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ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 401k Plan overview

Plan NameROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN
Plan identification number 503

ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

ROBERTS OXYGEN COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:ROBERTS OXYGEN COMPANY, INC.
Employer identification number (EIN):520822869
NAIC Classification:424990
NAIC Description:Other Miscellaneous Nondurable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-04-01WILLIAM P ROBERTS III2024-01-10
5032021-04-01WILLIAM P ROBERTS III2023-01-13
5032021-04-01WILLIAM P ROBERTS III2023-05-25
5032020-04-01WILLIAM P ROBERTS III2022-01-13
5032019-04-01WILLIAM P ROBERTS III2021-01-07
5032018-04-01WILLIAM P ROBERTS III2020-01-09
5032017-04-01
5032016-04-01
5032015-04-01
5032014-04-01
5032013-04-01
5032012-04-01WILLIAM P ROBERTS III
5032011-04-01WILLIAM P ROBERTS III
5032009-04-01WILLIAM P ROBERTS III

Plan Statistics for ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN

401k plan membership statisitcs for ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN

Measure Date Value
2022: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01470
Total number of active participants reported on line 7a of the Form 55002022-04-01516
Total of all active and inactive participants2022-04-01516
2021: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01408
Total number of active participants reported on line 7a of the Form 55002021-04-01470
Total of all active and inactive participants2021-04-01470
2020: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01373
Total number of active participants reported on line 7a of the Form 55002020-04-01408
Total of all active and inactive participants2020-04-01408
2019: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01361
Total number of active participants reported on line 7a of the Form 55002019-04-01373
Total of all active and inactive participants2019-04-01373
2018: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01332
Total number of active participants reported on line 7a of the Form 55002018-04-01361
Total of all active and inactive participants2018-04-01361
2017: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01319
Total number of active participants reported on line 7a of the Form 55002017-04-01332
Total of all active and inactive participants2017-04-01332
2016: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01320
Total number of active participants reported on line 7a of the Form 55002016-04-01319
Total of all active and inactive participants2016-04-01319
2015: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01294
Total number of active participants reported on line 7a of the Form 55002015-04-01320
Total of all active and inactive participants2015-04-01320
2014: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01286
Total number of active participants reported on line 7a of the Form 55002014-04-01294
Total of all active and inactive participants2014-04-01294
2013: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01287
Total number of active participants reported on line 7a of the Form 55002013-04-01286
Total of all active and inactive participants2013-04-01286
2012: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01276
Total number of active participants reported on line 7a of the Form 55002012-04-01287
Total of all active and inactive participants2012-04-01287
2011: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01276
Total number of active participants reported on line 7a of the Form 55002011-04-01276
Total of all active and inactive participants2011-04-01276
2009: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01262
Total number of active participants reported on line 7a of the Form 55002009-04-01275
Total of all active and inactive participants2009-04-01275

Financial Data on ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN

Measure Date Value
2023 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2023 401k financial data
Total income from all sources (including contributions)2023-03-31$8,714,173
Total of all expenses incurred2023-03-31$8,177,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$7,897,385
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$8,714,173
Value of total assets at end of year2023-03-31$1,583,851
Value of total assets at beginning of year2023-03-31$1,046,962
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$279,899
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$500,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$868,997
Total non interest bearing cash at end of year2023-03-31$1,583,851
Total non interest bearing cash at beginning of year2023-03-31$1,046,962
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$536,889
Value of net assets at end of year (total assets less liabilities)2023-03-31$1,583,851
Value of net assets at beginning of year (total assets less liabilities)2023-03-31$1,046,962
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2023-03-31$1,340,769
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$7,845,176
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-03-31$6,556,616
Contract administrator fees2023-03-31$279,899
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-03-31No
Did the plan have assets held for investment2023-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2023-03-31522009588
2022 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-03-31$7,736,780
Total of all expenses incurred2022-03-31$8,251,358
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-31$8,018,867
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-31$7,736,780
Value of total assets at end of year2022-03-31$1,046,962
Value of total assets at beginning of year2022-03-31$1,561,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-31$232,491
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-31No
Was this plan covered by a fidelity bond2022-03-31Yes
Value of fidelity bond cover2022-03-31$500,000
If this is an individual account plan, was there a blackout period2022-03-31No
Were there any nonexempt tranactions with any party-in-interest2022-03-31No
Contributions received from participants2022-03-31$685,361
Total non interest bearing cash at end of year2022-03-31$1,046,962
Total non interest bearing cash at beginning of year2022-03-31$1,561,540
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Value of net income/loss2022-03-31$-514,578
Value of net assets at end of year (total assets less liabilities)2022-03-31$1,046,962
Value of net assets at beginning of year (total assets less liabilities)2022-03-31$1,561,540
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-31No
Were any leases to which the plan was party in default or uncollectible2022-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-03-31$1,053,728
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-31No
Was there a failure to transmit to the plan any participant contributions2022-03-31No
Has the plan failed to provide any benefit when due under the plan2022-03-31No
Contributions received in cash from employer2022-03-31$7,051,419
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-03-31$6,965,139
Contract administrator fees2022-03-31$232,491
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-03-31No
Did the plan have assets held for investment2022-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-31No
Opinion of an independent qualified public accountant for this plan2022-03-31Unqualified
Accountancy firm name2022-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2022-03-31522009588
2021 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-03-31$7,361,220
Total of all expenses incurred2021-03-31$6,974,353
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$6,758,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$7,361,220
Value of total assets at end of year2021-03-31$1,561,540
Value of total assets at beginning of year2021-03-31$1,174,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$215,915
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31No
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$500,000
If this is an individual account plan, was there a blackout period2021-03-31No
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Contributions received from participants2021-03-31$644,832
Total non interest bearing cash at end of year2021-03-31$1,561,540
Total non interest bearing cash at beginning of year2021-03-31$1,174,673
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$386,867
Value of net assets at end of year (total assets less liabilities)2021-03-31$1,561,540
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$1,174,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-03-31$904,092
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31No
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$6,716,388
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-31$5,854,346
Contract administrator fees2021-03-31$215,915
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-03-31No
Did the plan have assets held for investment2021-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Opinion of an independent qualified public accountant for this plan2021-03-31Unqualified
Accountancy firm name2021-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2021-03-31522009588
2020 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-03-31$7,946,917
Total of all expenses incurred2020-03-31$7,531,704
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-03-31$7,316,445
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-03-31$7,946,917
Value of total assets at end of year2020-03-31$1,174,673
Value of total assets at beginning of year2020-03-31$759,460
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-03-31$215,259
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-03-31No
Was this plan covered by a fidelity bond2020-03-31Yes
Value of fidelity bond cover2020-03-31$500,000
If this is an individual account plan, was there a blackout period2020-03-31No
Were there any nonexempt tranactions with any party-in-interest2020-03-31No
Contributions received from participants2020-03-31$627,439
Total non interest bearing cash at end of year2020-03-31$1,174,673
Total non interest bearing cash at beginning of year2020-03-31$759,460
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Value of net income/loss2020-03-31$415,213
Value of net assets at end of year (total assets less liabilities)2020-03-31$1,174,673
Value of net assets at beginning of year (total assets less liabilities)2020-03-31$759,460
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-03-31No
Were any leases to which the plan was party in default or uncollectible2020-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-03-31$825,862
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-03-31No
Was there a failure to transmit to the plan any participant contributions2020-03-31No
Has the plan failed to provide any benefit when due under the plan2020-03-31No
Contributions received in cash from employer2020-03-31$7,319,478
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-03-31$6,490,583
Contract administrator fees2020-03-31$215,259
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-03-31No
Did the plan have assets held for investment2020-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-03-31No
Opinion of an independent qualified public accountant for this plan2020-03-31Unqualified
Accountancy firm name2020-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2020-03-31522009588
2019 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-03-31$7,027,605
Total of all expenses incurred2019-03-31$6,886,429
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-03-31$6,674,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-03-31$7,027,605
Value of total assets at end of year2019-03-31$759,460
Value of total assets at beginning of year2019-03-31$618,284
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-03-31$211,601
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-03-31No
Was this plan covered by a fidelity bond2019-03-31Yes
Value of fidelity bond cover2019-03-31$500,000
If this is an individual account plan, was there a blackout period2019-03-31No
Were there any nonexempt tranactions with any party-in-interest2019-03-31No
Contributions received from participants2019-03-31$582,926
Total non interest bearing cash at end of year2019-03-31$759,460
Total non interest bearing cash at beginning of year2019-03-31$618,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Value of net income/loss2019-03-31$141,176
Value of net assets at end of year (total assets less liabilities)2019-03-31$759,460
Value of net assets at beginning of year (total assets less liabilities)2019-03-31$618,284
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-03-31No
Were any leases to which the plan was party in default or uncollectible2019-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-03-31$742,233
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-03-31No
Was there a failure to transmit to the plan any participant contributions2019-03-31No
Has the plan failed to provide any benefit when due under the plan2019-03-31No
Contributions received in cash from employer2019-03-31$6,444,679
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-03-31$5,932,595
Contract administrator fees2019-03-31$211,601
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-03-31No
Did the plan have assets held for investment2019-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-03-31No
Opinion of an independent qualified public accountant for this plan2019-03-31Unqualified
Accountancy firm name2019-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2019-03-31522009588
2018 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-03-31$6,214,795
Total of all expenses incurred2018-03-31$6,329,803
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-03-31$6,126,957
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-03-31$6,214,795
Value of total assets at end of year2018-03-31$618,284
Value of total assets at beginning of year2018-03-31$733,292
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-03-31$202,846
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-03-31No
Was this plan covered by a fidelity bond2018-03-31Yes
Value of fidelity bond cover2018-03-31$500,000
If this is an individual account plan, was there a blackout period2018-03-31No
Were there any nonexempt tranactions with any party-in-interest2018-03-31No
Contributions received from participants2018-03-31$671,827
Total non interest bearing cash at end of year2018-03-31$618,284
Total non interest bearing cash at beginning of year2018-03-31$733,292
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Value of net income/loss2018-03-31$-115,008
Value of net assets at end of year (total assets less liabilities)2018-03-31$618,284
Value of net assets at beginning of year (total assets less liabilities)2018-03-31$733,292
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-03-31No
Were any leases to which the plan was party in default or uncollectible2018-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-03-31$704,614
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-03-31No
Was there a failure to transmit to the plan any participant contributions2018-03-31No
Has the plan failed to provide any benefit when due under the plan2018-03-31No
Contributions received in cash from employer2018-03-31$5,542,968
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-03-31$5,422,343
Contract administrator fees2018-03-31$202,846
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-03-31No
Did the plan have assets held for investment2018-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-03-31No
Opinion of an independent qualified public accountant for this plan2018-03-31Unqualified
Accountancy firm name2018-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2018-03-31522009588
2017 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-03-31$6,465,225
Total of all expenses incurred2017-03-31$6,456,396
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-03-31$6,187,825
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-03-31$6,465,225
Value of total assets at end of year2017-03-31$733,292
Value of total assets at beginning of year2017-03-31$724,463
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-03-31$268,571
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-03-31No
Was this plan covered by a fidelity bond2017-03-31Yes
Value of fidelity bond cover2017-03-31$500,000
If this is an individual account plan, was there a blackout period2017-03-31No
Were there any nonexempt tranactions with any party-in-interest2017-03-31No
Contributions received from participants2017-03-31$530,618
Total non interest bearing cash at end of year2017-03-31$733,292
Total non interest bearing cash at beginning of year2017-03-31$724,463
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Value of net income/loss2017-03-31$8,829
Value of net assets at end of year (total assets less liabilities)2017-03-31$733,292
Value of net assets at beginning of year (total assets less liabilities)2017-03-31$724,463
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-03-31No
Were any leases to which the plan was party in default or uncollectible2017-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-03-31$616,200
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-03-31No
Was there a failure to transmit to the plan any participant contributions2017-03-31No
Has the plan failed to provide any benefit when due under the plan2017-03-31No
Contributions received in cash from employer2017-03-31$5,934,607
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-03-31$5,571,625
Contract administrator fees2017-03-31$268,571
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-03-31No
Did the plan have assets held for investment2017-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-03-31No
Opinion of an independent qualified public accountant for this plan2017-03-31Unqualified
Accountancy firm name2017-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2017-03-31522009588
2016 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-03-31$6,553,746
Total of all expenses incurred2016-03-31$6,084,910
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$5,813,975
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$6,553,746
Value of total assets at end of year2016-03-31$724,463
Value of total assets at beginning of year2016-03-31$255,627
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$270,935
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31No
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$500,000
If this is an individual account plan, was there a blackout period2016-03-31No
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Contributions received from participants2016-03-31$333,388
Total non interest bearing cash at end of year2016-03-31$724,463
Total non interest bearing cash at beginning of year2016-03-31$255,627
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Value of net income/loss2016-03-31$468,836
Value of net assets at end of year (total assets less liabilities)2016-03-31$724,463
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$255,627
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-03-31$524,180
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31No
Was there a failure to transmit to the plan any participant contributions2016-03-31No
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Contributions received in cash from employer2016-03-31$6,220,358
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$5,289,795
Contract administrator fees2016-03-31$270,935
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-03-31No
Did the plan have assets held for investment2016-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31No
Opinion of an independent qualified public accountant for this plan2016-03-31Unqualified
Accountancy firm name2016-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2016-03-31522009588
2015 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-03-31$5,777,038
Total of all expenses incurred2015-03-31$6,137,966
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$5,886,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$5,777,038
Value of total assets at end of year2015-03-31$255,627
Value of total assets at beginning of year2015-03-31$616,555
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$251,889
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-03-31No
Was this plan covered by a fidelity bond2015-03-31Yes
Value of fidelity bond cover2015-03-31$500,000
If this is an individual account plan, was there a blackout period2015-03-31No
Were there any nonexempt tranactions with any party-in-interest2015-03-31No
Contributions received from participants2015-03-31$274,048
Total non interest bearing cash at end of year2015-03-31$255,627
Total non interest bearing cash at beginning of year2015-03-31$616,555
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Value of net income/loss2015-03-31$-360,928
Value of net assets at end of year (total assets less liabilities)2015-03-31$255,627
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$616,555
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-03-31$469,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31No
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Contributions received in cash from employer2015-03-31$5,502,990
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$5,416,257
Contract administrator fees2015-03-31$251,889
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-03-31No
Did the plan have assets held for investment2015-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31No
Opinion of an independent qualified public accountant for this plan2015-03-31Unqualified
Accountancy firm name2015-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2015-03-31522009588
2014 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-03-31$4,360,657
Total of all expenses incurred2014-03-31$4,705,926
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$4,534,903
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$4,360,657
Value of total assets at end of year2014-03-31$616,555
Value of total assets at beginning of year2014-03-31$961,824
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$171,023
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$500,000
If this is an individual account plan, was there a blackout period2014-03-31No
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$259,506
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Value of net income/loss2014-03-31$-345,269
Value of net assets at end of year (total assets less liabilities)2014-03-31$616,555
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$961,824
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-03-31$616,555
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-03-31$961,824
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-03-31$961,824
Expenses. Payments to insurance carriers foe the provision of benefits2014-03-31$455,156
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31No
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$4,101,151
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$4,079,747
Contract administrator fees2014-03-31$171,023
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-03-31No
Did the plan have assets held for investment2014-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31No
Opinion of an independent qualified public accountant for this plan2014-03-31Unqualified
Accountancy firm name2014-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2014-03-31522009588
2013 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-03-31$5,293,878
Total of all expenses incurred2013-03-31$4,378,207
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$4,245,727
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-03-31$5,293,878
Value of total assets at end of year2013-03-31$961,824
Value of total assets at beginning of year2013-03-31$46,153
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$132,480
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-03-31No
Was this plan covered by a fidelity bond2013-03-31Yes
Value of fidelity bond cover2013-03-31$500,000
If this is an individual account plan, was there a blackout period2013-03-31No
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Contributions received from participants2013-03-31$255,471
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Value of net income/loss2013-03-31$915,671
Value of net assets at end of year (total assets less liabilities)2013-03-31$961,824
Value of net assets at beginning of year (total assets less liabilities)2013-03-31$46,153
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-03-31$961,824
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-03-31$46,153
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-03-31$46,153
Expenses. Payments to insurance carriers foe the provision of benefits2013-03-31$435,755
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31No
Was there a failure to transmit to the plan any participant contributions2013-03-31No
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Contributions received in cash from employer2013-03-31$5,038,407
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$3,809,972
Contract administrator fees2013-03-31$132,480
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-03-31No
Did the plan have assets held for investment2013-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31No
Opinion of an independent qualified public accountant for this plan2013-03-31Unqualified
Accountancy firm name2013-03-31PHILLIPS & ASSOCIATES, LLC
Accountancy firm EIN2013-03-31522009588
2012 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-03-31$5,030,544
Total of all expenses incurred2012-03-31$5,459,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$5,380,368
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-03-31$5,030,544
Value of total assets at end of year2012-03-31$46,153
Value of total assets at beginning of year2012-03-31$474,736
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$78,759
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-03-31No
Was this plan covered by a fidelity bond2012-03-31Yes
Value of fidelity bond cover2012-03-31$550,000
If this is an individual account plan, was there a blackout period2012-03-31No
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Contributions received from participants2012-03-31$251,775
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Value of net income/loss2012-03-31$-428,583
Value of net assets at end of year (total assets less liabilities)2012-03-31$46,153
Value of net assets at beginning of year (total assets less liabilities)2012-03-31$474,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-03-31$46,153
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-03-31$474,736
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-03-31$474,736
Expenses. Payments to insurance carriers foe the provision of benefits2012-03-31$352,460
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31No
Was there a failure to transmit to the plan any participant contributions2012-03-31No
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Contributions received in cash from employer2012-03-31$4,778,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$5,027,908
Contract administrator fees2012-03-31$78,759
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-03-31No
Did the plan have assets held for investment2012-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31No
Opinion of an independent qualified public accountant for this plan2012-03-31Unqualified
Accountancy firm name2012-03-31PHILLIPS & ASSOCIATES, LLC
Accountancy firm EIN2012-03-31522009588
2011 : ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-03-31$4,121,495
Total of all expenses incurred2011-03-31$4,090,940
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$4,016,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-03-31$4,121,495
Value of total assets at end of year2011-03-31$474,736
Value of total assets at beginning of year2011-03-31$444,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-03-31$73,979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-03-31No
Was this plan covered by a fidelity bond2011-03-31Yes
Value of fidelity bond cover2011-03-31$550,000
If this is an individual account plan, was there a blackout period2011-03-31No
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Contributions received from participants2011-03-31$242,841
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Value of net income/loss2011-03-31$30,555
Value of net assets at end of year (total assets less liabilities)2011-03-31$474,736
Value of net assets at beginning of year (total assets less liabilities)2011-03-31$444,181
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-03-31$474,736
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-03-31$444,181
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-03-31$444,181
Expenses. Payments to insurance carriers foe the provision of benefits2011-03-31$286,031
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31No
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$3,878,654
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$3,730,930
Contract administrator fees2011-03-31$73,979
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-03-31No
Did the plan have assets held for investment2011-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31No
Opinion of an independent qualified public accountant for this plan2011-03-31Unqualified
Accountancy firm name2011-03-31STANFIELD & PHILLIPS LLC
Accountancy firm EIN2011-03-31522006588

Form 5500 Responses for ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN

2022: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2021: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedYes
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2009: ROBERTS OXYGEN COMPANY, INC. HEALTH CARE PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01This submission is the final filingNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number604927
Policy instance 1
Insurance contract or identification number604927
Number of Individuals Covered516
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $17,983
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,340,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees17983
Additional information about fees paid to insurance brokerPREMIUMS
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number604927
Policy instance 1
Insurance contract or identification number604927
Number of Individuals Covered470
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $16,653
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,053,728
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees16653
Additional information about fees paid to insurance brokerPREMIUMS
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number604927
Policy instance 1
Insurance contract or identification number604927
Number of Individuals Covered408
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15,982
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $904,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15982
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5950912
Policy instance 2
Insurance contract or identification number5950912
Number of Individuals Covered1073
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $6,407
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,407
Amount paid for insurance broker fees0
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number604927
Policy instance 1
Insurance contract or identification number604927
Number of Individuals Covered373
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15,418
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $825,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15418
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5950912
Policy instance 2
Insurance contract or identification number5950912
Number of Individuals Covered1024
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $6,038
Total amount of fees paid to insurance companyUSD $510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,038
Amount paid for insurance broker fees510
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION/NON-MONETARY COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number604927
Policy instance 1
Insurance contract or identification number604927
Number of Individuals Covered361
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $34,180
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $742,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees34180
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number604927
Policy instance 1
Insurance contract or identification number604927
Number of Individuals Covered332
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $32,357
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $704,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees32357
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA INC.

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