?>
Logo

CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 401k Plan overview

Plan NameCITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN
Plan identification number 501

CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CITIZENS MEDICAL CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:CITIZENS MEDICAL CENTER, INC.
Employer identification number (EIN):480892178
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01RYAN STOVER2023-10-16
5012022-01-01RYAN STOVER2024-01-08
5012021-01-01RYAN STOVER2022-10-17
5012020-01-01RYAN STOVER2021-10-14
5012019-01-01RYAN STOVER2020-10-15
5012018-01-01RYAN STOVER2019-10-15
5012017-01-01DARCY HOWARD DARCY HOWARD2018-09-05
5012016-01-01DARCY HOWARD DARCY HOWARD2017-10-10
5012015-01-01DARCY HOWARD DARCY HOWARD2016-08-22
5012014-01-01GREG UNRUH GREG UNRUH2015-07-15
5012013-01-01KEVAN TRENKLE KEVAN TRENKLE2014-07-11
5012012-01-01KEVAN TRENKLE KEVAN TRENKLE2013-07-03
5012011-01-01KEVAN TRENKLE KEVAN TRENKLE2012-07-11
5012010-01-01KEVAN TRENKLE KEVAN TRENKLE2011-07-14
5012009-01-01KEVAN TRENKLE KEVAN TRENKLE2010-09-24

Plan Statistics for CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN

401k plan membership statisitcs for CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN

Measure Date Value
2022: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01393
Total number of active participants reported on line 7a of the Form 55002022-01-01343
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 participants2022-01-01343
Number of employers contributing to the scheme2022-01-010
2021: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01383
Total number of active participants reported on line 7a of the Form 55002021-01-01329
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-0163
Total of all active and inactive participants2021-01-01393
Number of employers contributing to the scheme2021-01-010
2020: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01344
Total number of active participants reported on line 7a of the Form 55002020-01-01309
Number of retired or separated participants receiving benefits2020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-0172
Total of all active and inactive participants2020-01-01383
Number of employers contributing to the scheme2020-01-010
2019: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01370
Total number of active participants reported on line 7a of the Form 55002019-01-01312
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-0112
Total of all active and inactive participants2019-01-01326
Number of employers contributing to the scheme2019-01-010
2018: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01170
Total number of active participants reported on line 7a of the Form 55002018-01-01153
Number of retired or separated participants receiving benefits2018-01-017
Number of other retired or separated participants entitled to future benefits2018-01-0118
Total of all active and inactive participants2018-01-01178
Number of employers contributing to the scheme2018-01-010
2017: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01191
Total number of active participants reported on line 7a of the Form 55002017-01-01171
Total of all active and inactive participants2017-01-01171
2016: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01165
Total number of active participants reported on line 7a of the Form 55002016-01-01191
Total of all active and inactive participants2016-01-01191
2015: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01146
Total number of active participants reported on line 7a of the Form 55002015-01-01165
Total of all active and inactive participants2015-01-01165
2014: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01125
Total number of active participants reported on line 7a of the Form 55002014-01-01146
Total of all active and inactive participants2014-01-01146
2013: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01123
Total number of active participants reported on line 7a of the Form 55002013-01-01125
Total of all active and inactive participants2013-01-01125
2012: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01115
Total number of active participants reported on line 7a of the Form 55002012-01-01123
Total of all active and inactive participants2012-01-01123
2011: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01115
Total number of active participants reported on line 7a of the Form 55002011-01-01115
Total of all active and inactive participants2011-01-01115
2010: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01124
Total number of active participants reported on line 7a of the Form 55002010-01-01115
Total of all active and inactive participants2010-01-01115
2009: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01112
Total number of active participants reported on line 7a of the Form 55002009-01-01124
Total of all active and inactive participants2009-01-01124

Financial Data on CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN

Measure Date Value
2022 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$356,300
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$796,520
Total income from all sources (including contributions)2022-12-31$3,852,438
Total of all expenses incurred2022-12-31$3,444,675
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,287,812
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,852,438
Value of total assets at end of year2022-12-31$26,253
Value of total assets at beginning of year2022-12-31$58,710
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$156,863
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$156,863
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,023,626
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$20,775
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$50,923
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$407,763
Value of net assets at end of year (total assets less liabilities)2022-12-31$-330,047
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$-737,810
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$5,478
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$7,787
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$7,787
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$703,671
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$2,828,812
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,584,141
Liabilities. Value of benefit claims payable at end of year2022-12-31$356,300
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$796,520
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 name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$796,520
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$545,690
Total income from all sources (including contributions)2021-12-31$2,425,592
Total of all expenses incurred2021-12-31$3,087,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,958,509
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,425,592
Value of total assets at end of year2021-12-31$58,710
Value of total assets at beginning of year2021-12-31$469,362
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$128,565
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$128,565
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
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$907,348
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$25,171
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$50,923
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$426,998
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$2,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-661,482
Value of net assets at end of year (total assets less liabilities)2021-12-31$-737,810
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$-76,328
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$7,787
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$42,364
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$42,364
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$550,213
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$1,493,073
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,408,296
Liabilities. Value of benefit claims payable at end of year2021-12-31$796,520
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$543,190
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 name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$545,690
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$502,501
Total income from all sources (including contributions)2020-12-31$4,042,258
Total of all expenses incurred2020-12-31$3,685,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,599,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,565,961
Value of total assets at end of year2020-12-31$469,362
Value of total assets at beginning of year2020-12-31$69,755
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$86,198
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
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$746,583
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$426,998
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$57,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$2,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$115,000
Other income not declared elsewhere2020-12-31$1,476,297
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$356,418
Value of net assets at end of year (total assets less liabilities)2020-12-31$-76,328
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$-432,746
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$42,364
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$12,755
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$12,755
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$524,171
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$1,819,378
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$3,075,471
Contract administrator fees2020-12-31$86,198
Liabilities. Value of benefit claims payable at end of year2020-12-31$543,190
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$387,501
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 name2020-12-31BKD, LLP
Accountancy firm EIN2020-12-31440160260
2019 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$502,501
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$502,501
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$366,868
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$366,868
Total income from all sources (including contributions)2019-12-31$2,138,027
Total income from all sources (including contributions)2019-12-31$2,138,027
Total of all expenses incurred2019-12-31$2,457,483
Total of all expenses incurred2019-12-31$2,457,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,375,556
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,375,556
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,031,060
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,031,060
Value of total assets at end of year2019-12-31$69,755
Value of total assets at end of year2019-12-31$69,755
Value of total assets at beginning of year2019-12-31$253,578
Value of total assets at beginning of year2019-12-31$253,578
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$81,927
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$81,927
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$839,045
Contributions received from participants2019-12-31$839,045
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$57,000
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$57,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$235,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$235,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$115,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$115,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$55,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$55,000
Other income not declared elsewhere2019-12-31$106,967
Other income not declared elsewhere2019-12-31$106,967
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-319,456
Value of net income/loss2019-12-31$-319,456
Value of net assets at end of year (total assets less liabilities)2019-12-31$-432,746
Value of net assets at end of year (total assets less liabilities)2019-12-31$-432,746
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-113,290
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-113,290
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 bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$12,755
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$12,755
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$18,578
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$18,578
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$18,578
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$18,578
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$436,213
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$436,213
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
Contributions received in cash from employer2019-12-31$1,192,015
Contributions received in cash from employer2019-12-31$1,192,015
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,939,343
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,939,343
Contract administrator fees2019-12-31$81,927
Contract administrator fees2019-12-31$81,927
Liabilities. Value of benefit claims payable at end of year2019-12-31$387,501
Liabilities. Value of benefit claims payable at end of year2019-12-31$387,501
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$311,868
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$311,868
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
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 name2019-12-31BKD, LLP
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440160260
Accountancy firm EIN2019-12-31440160260
2018 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$366,868
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$680,135
Total income from all sources (including contributions)2018-12-31$2,764,736
Total of all expenses incurred2018-12-31$2,472,356
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,379,823
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,176,295
Value of total assets at end of year2018-12-31$253,578
Value of total assets at beginning of year2018-12-31$274,465
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$92,533
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
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$763,281
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$235,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$150,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$55,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$80,000
Other income not declared elsewhere2018-12-31$588,441
Liabilities. Value of operating payables at end of year2018-12-31$0
Liabilities. Value of operating payables at beginning of year2018-12-31$0
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$292,380
Value of net assets at end of year (total assets less liabilities)2018-12-31$-113,290
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$-405,670
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$18,578
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$124,465
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$124,465
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$415,359
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$1,413,014
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,964,464
Contract administrator fees2018-12-31$92,533
Liabilities. Value of benefit claims payable at end of year2018-12-31$311,868
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$600,135
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 name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440160260
2017 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$680,135
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,442,679
Total income from all sources (including contributions)2017-12-31$3,478,668
Total of all expenses incurred2017-12-31$3,498,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$3,392,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$3,206,559
Value of total assets at end of year2017-12-31$274,465
Value of total assets at beginning of year2017-12-31$1,056,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$105,734
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
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$735,828
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$150,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,045,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$80,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$70,000
Other income not declared elsewhere2017-12-31$272,109
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-19,389
Value of net assets at end of year (total assets less liabilities)2017-12-31$-405,670
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$-386,281
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 bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$124,465
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$11,398
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$11,398
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$365,302
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$2,470,731
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,027,021
Contract administrator fees2017-12-31$105,734
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$600,135
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$1,372,679
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 name2017-12-31WENDLING NOE NELSON & JOHNSON LLC
Accountancy firm EIN2017-12-31481026809
2016 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,442,679
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$406,107
Total income from all sources (including contributions)2016-12-31$3,921,036
Total of all expenses incurred2016-12-31$4,130,215
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,941,163
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,813,341
Value of total assets at end of year2016-12-31$1,056,398
Value of total assets at beginning of year2016-12-31$229,005
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$189,052
Total interest from all sources2016-12-31$16
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
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$692,202
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,045,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$226,821
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$70,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$235,000
Other income not declared elsewhere2016-12-31$1,107,679
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-209,179
Value of net assets at end of year (total assets less liabilities)2016-12-31$-386,281
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$-177,102
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 bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$11,398
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,184
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$16
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$308,912
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$2,121,139
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$3,632,251
Contract administrator fees2016-12-31$189,052
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$1,372,679
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$171,107
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 name2016-12-31WENDLING NOE NELSON & JOHNSON LLC
Accountancy firm EIN2016-12-31481026809
2015 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$406,107
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$258,296
Total income from all sources (including contributions)2015-12-31$2,591,345
Total of all expenses incurred2015-12-31$2,570,679
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,502,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,296,704
Value of total assets at end of year2015-12-31$229,005
Value of total assets at beginning of year2015-12-31$60,528
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$68,417
Total interest from all sources2015-12-31$7
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 period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$612,185
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$226,821
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$58,528
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$235,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$20,000
Other income not declared elsewhere2015-12-31$294,634
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$20,666
Value of net assets at end of year (total assets less liabilities)2015-12-31$-177,102
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$-197,768
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 bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,184
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$2,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$2,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$7
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$326,325
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$1,684,519
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,175,937
Contract administrator fees2015-12-31$68,417
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$171,107
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$238,296
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 name2015-12-31WENDLING NOE NELSON & JOHNSON LLC
Accountancy firm EIN2015-12-31481026809
2014 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$258,296
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$286,304
Total income from all sources (including contributions)2014-12-31$2,084,869
Total of all expenses incurred2014-12-31$2,393,069
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,364,503
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,601,504
Value of total assets at end of year2014-12-31$60,528
Value of total assets at beginning of year2014-12-31$396,736
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$28,566
Total interest from all sources2014-12-31$41
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$500,000
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$460,851
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$58,528
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$364,868
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$20,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$20,000
Other income not declared elsewhere2014-12-31$483,324
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-308,200
Value of net assets at end of year (total assets less liabilities)2014-12-31$-197,768
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$110,432
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$2,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$31,868
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$31,868
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$41
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$275,878
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$1,140,653
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,088,625
Contract administrator fees2014-12-31$28,566
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$238,296
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$266,304
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 name2014-12-31WENDLING NOE NELSON & JOHNSON LLC
Accountancy firm EIN2014-12-31481026809
2013 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$286,304
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$593,104
Total income from all sources (including contributions)2013-12-31$1,802,970
Total of all expenses incurred2013-12-31$2,349,514
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,332,672
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,159,135
Value of total assets at end of year2013-12-31$396,736
Value of total assets at beginning of year2013-12-31$1,250,080
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$16,842
Total interest from all sources2013-12-31$138
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$500,000
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$410,235
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$364,868
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$1,248,080
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$20,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$20,000
Other income not declared elsewhere2013-12-31$643,697
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-546,544
Value of net assets at end of year (total assets less liabilities)2013-12-31$110,432
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$656,976
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$31,868
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,000
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$138
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$217,970
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$748,900
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,114,702
Contract administrator fees2013-12-31$16,842
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$266,304
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$573,104
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 name2013-12-31WENDLING NOE NELSON & JOHNSON LLC
Accountancy firm EIN2013-12-31481026809
2012 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$593,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$275,648
Total income from all sources (including contributions)2012-12-31$3,915,250
Total of all expenses incurred2012-12-31$3,042,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,995,398
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,678,078
Value of total assets at end of year2012-12-31$1,250,080
Value of total assets at beginning of year2012-12-31$60,172
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$47,400
Total interest from all sources2012-12-31$5
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$500,000
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$398,914
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$1,248,080
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$56,829
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$20,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$30,000
Other income not declared elsewhere2012-12-31$1,237,167
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$872,452
Value of net assets at end of year (total assets less liabilities)2012-12-31$656,976
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-215,476
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$2,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$3,343
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$3,343
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$5
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$205,603
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$2,279,164
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,789,795
Contract administrator fees2012-12-31$47,400
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$573,104
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$245,648
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 name2012-12-31WENDLING NOE NELSON & JOHNSON LLC
Accountancy firm EIN2012-12-31481026809
2011 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$275,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$110,928
Total income from all sources (including contributions)2011-12-31$1,257,405
Total of all expenses incurred2011-12-31$1,387,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,380,519
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,180,187
Value of total assets at end of year2011-12-31$60,172
Value of total assets at beginning of year2011-12-31$25,149
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$6,583
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$500,000
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$364,601
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$56,829
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$22,154
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$30,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$5,000
Other income not declared elsewhere2011-12-31$77,218
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-129,697
Value of net assets at end of year (total assets less liabilities)2011-12-31$-215,476
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-85,779
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$3,343
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$2,995
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$2,995
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$181,248
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$815,586
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,199,271
Contract administrator fees2011-12-31$6,583
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$245,648
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$105,928
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 name2011-12-31WENDLING NOE NELSON & JOHNSON LLC
Accountancy firm EIN2011-12-31481026809
2010 : CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$110,928
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$270,627
Total income from all sources (including contributions)2010-12-31$1,473,440
Total of all expenses incurred2010-12-31$1,390,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,362,237
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,414,113
Value of total assets at end of year2010-12-31$25,149
Value of total assets at beginning of year2010-12-31$102,066
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$28,421
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$500,000
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$366,904
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$22,154
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$99,069
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$5,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$20,000
Other income not declared elsewhere2010-12-31$59,327
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$82,782
Value of net assets at end of year (total assets less liabilities)2010-12-31$-85,779
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-168,561
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$2,995
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$2,997
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$2,997
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$213,838
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$1,047,209
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,148,399
Contract administrator fees2010-12-31$28,421
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$105,928
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$250,627
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 name2010-12-31WENDLING NOE NELSON & JOHNSON LLC
Accountancy firm EIN2010-12-31481026809

Form 5500 Responses for CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN

2022: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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 funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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 funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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 funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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 funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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
2010: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CITIZENS MEDICAL CENTER, INC. GORUP HEALTH CARE 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

UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberAF15-0264-22
Policy instance 1
Insurance contract or identification numberAF15-0264-22
Number of Individuals Covered343
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
Welfare Benefit Premiums Paid to CarrierUSD $661,597
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number5657
Policy instance 4
Insurance contract or identification number5657
Number of Individuals Covered606
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,004
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $70,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,004
Amount paid for insurance broker fees0
Insurance broker organization code?3
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number3829
Policy instance 3
Insurance contract or identification number3829
Number of Individuals Covered118
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $19,122
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $107,568
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,363
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number803928G
Policy instance 2
Insurance contract or identification number803928G
Number of Individuals Covered343
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $13,450
Total amount of fees paid to insurance companyUSD $7,298
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $128,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,450
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number803928G
Policy instance 2
Insurance contract or identification number803928G
Number of Individuals Covered326
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $13,424
Total amount of fees paid to insurance companyUSD $4,907
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $134,242
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,424
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number3829
Policy instance 3
Insurance contract or identification number3829
Number of Individuals Covered264
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $12,281
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $57,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,641
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION CARE DIRECT OF KANSAS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number5657
Policy instance 4
Insurance contract or identification number5657
Number of Individuals Covered567
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $6,130
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $61,303
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,130
Amount paid for insurance broker fees0
Insurance broker organization code?3
UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberAF15-0264-21
Policy instance 1
Insurance contract or identification numberAF15-0264-21
Number of Individuals Covered329
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
Welfare Benefit Premiums Paid to CarrierUSD $551,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number803928G
Policy instance 2
Insurance contract or identification number803928G
Number of Individuals Covered309
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $12,921
Total amount of fees paid to insurance companyUSD $4,758
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $129,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,921
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerBONUS
IRONSHORE INDEMNITY INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberERR0000289-02
Policy instance 1
Insurance contract or identification numberERR0000289-02
Number of Individuals Covered187
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
Welfare Benefit Premiums Paid to CarrierUSD $490,469
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number3829
Policy instance 3
Insurance contract or identification number3829
Number of Individuals Covered261
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $21,520
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $133,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,672
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number473689
Policy instance 4
Insurance contract or identification number473689
Number of Individuals Covered321
Insurance policy start date2019-01-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $8,901
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $71,151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,901
Amount paid for insurance broker fees0
Insurance broker organization code?3
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number3829
Policy instance 3
Insurance contract or identification number3829
Number of Individuals Covered237
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $19,978
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $122,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,625
Amount paid for insurance broker fees0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number803928G
Policy instance 2
Insurance contract or identification number803928G
Number of Individuals Covered321
Insurance policy start date2019-08-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,597
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $55,966
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,597
Amount paid for insurance broker fees0
Insurance broker organization code?3
IRONSHORE INDEMNITY INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberERR0000289-02
Policy instance 1
Insurance contract or identification numberERR0000289-02
Number of Individuals Covered198
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
Welfare Benefit Premiums Paid to CarrierUSD $409,958
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberERR1058-18
Policy instance 1
Insurance contract or identification numberERR1058-18
Number of Individuals Covered184
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
Welfare Benefit Premiums Paid to CarrierUSD $388,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberERR1058-18
Policy instance 1
Insurance contract or identification numberERR1058-18
Number of Individuals Covered171
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $18,265
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $365,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,265
Insurance broker organization code?3
Insurance broker nameVHA MID-AMERICA INSURANCE SERVICES
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberERR1058-15
Policy instance 1
Insurance contract or identification numberERR1058-15
Number of Individuals Covered165
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $15,197
Total amount of fees paid to insurance companyUSD $1,346
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $311,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,197
Amount paid for insurance broker fees1346
Insurance broker organization code?3
Insurance broker nameVHA MID-AMERICA INSURANCE SERVICES
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberERR1058-14
Policy instance 1
Insurance contract or identification numberERR1058-14
Number of Individuals Covered146
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $14,264
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $275,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,264
Insurance broker organization code?3
Insurance broker nameVHA MID-AMERICA INSURANCE SERVICES
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberAJS00592-12
Policy instance 1
Insurance contract or identification numberAJS00592-12
Number of Individuals Covered125
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $10,329
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $217,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,329
Insurance broker organization code?3
Insurance broker nameVHA MID-AMERICA INSURANCE SERVICES
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberAJS00592-11
Policy instance 1
Insurance contract or identification numberAJS00592-11
Number of Individuals Covered123
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $39,343
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $205,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,560
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?5
Insurance broker nameVHA MID-AMERICA INSURANCE SERVICES
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberAJS00592-10
Policy instance 1
Insurance contract or identification numberAJS00592-10
Number of Individuals Covered115
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $181,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number5010-9002-200
Policy instance 1
Insurance contract or identification number5010-9002-200
Number of Individuals Covered115
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $213,815
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3