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MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 401k Plan overview

Plan NameMIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN
Plan identification number 001

MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

COMPASS HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMPASS HEALTH, INC.
Employer identification number (EIN):431032835
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about COMPASS HEALTH, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1982-06-25
Company Identification Number: 601638079
Legal Registered Office Address: 4526 FEDERAL AVE

EVERETT
United States of America (USA)
982032132

More information about COMPASS HEALTH, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01DIANE HOWARD COLETTA2023-10-09
0012021-01-01DIANE HOWARD COLETTA2022-10-02
0012020-01-01DIANE HOWARD COLETTA2021-10-12
0012019-01-01DIANE HOWARD COLETTA2020-10-12
0012018-01-01DIANE HOWARD COLETTA2019-09-30
0012017-01-01
0012016-01-01
0012015-01-01DIANE HOWARD COLETTA
0012009-01-01DIANE HOWARD

Plan Statistics for MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN

401k plan membership statisitcs for MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN

Measure Date Value
2022: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,846
Total number of active participants reported on line 7a of the Form 55002022-01-013,463
Number of retired or separated participants receiving benefits2022-01-013
Number of other retired or separated participants entitled to future benefits2022-01-01875
Total of all active and inactive participants2022-01-014,341
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-016
Total participants2022-01-014,347
Number of participants with account balances2022-01-014,154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-01596
2021: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-013,364
Total number of active participants reported on line 7a of the Form 55002021-01-013,075
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-01688
Total of all active and inactive participants2021-01-013,766
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-013
Total participants2021-01-013,769
Number of participants with account balances2021-01-013,563
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-01319
2020: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-013,082
Total number of active participants reported on line 7a of the Form 55002020-01-012,597
Number of retired or separated participants receiving benefits2020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-01559
Total of all active and inactive participants2020-01-013,158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-018
Total participants2020-01-013,166
Number of participants with account balances2020-01-012,960
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-01292
2019: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013,138
Total number of active participants reported on line 7a of the Form 55002019-01-012,566
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-01465
Total of all active and inactive participants2019-01-013,033
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-013
Total participants2019-01-013,036
Number of participants with account balances2019-01-012,798
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-01186
2018: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,756
Total number of active participants reported on line 7a of the Form 55002018-01-012,601
Number of retired or separated participants receiving benefits2018-01-013
Number of other retired or separated participants entitled to future benefits2018-01-01453
Total of all active and inactive participants2018-01-013,057
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-013,057
Number of participants with account balances2018-01-012,707
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,537
Total number of active participants reported on line 7a of the Form 55002017-01-012,322
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-01364
Total of all active and inactive participants2017-01-012,689
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-012
Total participants2017-01-012,691
Number of participants with account balances2017-01-012,225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0149
2016: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,182
Total number of active participants reported on line 7a of the Form 55002016-01-012,232
Number of retired or separated participants receiving benefits2016-01-013
Number of other retired or separated participants entitled to future benefits2016-01-01245
Total of all active and inactive participants2016-01-012,480
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-012
Total participants2016-01-012,482
Number of participants with account balances2016-01-011,854
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0146
2015: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,143
Total number of active participants reported on line 7a of the Form 55002015-01-011,971
Number of retired or separated participants receiving benefits2015-01-013
Number of other retired or separated participants entitled to future benefits2015-01-01252
Total of all active and inactive participants2015-01-012,226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-012,226
Number of participants with account balances2015-01-011,451
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-015
2009: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01893
Total number of active participants reported on line 7a of the Form 55002009-01-01797
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0174
Total of all active and inactive participants2009-01-01871
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-01872
Number of participants with account balances2009-01-01546
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0126

Financial Data on MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN

Measure Date Value
2022 : MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$1,930,284
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$7,015,950
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$6,939,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$22,268,841
Value of total assets at end of year2022-12-31$114,794,702
Value of total assets at beginning of year2022-12-31$119,880,368
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$76,053
Total interest from all sources2022-12-31$513,802
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
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 bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
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$12,359,169
Participant contributions at end of year2022-12-31$559
Participant contributions at beginning of year2022-12-31$210
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$748,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-5,085,666
Value of net assets at end of year (total assets less liabilities)2022-12-31$114,794,702
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$119,880,368
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 in pooled separate accounts at end of year2022-12-31$97,106,295
Value of interest in pooled separate accounts at beginning of year2022-12-31$103,388,299
Interest earned on other investments2022-12-31$513,802
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$17,687,289
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$16,491,649
Net investment gain/loss from pooled separate accounts2022-12-31$-20,852,359
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$9,161,638
Employer contributions (assets) at end of year2022-12-31$559
Employer contributions (assets) at beginning of year2022-12-31$210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$6,939,897
Contract administrator fees2022-12-31$76,053
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets to this plan2021-12-31$4,697,169
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$33,748,976
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$9,274,493
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$9,210,819
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$18,675,447
Value of total assets at end of year2021-12-31$119,880,368
Value of total assets at beginning of year2021-12-31$90,708,716
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$63,674
Total interest from all sources2021-12-31$464,941
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
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 bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$10,217,826
Participant contributions at end of year2021-12-31$210
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$751,115
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$24,474,483
Value of net assets at end of year (total assets less liabilities)2021-12-31$119,880,368
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$90,708,716
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 in pooled separate accounts at end of year2021-12-31$103,388,299
Value of interest in pooled separate accounts at beginning of year2021-12-31$76,381,213
Interest earned on other investments2021-12-31$464,941
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$16,491,649
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$14,327,503
Net investment gain/loss from pooled separate accounts2021-12-31$14,608,588
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$7,706,506
Employer contributions (assets) at end of year2021-12-31$210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$9,210,819
Contract administrator fees2021-12-31$63,674
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$27,496,120
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$7,419,045
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$7,358,160
Value of total corrective distributions2020-12-31$945
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$14,551,994
Value of total assets at end of year2020-12-31$90,708,716
Value of total assets at beginning of year2020-12-31$70,631,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$59,940
Total interest from all sources2020-12-31$390,380
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$7,903,795
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$525,085
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$20,077,075
Value of net assets at end of year (total assets less liabilities)2020-12-31$90,708,716
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$70,631,641
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 in pooled separate accounts at end of year2020-12-31$76,381,213
Value of interest in pooled separate accounts at beginning of year2020-12-31$58,350,489
Interest earned on other investments2020-12-31$390,380
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$14,327,503
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$12,281,152
Net investment gain/loss from pooled separate accounts2020-12-31$12,553,746
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$6,123,114
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$7,358,160
Contract administrator fees2020-12-31$59,940
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BKD, LLP
Accountancy firm EIN2020-12-31440160260
2019 : MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$25,223,178
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$6,144,661
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,078,687
Value of total corrective distributions2019-12-31$368
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,899,049
Value of total assets at end of year2019-12-31$70,631,641
Value of total assets at beginning of year2019-12-31$51,553,124
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$65,606
Total interest from all sources2019-12-31$368,308
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$7,433,514
Participant contributions at beginning of year2019-12-31$5,357
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$624,336
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$19,078,517
Value of net assets at end of year (total assets less liabilities)2019-12-31$70,631,641
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$51,553,124
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$58,350,489
Value of interest in pooled separate accounts at beginning of year2019-12-31$39,999,833
Interest on participant loans2019-12-31$100
Interest earned on other investments2019-12-31$368,208
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$12,281,152
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$11,547,934
Net investment gain/loss from pooled separate accounts2019-12-31$10,955,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$5,841,199
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,078,687
Contract administrator fees2019-12-31$65,606
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440160260
2018 : MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$5,737,057
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$3,436,801
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,375,087
Value of total corrective distributions2018-12-31$11,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$8,632,787
Value of total assets at end of year2018-12-31$51,553,124
Value of total assets at beginning of year2018-12-31$49,252,868
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$50,003
Total interest from all sources2018-12-31$307,213
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
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 bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$5,093,976
Participant contributions at end of year2018-12-31$5,357
Participant contributions at beginning of year2018-12-31$13,767
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$279,953
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$2,300,256
Value of net assets at end of year (total assets less liabilities)2018-12-31$51,553,124
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$49,252,868
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 in pooled separate accounts at end of year2018-12-31$39,999,833
Value of interest in pooled separate accounts at beginning of year2018-12-31$39,645,984
Interest on participant loans2018-12-31$399
Interest earned on other investments2018-12-31$306,814
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$11,547,934
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$9,593,117
Net investment gain/loss from pooled separate accounts2018-12-31$-3,202,943
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$3,258,858
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$3,375,087
Contract administrator fees2018-12-31$50,003
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440160260
2017 : MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$13,170,077
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$3,007,409
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,978,037
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$6,682,423
Value of total assets at end of year2017-12-31$49,252,868
Value of total assets at beginning of year2017-12-31$39,090,200
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$29,372
Total interest from all sources2017-12-31$272,955
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
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$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$3,945,760
Participant contributions at end of year2017-12-31$13,767
Participant contributions at beginning of year2017-12-31$24,905
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$270,739
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$10,162,668
Value of net assets at end of year (total assets less liabilities)2017-12-31$49,252,868
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$39,090,200
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
Value of interest in pooled separate accounts at end of year2017-12-31$39,645,984
Value of interest in pooled separate accounts at beginning of year2017-12-31$30,817,168
Interest on participant loans2017-12-31$828
Interest earned on other investments2017-12-31$272,127
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$9,593,117
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$8,248,127
Net investment gain/loss from pooled separate accounts2017-12-31$6,214,699
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$2,465,924
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,978,037
Contract administrator fees2017-12-31$29,372
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BKD, LLP
Accountancy firm EIN2017-12-31440160260
2016 : MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$8,264,294
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,347,491
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,309,726
Value of total corrective distributions2016-12-31$6,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,715,257
Value of total assets at end of year2016-12-31$39,090,200
Value of total assets at beginning of year2016-12-31$33,173,397
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$31,354
Total interest from all sources2016-12-31$220,236
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
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$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$3,349,089
Participant contributions at end of year2016-12-31$24,905
Participant contributions at beginning of year2016-12-31$60,687
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$214,725
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$5,916,803
Value of net assets at end of year (total assets less liabilities)2016-12-31$39,090,200
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$33,173,397
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
Value of interest in pooled separate accounts at end of year2016-12-31$30,817,168
Value of interest in pooled separate accounts at beginning of year2016-12-31$26,849,943
Interest on participant loans2016-12-31$1,907
Interest earned on other investments2016-12-31$218,329
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$8,248,127
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$6,262,767
Net investment gain/loss from pooled separate accounts2016-12-31$2,328,801
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$2,151,443
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,309,726
Contract administrator fees2016-12-31$31,354
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BKD, LLP
Accountancy firm EIN2016-12-31440160260
2015 : MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$9,143,446
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$5,121,647
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,027,215
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,991,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$5,095,745
Value of total assets at end of year2015-12-31$33,173,397
Value of total assets at beginning of year2015-12-31$20,935,519
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$35,668
Total interest from all sources2015-12-31$256,766
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
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$500,000
If this is an individual account plan, was there a blackout period2015-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$3,044,033
Participant contributions at end of year2015-12-31$60,687
Participant contributions at beginning of year2015-12-31$2,145
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$104,484
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$3,094,432
Value of net assets at end of year (total assets less liabilities)2015-12-31$33,173,397
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$20,935,519
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
Value of interest in pooled separate accounts at end of year2015-12-31$26,849,943
Value of interest in pooled separate accounts at beginning of year2015-12-31$14,257,692
Interest on participant loans2015-12-31$3,914
Interest earned on other investments2015-12-31$252,852
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$6,262,767
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$6,675,682
Net investment gain/loss from pooled separate accounts2015-12-31$-230,864
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$1,947,228
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,991,547
Contract administrator fees2015-12-31$35,668
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31Yes
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31GILLUM & GILLUM
Accountancy firm EIN2015-12-31010555452
2009 : MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN

2022: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
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: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
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: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
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: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
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: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
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: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2009: MIDWEST BEHAVIORAL HEALTHCARE MGMT, INC. 401K PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number801056
Policy instance 1
Insurance contract or identification number801056
Number of Individuals Covered4347
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $266,326
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $266,326
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number801056
Policy instance 1
Insurance contract or identification number801056
Number of Individuals Covered3769
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $263,706
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $263,706
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number801056
Policy instance 1
Insurance contract or identification number801056
Number of Individuals Covered3166
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $181,242
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $181,242
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number801056
Policy instance 1
Insurance contract or identification number801056
Number of Individuals Covered3036
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $149,573
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $149,573
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number801056
Policy instance 1
Insurance contract or identification number801056
Number of Individuals Covered3057
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $126,191
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $126,191
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number801056
Policy instance 1
Insurance contract or identification number801056
Number of Individuals Covered2691
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $106,625
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $106,625
Insurance broker organization code?3
Insurance broker nameMILLS AND SONS INC

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