2014-12-31	$3,719,441
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$2,657
Total interest from all sources	2014-12-31	$27,467
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$15,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$303,011
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$3,513
Administrative expenses (other) incurred	2014-12-31	$2,657
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$391,582
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,111,023
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$3,719,441
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$3,206,562
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$2,940,735
Interest earned on other investments	2014-12-31	$27,467
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$805,730
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$778,706
Net investment gain/loss from pooled separate accounts	2014-12-31	$163,292
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$98,731
Employer contributions (assets) at end of year	2014-12-31	$98,731
Employer contributions (assets) at beginning of year	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$201,775
Did the plan have assets held for investment	2014-12-31	Yes
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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2014-12-31	410746749

Form 5500 Responses for RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN

2020: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2009: RAMSEY INTEGRATED HEALTH SERVICES 403(B) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

903464

Policy instance

Insurance contract or identification number	903464
Insurance policy start date	2020-01-01
Insurance policy end date	2020-07-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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 number

CR19536

Policy instance

Insurance contract or identification number	CR19536
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-07-21
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

903464

Policy instance

Insurance contract or identification number	903464
Number of Individuals Covered	61
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 $4
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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	4

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR19536

Policy instance

Insurance contract or identification number	CR19536
Number of Individuals Covered	7
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
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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 number

CR19536

Policy instance

Insurance contract or identification number	CR19536
Number of Individuals Covered	7
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
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $0

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

903464

Policy instance

Insurance contract or identification number	903464
Number of Individuals Covered	83
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
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

903464

Policy instance

Insurance contract or identification number	903464
Number of Individuals Covered	105
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $17,202
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $17,202
Amount paid for insurance broker fees	0
Insurance broker name	BRIGHTHOUSE SECURITIES LLC

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR19536

Policy instance

Insurance contract or identification number	CR19536
Number of Individuals Covered	9
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $318
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $130
Amount paid for insurance broker fees	0
Insurance broker organization code?	4
Insurance broker name	MML INSURANCE AGENCY LLC

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )

Policy contract number

903464

Policy instance

Insurance contract or identification number	903464
Number of Individuals Covered	109
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $19,208
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $19,208
Insurance broker name	METLIFE SECURITIES, INC

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR19536

Policy instance

Insurance contract or identification number	CR19536
Number of Individuals Covered	8
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,321
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	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 $1,321
Insurance broker organization code?	3
Insurance broker name	METLIFE SECURITIES, INC

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Company Name:	RAMSEY INTEGRATED HEALTH SERVICES
Employer identification number (EIN):	411503090
NAIC Classification:	621610
NAIC Description:	Home Health Care Services