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OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 401k Plan overview

Plan NameOPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN
Plan identification number 502

OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

OPPORTUNITY LIVING has sponsored the creation of one or more 401k plans.

Company Name:OPPORTUNITY LIVING
Employer identification number (EIN):421293894
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about OPPORTUNITY LIVING

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1987-04-09
Company Identification Number: 114769
Legal Registered Office Address: 1890 E MAIN

LAKE CITY
United States of America (USA)
51449

More information about OPPORTUNITY LIVING

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01SHANNON MAHANNAH SHANNON MAHANNAH2018-10-12
5022017-01-01SHANNON MAHANNAH SHANNON MAHANNAH
5022016-01-01SHANNON MAHANNAH
5022015-01-01DAVID M. STAVER
5022014-01-01DAVID M. STAVER
5022013-01-01
5022012-01-01DAVID STAVER
5022011-01-01DAVID STAVER
5022009-01-01DAVID STAVER

Plan Statistics for OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN

401k plan membership statisitcs for OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN

Measure Date Value
2022: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01105
Total number of active participants reported on line 7a of the Form 55002022-01-0187
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0187
2021: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01124
Total number of active participants reported on line 7a of the Form 55002021-01-01105
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01105
2020: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01133
Total number of active participants reported on line 7a of the Form 55002020-01-01124
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01124
2019: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01152
Total number of active participants reported on line 7a of the Form 55002019-01-01133
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01133
2018: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01138
Total number of active participants reported on line 7a of the Form 55002018-01-01152
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01152
2017: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01139
Total number of active participants reported on line 7a of the Form 55002017-01-01138
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01138
2016: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01130
Total number of active participants reported on line 7a of the Form 55002016-01-01139
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01139
2015: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01128
Total number of active participants reported on line 7a of the Form 55002015-01-01130
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01130
2014: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01150
Total number of active participants reported on line 7a of the Form 55002014-01-01128
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01128
2013: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01138
Total number of active participants reported on line 7a of the Form 55002013-01-01150
Total of all active and inactive participants2013-01-01150
2012: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01138
Total number of active participants reported on line 7a of the Form 55002012-01-01138
Total of all active and inactive participants2012-01-01138
2011: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01138
Total number of active participants reported on line 7a of the Form 55002011-01-01138
Total of all active and inactive participants2011-01-01138
2009: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01130
Total number of active participants reported on line 7a of the Form 55002009-01-01164
Total of all active and inactive participants2009-01-01164

Financial Data on OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN

Measure Date Value
2022 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$288,913
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$176,453
Total income from all sources (including contributions)2022-12-31$1,762,735
Total of all expenses incurred2022-12-31$1,416,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,318,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,476,610
Value of total assets at end of year2022-12-31$1,274,650
Value of total assets at beginning of year2022-12-31$815,484
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$97,618
Total interest from all sources2022-12-31$8,102
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$189,176
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$569,201
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$307,172
Other income not declared elsewhere2022-12-31$278,023
Administrative expenses (other) incurred2022-12-31$97,618
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$346,706
Value of net assets at end of year (total assets less liabilities)2022-12-31$985,737
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$639,031
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$705,449
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$508,312
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$508,312
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$8,102
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$352,785
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,287,434
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$965,626
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$288,913
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$176,453
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31GRONEWOLD, BELL, KYHNN & CO. P.C.
Accountancy firm EIN2022-12-31421206169
2021 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$176,453
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$280,106
Total income from all sources (including contributions)2021-12-31$2,164,747
Total of all expenses incurred2021-12-31$1,688,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,614,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,950,573
Value of total assets at end of year2021-12-31$815,484
Value of total assets at beginning of year2021-12-31$442,830
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$73,891
Total interest from all sources2021-12-31$90
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$181,076
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$307,172
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$46,994
Other income not declared elsewhere2021-12-31$214,084
Administrative expenses (other) incurred2021-12-31$73,891
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$476,307
Value of net assets at end of year (total assets less liabilities)2021-12-31$639,031
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$162,724
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$508,312
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$395,836
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$395,836
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$90
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$389,923
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,769,497
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,224,626
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$176,453
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$280,106
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31GRONEWOLD, BELL, KYHNN & CO. P.C
Accountancy firm EIN2021-12-31421206169
2020 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$280,106
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$129,224
Total income from all sources (including contributions)2020-12-31$2,491,665
Total of all expenses incurred2020-12-31$2,239,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,155,992
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,986,222
Value of total assets at end of year2020-12-31$442,830
Value of total assets at beginning of year2020-12-31$39,538
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$83,263
Total interest from all sources2020-12-31$1,011
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$224,421
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$46,994
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$3,044
Other income not declared elsewhere2020-12-31$504,432
Administrative expenses (other) incurred2020-12-31$83,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$252,410
Value of net assets at end of year (total assets less liabilities)2020-12-31$162,724
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$-89,686
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$395,836
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$36,494
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$36,494
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$1,011
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$439,059
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,761,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,716,933
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$280,106
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$129,224
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31GRONEWOLD, BELL, KYHNN & CO. P.C.
Accountancy firm EIN2020-12-31421206169
2019 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$129,224
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$129,224
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$148,834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$148,834
Total income from all sources (including contributions)2019-12-31$1,622,105
Total income from all sources (including contributions)2019-12-31$1,622,105
Total of all expenses incurred2019-12-31$1,700,674
Total of all expenses incurred2019-12-31$1,700,674
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,576,504
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,576,504
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,497,521
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,497,521
Value of total assets at end of year2019-12-31$39,538
Value of total assets at end of year2019-12-31$39,538
Value of total assets at beginning of year2019-12-31$137,717
Value of total assets at beginning of year2019-12-31$137,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$124,170
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$124,170
Total interest from all sources2019-12-31$1,298
Total interest from all sources2019-12-31$1,298
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$234,533
Contributions received from participants2019-12-31$234,533
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$3,044
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$3,044
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$34,082
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$34,082
Other income not declared elsewhere2019-12-31$123,286
Other income not declared elsewhere2019-12-31$123,286
Administrative expenses (other) incurred2019-12-31$124,170
Administrative expenses (other) incurred2019-12-31$124,170
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-78,569
Value of net income/loss2019-12-31$-78,569
Value of net assets at end of year (total assets less liabilities)2019-12-31$-89,686
Value of net assets at end of year (total assets less liabilities)2019-12-31$-89,686
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-11,117
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-11,117
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$36,494
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$36,494
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$103,635
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$103,635
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$103,635
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$103,635
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$1,298
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$1,298
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$340,177
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$340,177
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,262,988
Contributions received in cash from employer2019-12-31$1,262,988
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,236,327
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,236,327
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$129,224
Liabilities. Value of benefit claims payable at end of year2019-12-31$129,224
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$148,834
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$148,834
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31GRONEWOLD, BELL, KYHNN & CO. P.C.
Accountancy firm name2019-12-31GRONEWOLD, BELL, KYHNN & CO. P.C.
Accountancy firm EIN2019-12-31421206169
Accountancy firm EIN2019-12-31421206169
2018 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$148,834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$176,268
Total income from all sources (including contributions)2018-12-31$1,172,038
Total of all expenses incurred2018-12-31$1,865,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,753,884
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,001,701
Value of total assets at end of year2018-12-31$137,717
Value of total assets at beginning of year2018-12-31$858,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$111,626
Total interest from all sources2018-12-31$4,077
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$237,463
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$34,082
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$40,855
Other income not declared elsewhere2018-12-31$166,260
Administrative expenses (other) incurred2018-12-31$111,626
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-693,472
Value of net assets at end of year (total assets less liabilities)2018-12-31$-11,117
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$682,355
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$103,635
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$817,768
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$817,768
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$4,077
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$416,782
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$764,238
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,337,102
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$148,834
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$176,268
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31GRONEWOLD, BELL, KYHNN & CO. P.C.
Accountancy firm EIN2018-12-31421206169
2017 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$176,268
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$148,472
Total income from all sources (including contributions)2017-12-31$1,563,163
Total of all expenses incurred2017-12-31$1,324,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,260,087
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,512,457
Value of total assets at end of year2017-12-31$858,623
Value of total assets at beginning of year2017-12-31$592,232
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$64,481
Total interest from all sources2017-12-31$3,439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$231,764
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$40,855
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$77,857
Other income not declared elsewhere2017-12-31$47,267
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$238,595
Value of net assets at end of year (total assets less liabilities)2017-12-31$682,355
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$443,760
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$2,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$817,768
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$514,375
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$514,375
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$3,439
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$424,738
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,280,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$835,349
Contract administrator fees2017-12-31$62,481
Liabilities. Value of benefit claims payable at end of year2017-12-31$176,268
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$148,472
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31OLSEN, MUHLBAUER & CO., LLP
Accountancy firm EIN2017-12-31420950074
2016 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$148,472
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$175,663
Total income from all sources (including contributions)2016-12-31$1,171,947
Total of all expenses incurred2016-12-31$1,495,321
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,436,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,072,431
Value of total assets at end of year2016-12-31$592,232
Value of total assets at beginning of year2016-12-31$942,797
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$59,127
Total interest from all sources2016-12-31$1,854
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$222,214
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$77,857
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$30,251
Other income not declared elsewhere2016-12-31$97,662
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-323,374
Value of net assets at end of year (total assets less liabilities)2016-12-31$443,760
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$767,134
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$2,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$514,375
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$912,546
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$912,546
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,854
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$420,653
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$850,217
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,015,541
Contract administrator fees2016-12-31$57,127
Liabilities. Value of benefit claims payable at end of year2016-12-31$148,472
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$175,663
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31OLSEN, MUHLBAUER & CO., LLP
Accountancy firm EIN2016-12-31420950074
2015 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$175,663
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$263,016
Total income from all sources (including contributions)2015-12-31$1,979,900
Total of all expenses incurred2015-12-31$1,548,254
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,484,071
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,876,533
Value of total assets at end of year2015-12-31$942,797
Value of total assets at beginning of year2015-12-31$598,504
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$64,183
Total interest from all sources2015-12-31$1,338
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$237,492
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$30,251
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$20,894
Other income not declared elsewhere2015-12-31$102,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$431,646
Value of net assets at end of year (total assets less liabilities)2015-12-31$767,134
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$335,488
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$2,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$912,546
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$577,610
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$577,610
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1,338
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$409,377
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,639,041
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,074,694
Contract administrator fees2015-12-31$62,183
Liabilities. Value of benefit claims payable at end of year2015-12-31$175,663
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$263,016
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31OLSEN, MUHLBAUER & CO., LLP
Accountancy firm EIN2015-12-31420950074
2014 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$263,016
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$102,249
Total income from all sources (including contributions)2014-12-31$1,898,523
Total of all expenses incurred2014-12-31$1,855,913
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,793,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,897,792
Value of total assets at end of year2014-12-31$598,504
Value of total assets at beginning of year2014-12-31$395,127
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$62,057
Total interest from all sources2014-12-31$731
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$250,897
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$20,894
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$34,745
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$42,610
Value of net assets at end of year (total assets less liabilities)2014-12-31$335,488
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$292,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$2,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$577,610
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$360,382
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$360,382
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$731
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$432,389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,646,895
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,361,467
Contract administrator fees2014-12-31$60,057
Liabilities. Value of benefit claims payable at end of year2014-12-31$263,016
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$102,249
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31OLSEN, MUHLBAUER & CO., LLP
Accountancy firm EIN2014-12-31420950074
2013 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$102,249
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$66,393
Total income from all sources (including contributions)2013-12-31$1,336,732
Total of all expenses incurred2013-12-31$1,494,301
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,423,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,335,817
Value of total assets at end of year2013-12-31$395,127
Value of total assets at beginning of year2013-12-31$516,840
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$71,197
Total interest from all sources2013-12-31$915
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$3,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$243,527
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$34,745
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$25,590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-157,569
Value of net assets at end of year (total assets less liabilities)2013-12-31$292,878
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$450,447
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$1,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$360,382
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$491,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$491,250
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$915
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$477,879
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,092,290
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$945,225
Contract administrator fees2013-12-31$69,697
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$102,249
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$66,393
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31SCHNURR & COMPANY, LLP
Accountancy firm EIN2013-12-31421282836
2012 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$66,393
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$184,149
Total income from all sources (including contributions)2012-12-31$1,638,558
Total of all expenses incurred2012-12-31$1,310,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,241,525
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,637,999
Value of total assets at end of year2012-12-31$516,840
Value of total assets at beginning of year2012-12-31$306,574
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$69,011
Total interest from all sources2012-12-31$559
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$3,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$248,291
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$25,590
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$25,595
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$328,022
Value of net assets at end of year (total assets less liabilities)2012-12-31$450,447
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$122,425
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$1,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$491,250
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$280,979
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$280,979
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$559
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$412,524
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,389,708
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$829,001
Contract administrator fees2012-12-31$67,511
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$66,393
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$184,149
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31SCHNURR & COMPANY, LLP
Accountancy firm EIN2012-12-31421282836
2011 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$184,149
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$439,747
Total income from all sources (including contributions)2011-12-31$1,728,544
Total of all expenses incurred2011-12-31$1,350,830
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,315,466
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,728,180
Value of total assets at end of year2011-12-31$306,574
Value of total assets at beginning of year2011-12-31$184,458
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$35,364
Total interest from all sources2011-12-31$364
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$3,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$243,283
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$25,595
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$18,435
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$377,714
Value of net assets at end of year (total assets less liabilities)2011-12-31$122,425
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-255,289
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$1,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$280,979
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$166,023
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$166,023
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$364
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$380,673
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,484,897
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$934,793
Contract administrator fees2011-12-31$33,864
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$184,149
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$439,747
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31SCHNURR & COMPANY, LLP
Accountancy firm EIN2011-12-31421282836
2010 : OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$439,747
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$103,821
Total income from all sources (including contributions)2010-12-31$1,458,482
Total of all expenses incurred2010-12-31$1,815,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,780,570
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,457,983
Value of total assets at end of year2010-12-31$184,458
Value of total assets at beginning of year2010-12-31$205,733
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$35,113
Total interest from all sources2010-12-31$499
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$3,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$246,809
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$18,435
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$5,930
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-357,201
Value of net assets at end of year (total assets less liabilities)2010-12-31$-255,289
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$101,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$1,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$166,023
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$199,803
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$199,803
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$499
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$365,062
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,211,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,415,508
Contract administrator fees2010-12-31$33,613
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$439,747
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$103,821
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31SCHNURR & COMPANY, LLP
Accountancy firm EIN2010-12-31421282836

Form 5500 Responses for OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN

2022: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: OPPORTUNITY LIVING EMPLOYEE MEDICAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number
Policy instance 6
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CENTRAL UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61883 )
Policy contract numberWA0003620
Policy instance 5
Insurance contract or identification numberWA0003620
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40232
Policy instance 4
Insurance contract or identification number40232
Number of Individuals Covered48
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30029831
Policy instance 3
Insurance contract or identification number30029831
Number of Individuals Covered67
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $725
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $725
Additional information about fees paid to insurance brokerINDIRECT COMISSION ALLOCATION
EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0821
Policy instance 2
Insurance contract or identification numberGL0821
Number of Individuals Covered85
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $633
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $633
Insurance broker organization code?3
WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )
Policy contract number147
Policy instance 1
Insurance contract or identification number147
Number of Individuals Covered87
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )
Policy contract number147
Policy instance 1
Insurance contract or identification number147
Number of Individuals Covered101
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0821
Policy instance 2
Insurance contract or identification numberGL0821
Number of Individuals Covered100
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $698
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,964
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $698
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30029831
Policy instance 3
Insurance contract or identification number30029831
Number of Individuals Covered85
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $785
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,061
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $785
Additional information about fees paid to insurance brokerINDIRECT COMISSION ALLOCATION
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40232
Policy instance 4
Insurance contract or identification number40232
Number of Individuals Covered60
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,859
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CENTRAL UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61883 )
Policy contract numberWA0003620
Policy instance 5
Insurance contract or identification numberWA0003620
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,779
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number
Policy instance 6
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number
Policy instance 7
Insurance policy start date2020-02-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberKG207
Policy instance 6
Insurance contract or identification numberKG207
Insurance policy start date2020-01-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
CENTRAL UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61883 )
Policy contract numberWA0003620
Policy instance 5
Insurance contract or identification numberWA0003620
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40232
Policy instance 4
Insurance contract or identification number40232
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $33,647
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30029831
Policy instance 3
Insurance contract or identification number30029831
Number of Individuals Covered95
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $882
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $882
Additional information about fees paid to insurance brokerINDIRECT COMISSION ALLOCATION
EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0821
Policy instance 2
Insurance contract or identification numberGL0821
Number of Individuals Covered124
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $786
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,723
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $786
Insurance broker organization code?3
WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )
Policy contract number147
Policy instance 1
Insurance contract or identification number147
Number of Individuals Covered119
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )
Policy contract number147
Policy instance 1
Insurance contract or identification number147
Number of Individuals Covered133
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0821
Policy instance 2
Insurance contract or identification numberGL0821
Number of Individuals Covered132
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30029831
Policy instance 3
Insurance contract or identification number30029831
Number of Individuals Covered103
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $863
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $863
Additional information about fees paid to insurance brokerINDIRECT COMISSION ALLOCATION
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40232
Policy instance 4
Insurance contract or identification number40232
Number of Individuals Covered73
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CENTRAL UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61883 )
Policy contract numberWA0003620
Policy instance 5
Insurance contract or identification numberWA0003620
Number of Individuals Covered9
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,949
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $802
Insurance broker organization code?3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberKG207
Policy instance 6
Insurance contract or identification numberKG207
Number of Individuals Covered32
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,889
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,110
Insurance broker organization code?3
WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )
Policy contract number147
Policy instance 1
Insurance contract or identification number147
Number of Individuals Covered151
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINDIRECT COMMISSIONS ALLOCATION
EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0821
Policy instance 2
Insurance contract or identification numberGL0821
Number of Individuals Covered159
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,155
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,103
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,155
Additional information about fees paid to insurance brokerINDIRECT COMMISSION ALLOCATION
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30029831
Policy instance 3
Insurance contract or identification number30029831
Number of Individuals Covered106
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $853
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $853
Additional information about fees paid to insurance brokerINDIRECT COMMISSION ALLOCATION
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40232
Policy instance 4
Insurance contract or identification number40232
Number of Individuals Covered73
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF1D1493
Policy instance 2
Insurance contract or identification numberF1D1493
Number of Individuals Covered46
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,317
Total amount of fees paid to insurance companyUSD $1,106
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,317
Amount paid for insurance broker fees1106
Additional information about fees paid to insurance brokerINDIRECT COMMISION ALLOCATION
Insurance broker nameCOTTINGHAM AND BUTLER INS SERVICES
EMC NATIONAL LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 62928 )
Policy contract numberGL0821
Policy instance 3
Insurance contract or identification numberGL0821
Number of Individuals Covered141
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $853
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $853
Additional information about fees paid to insurance brokerINDIRECT COMMISSION ALLOCATION
Insurance broker nameAGENTS INC
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberKG207
Policy instance 4
Insurance contract or identification numberKG207
Number of Individuals Covered21
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,993
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $636
Additional information about fees paid to insurance brokerINDIRECT COMMISSION ALLOCATION
Insurance broker nameJESSE WING
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30029831
Policy instance 5
Insurance contract or identification number30029831
Number of Individuals Covered86
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,128
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $944
Additional information about fees paid to insurance brokerINDIRECT COMMISSION ALLOCATION
Insurance broker nameHOLMES, MURPHY & ASSOCIATES LLC
CENTRAL UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61883 )
Policy contract numberWA0003620
Policy instance 6
Insurance contract or identification numberWA0003620
Number of Individuals Covered10
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,244
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $403
Additional information about fees paid to insurance brokerINDIRECT COMMISSION ALLOCATION
Insurance broker nameALAN PAPE
WELLMARK HEALTH PLAN OF IOWA (National Association of Insurance Commissioners NAIC id number: 95531 )
Policy contract number147
Policy instance 1
Insurance contract or identification number147
Number of Individuals Covered130
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $40,086
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,086
Additional information about fees paid to insurance brokerINDIRECT COMMISSIONS ALLOCATION
Insurance broker nameN/A

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