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SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 401k Plan overview

Plan NameSOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN
Plan identification number 502

SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

SOUTHERN STATES COOPERATIVE, INC. has sponsored the creation of one or more 401k plans.

Company Name:SOUTHERN STATES COOPERATIVE, INC.
Employer identification number (EIN):540387200
NAIC Classification:424990
NAIC Description:Other Miscellaneous Nondurable Goods Merchant Wholesalers

Additional information about SOUTHERN STATES COOPERATIVE, INC.

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1923-03-14
Company Identification Number: 0024721
Legal Registered Office Address: 6606 WEST BROAD ST
PO BOX 26234
RICHMOND
United States of America (USA)
23260

More information about SOUTHERN STATES COOPERATIVE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-07-01MORGAN BROCK2024-01-16
5022021-07-01GERALYN GRAVATT2023-02-23
5022020-07-01GERALYN GRAVATT2022-01-26
5022019-07-01
5022018-07-01
5022017-07-01GERALYN GRAVATT
5022016-07-01BETSY HILL
5022015-07-01BETSY HILL
5022014-07-01BETSY HILL
5022013-07-01BETSY HILL
5022012-07-01BETSY HILL
5022011-07-01BETSY HILL
5022010-07-01BETSY HILL
5022009-07-01BETSY HILL
5022009-07-01BETSY HILL

Plan Statistics for SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN

401k plan membership statisitcs for SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN

Measure Date Value
2022: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01683
Total number of active participants reported on line 7a of the Form 55002022-07-01598
Number of retired or separated participants receiving benefits2022-07-016
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01604
2021: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01715
Total number of active participants reported on line 7a of the Form 55002021-07-01667
Number of retired or separated participants receiving benefits2021-07-0114
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01681
2020: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01784
Total number of active participants reported on line 7a of the Form 55002020-07-01702
Number of retired or separated participants receiving benefits2020-07-0113
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01715
2019: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01803
Total number of active participants reported on line 7a of the Form 55002019-07-01769
Number of retired or separated participants receiving benefits2019-07-0118
Total of all active and inactive participants2019-07-01787
2018: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01802
Total number of active participants reported on line 7a of the Form 55002018-07-01784
Number of retired or separated participants receiving benefits2018-07-0119
Total of all active and inactive participants2018-07-01803
2017: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01749
Total number of active participants reported on line 7a of the Form 55002017-07-01782
Number of retired or separated participants receiving benefits2017-07-0120
Total of all active and inactive participants2017-07-01802
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
2016: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01767
Total number of active participants reported on line 7a of the Form 55002016-07-01733
Number of retired or separated participants receiving benefits2016-07-0116
Total of all active and inactive participants2016-07-01749
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
2015: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01806
Total number of active participants reported on line 7a of the Form 55002015-07-01752
Number of retired or separated participants receiving benefits2015-07-0115
Total of all active and inactive participants2015-07-01767
2014: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01756
Total number of active participants reported on line 7a of the Form 55002014-07-01759
Number of retired or separated participants receiving benefits2014-07-0147
Total of all active and inactive participants2014-07-01806
2013: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01719
Total number of active participants reported on line 7a of the Form 55002013-07-01717
Number of retired or separated participants receiving benefits2013-07-0139
Total of all active and inactive participants2013-07-01756
2012: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01731
Total number of active participants reported on line 7a of the Form 55002012-07-01693
Number of retired or separated participants receiving benefits2012-07-0126
Total of all active and inactive participants2012-07-01719
2011: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01751
Total number of active participants reported on line 7a of the Form 55002011-07-01707
Number of retired or separated participants receiving benefits2011-07-0124
Total of all active and inactive participants2011-07-01731
2010: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01902
Total number of active participants reported on line 7a of the Form 55002010-07-01722
Number of retired or separated participants receiving benefits2010-07-0129
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-01751
2009: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01873
Total number of active participants reported on line 7a of the Form 55002009-07-01724
Number of retired or separated participants receiving benefits2009-07-01178
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01902

Financial Data on SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN

Measure Date Value
2023 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$255,084
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$227,687
Total income from all sources (including contributions)2023-06-30$10,059,189
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$10,046,269
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$9,750,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$10,009,817
Value of total assets at end of year2023-06-30$1,599,347
Value of total assets at beginning of year2023-06-30$1,559,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$295,557
Total interest from all sources2023-06-30$49,372
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$2,885,762
Income. Received or receivable in cash from other sources (including rollovers)2023-06-30$234,207
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-06-30$9,750,712
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-06-30$6,120
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-06-30$1,165
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-06-30$255,084
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-06-30$227,687
Administrative expenses (other) incurred2023-06-30$295,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$12,920
Value of net assets at end of year (total assets less liabilities)2023-06-30$1,344,263
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$1,331,343
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$1,593,227
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$1,557,865
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$1,557,865
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-06-30$49,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30Yes
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$6,889,848
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30FORVIS, LLP
Accountancy firm EIN2023-06-30440160260
2022 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$227,687
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$124,223
Total income from all sources (including contributions)2022-06-30$9,812,364
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$10,877,110
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$10,643,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$9,809,950
Value of total assets at end of year2022-06-30$1,559,030
Value of total assets at beginning of year2022-06-30$2,520,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$233,784
Total interest from all sources2022-06-30$2,414
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$3,063,631
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$240,581
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-06-30$10,643,326
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$1,165
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$20
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$227,687
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$124,223
Administrative expenses (other) incurred2022-06-30$233,784
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-1,064,746
Value of net assets at end of year (total assets less liabilities)2022-06-30$1,331,343
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$2,396,089
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$1,557,865
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$2,520,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$2,520,292
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$2,414
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$6,505,738
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30FORVIS, LLP
Accountancy firm EIN2022-06-30440160260
2021 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$124,223
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$128,031
Total income from all sources (including contributions)2021-06-30$10,455,214
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$10,051,416
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$9,331,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$10,454,982
Value of total assets at end of year2021-06-30$2,520,312
Value of total assets at beginning of year2021-06-30$2,120,322
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$719,456
Total interest from all sources2021-06-30$232
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$3,256,876
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$271,973
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-06-30$9,331,960
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$20
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$131,282
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$124,223
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$128,031
Administrative expenses (other) incurred2021-06-30$719,456
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$403,798
Value of net assets at end of year (total assets less liabilities)2021-06-30$2,396,089
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$1,992,291
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$2,520,292
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$1,989,040
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$1,989,040
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$232
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$6,926,133
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30KEITER
Accountancy firm EIN2021-06-30541631262
2020 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$128,031
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$218,538
Total income from all sources (including contributions)2020-06-30$10,749,837
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$9,391,160
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$8,608,490
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$10,744,605
Value of total assets at end of year2020-06-30$2,120,322
Value of total assets at beginning of year2020-06-30$852,152
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$782,670
Total interest from all sources2020-06-30$5,232
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$3,557,348
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$317,945
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-06-30$8,608,490
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$131,282
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$17,837
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$128,031
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$218,538
Administrative expenses (other) incurred2020-06-30$782,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$1,358,677
Value of net assets at end of year (total assets less liabilities)2020-06-30$1,992,291
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$633,614
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$1,989,040
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$834,315
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$834,315
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$5,232
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30Yes
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$6,869,312
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30KEITER
Accountancy firm EIN2020-06-30541631262
2019 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$218,538
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$355,338
Total income from all sources (including contributions)2019-06-30$10,300,523
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$10,532,560
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$9,680,539
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$10,294,360
Value of total assets at end of year2019-06-30$852,152
Value of total assets at beginning of year2019-06-30$1,220,989
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$852,021
Total interest from all sources2019-06-30$6,163
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$852,021
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$3,560,494
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$347,587
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-06-30$9,680,539
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$17,837
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$101,038
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$218,538
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$355,338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-232,037
Value of net assets at end of year (total assets less liabilities)2019-06-30$633,614
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$865,651
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$834,315
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$1,119,951
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$1,119,951
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$6,163
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$6,386,279
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30KEITER
Accountancy firm EIN2019-06-30541631262
2018 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$355,338
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$206,087
Total income from all sources (including contributions)2018-06-30$9,776,570
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$9,927,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$9,024,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$9,769,971
Value of total assets at end of year2018-06-30$1,220,989
Value of total assets at beginning of year2018-06-30$1,223,032
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$903,373
Total interest from all sources2018-06-30$6,599
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$3,454,299
Income. Received or receivable in cash from other sources (including rollovers)2018-06-30$368,753
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$101,038
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$156,586
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$355,338
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$206,087
Administrative expenses (other) incurred2018-06-30$903,373
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-151,294
Value of net assets at end of year (total assets less liabilities)2018-06-30$865,651
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$1,016,945
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$1,119,951
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$1,066,446
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$1,066,446
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$6,599
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$5,946,919
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$9,024,491
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30KEITER
Accountancy firm EIN2018-06-30541631262
2017 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$206,087
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$237,739
Total income from all sources (including contributions)2017-06-30$9,570,337
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$9,218,567
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$8,241,221
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$9,568,007
Value of total assets at end of year2017-06-30$1,223,032
Value of total assets at beginning of year2017-06-30$902,914
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$977,346
Total interest from all sources2017-06-30$2,330
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$3,283,058
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$465,166
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$156,586
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$119,243
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$206,087
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-06-30$237,739
Administrative expenses (other) incurred2017-06-30$977,346
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$351,770
Value of net assets at end of year (total assets less liabilities)2017-06-30$1,016,945
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$665,175
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$1,066,446
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$783,671
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$783,671
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$2,330
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$5,819,783
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$8,241,221
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30KEITER
Accountancy firm EIN2017-06-30541631262
2016 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$237,739
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$220,944
Total income from all sources (including contributions)2016-06-30$9,056,221
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$9,252,488
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$8,067,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$9,054,793
Value of total assets at end of year2016-06-30$902,914
Value of total assets at beginning of year2016-06-30$1,082,386
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$1,184,692
Total interest from all sources2016-06-30$1,428
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$2,805,356
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$530,527
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$119,243
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$194,406
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$237,739
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$220,944
Administrative expenses (other) incurred2016-06-30$1,184,692
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-196,267
Value of net assets at end of year (total assets less liabilities)2016-06-30$665,175
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$861,442
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$783,671
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$887,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$887,980
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$1,428
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$5,718,910
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$8,067,796
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30KEITER
Accountancy firm EIN2016-06-30541631262
2015 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$220,944
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$106,605
Total income from all sources (including contributions)2015-06-30$8,294,370
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$8,382,119
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$7,287,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$8,294,162
Value of total assets at end of year2015-06-30$1,082,386
Value of total assets at beginning of year2015-06-30$1,055,796
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$1,094,361
Total interest from all sources2015-06-30$208
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$2,857,251
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$474,535
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$194,406
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$2
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$220,944
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$106,605
Administrative expenses (other) incurred2015-06-30$1,094,361
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-87,749
Value of net assets at end of year (total assets less liabilities)2015-06-30$861,442
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$949,191
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$887,980
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$1,055,794
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$1,055,794
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$208
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$4,962,376
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$7,287,758
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30KEITER
Accountancy firm EIN2015-06-30541631262
2014 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$106,605
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$28,327
Total income from all sources (including contributions)2014-06-30$7,005,023
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$7,556,965
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$6,723,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$7,004,850
Value of total assets at end of year2014-06-30$1,055,796
Value of total assets at beginning of year2014-06-30$1,529,460
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$833,382
Total interest from all sources2014-06-30$173
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$833,382
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$2,484,837
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$402,735
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$2
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$66,862
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$106,605
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$28,327
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$-551,942
Value of net assets at end of year (total assets less liabilities)2014-06-30$949,191
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,501,133
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$1,055,794
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$1,462,598
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$1,462,598
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$173
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$4,117,278
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$6,723,583
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30KEITER
Accountancy firm EIN2014-06-30541631262
2013 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$1,043
Total unrealized appreciation/depreciation of assets2013-06-30$1,043
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$28,327
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$41,936
Total income from all sources (including contributions)2013-06-30$6,947,135
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$6,985,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$6,361,785
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$6,946,092
Value of total assets at end of year2013-06-30$1,529,460
Value of total assets at beginning of year2013-06-30$1,581,216
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$623,497
Total interest from all sources2013-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$623,497
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$2,438,696
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$401,179
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$66,862
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$74
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$28,327
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$41,936
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-38,147
Value of net assets at end of year (total assets less liabilities)2013-06-30$1,501,133
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$1,539,280
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$1,462,598
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$1,581,142
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$1,581,142
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$629,919
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$4,106,217
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$5,731,866
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30KEITER
Accountancy firm EIN2013-06-30541631262
2012 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$506
Total unrealized appreciation/depreciation of assets2012-06-30$506
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$41,936
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$28,836
Total income from all sources (including contributions)2012-06-30$7,512,556
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$7,454,204
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$6,861,369
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$7,512,050
Value of total assets at end of year2012-06-30$1,581,216
Value of total assets at beginning of year2012-06-30$1,509,764
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$592,835
Total interest from all sources2012-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$592,835
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$2,949,461
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$300,016
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$74
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$30
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$41,936
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$28,836
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$58,352
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,539,280
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$1,480,928
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$1,581,142
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$1,368,690
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$1,368,690
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$590,241
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$4,262,573
Employer contributions (assets) at beginning of year2012-06-30$141,044
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$6,271,128
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30KEITER STEPHENS HURST GARY SHREAVES
Accountancy firm EIN2012-06-30541631262
2011 : SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$1,277
Total unrealized appreciation/depreciation of assets2011-06-30$1,277
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$28,836
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$382,574
Total income from all sources (including contributions)2011-06-30$8,651,093
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$7,100,935
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$6,562,720
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$8,649,816
Value of total assets at end of year2011-06-30$1,509,764
Value of total assets at beginning of year2011-06-30$313,344
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$538,215
Total interest from all sources2011-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$538,215
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$5,000,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$2,871,363
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$404,388
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$30
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$22
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$28,836
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$382,574
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$1,550,158
Value of net assets at end of year (total assets less liabilities)2011-06-30$1,480,928
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$-69,230
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$1,368,690
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$297,849
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$297,849
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$536,452
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$5,374,065
Employer contributions (assets) at end of year2011-06-30$141,044
Employer contributions (assets) at beginning of year2011-06-30$15,473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$6,026,268
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30KEITER STEPHENS HURST GARY SHREAVES
Accountancy firm EIN2011-06-30541631262

Form 5500 Responses for SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN

2022: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2022 form 5500 responses
2022-07-01Type of plan entityMulitple employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2021 form 5500 responses
2021-07-01Type of plan entityMulitple employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2020 form 5500 responses
2020-07-01Type of plan entityMulitple employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2019 form 5500 responses
2019-07-01Type of plan entityMulitple employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2018 form 5500 responses
2018-07-01Type of plan entityMulitple employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2017 form 5500 responses
2017-07-01Type of plan entityMulitple employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2016 form 5500 responses
2016-07-01Type of plan entityMulitple employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2015 form 5500 responses
2015-07-01Type of plan entityMulitple employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2014 form 5500 responses
2014-07-01Type of plan entityMulitple employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2013 form 5500 responses
2013-07-01Type of plan entityMulitple employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2012 form 5500 responses
2012-07-01Type of plan entityMulitple employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2010 form 5500 responses
2010-07-01Type of plan entityMulitple employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: SOUTHERN STATES INSURED (MEWA) MEDICAL AND DENTAL PLAN 2009 form 5500 responses
2009-07-01Type of plan entityMulitple employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number000008612
Policy instance 3
Insurance contract or identification number000008612
Number of Individuals Covered1120
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number201038
Policy instance 2
Insurance contract or identification number201038
Number of Individuals Covered1519
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30051960
Policy instance 1
Insurance contract or identification number30051960
Number of Individuals Covered682
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $72,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number000008612
Policy instance 3
Insurance contract or identification number000008612
Number of Individuals Covered1233
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number201038
Policy instance 2
Insurance contract or identification number201038
Number of Individuals Covered1162
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30051960
Policy instance 1
Insurance contract or identification number30051960
Number of Individuals Covered1473
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $158,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number000008612
Policy instance 3
Insurance contract or identification number000008612
Number of Individuals Covered1287
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number201038
Policy instance 2
Insurance contract or identification number201038
Number of Individuals Covered1316
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $685,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30051960
Policy instance 1
Insurance contract or identification number30051960
Number of Individuals Covered1703
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $195,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number000008612
Policy instance 3
Insurance contract or identification number000008612
Number of Individuals Covered1431
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number201038
Policy instance 2
Insurance contract or identification number201038
Number of Individuals Covered1329
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $618,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30051960
Policy instance 1
Insurance contract or identification number30051960
Number of Individuals Covered773
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $79,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number000008612
Policy instance 3
Insurance contract or identification number000008612
Number of Individuals Covered1410
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number201038
Policy instance 2
Insurance contract or identification number201038
Number of Individuals Covered1391
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $572,181
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30051960
Policy instance 1
Insurance contract or identification number30051960
Number of Individuals Covered773
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
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $60,735
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF VIRGINIA (National Association of Insurance Commissioners NAIC id number: 55611 )
Policy contract number000008612
Policy instance 3
Insurance contract or identification number000008612
Number of Individuals Covered1406
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number201038
Policy instance 2
Insurance contract or identification number201038
Number of Individuals Covered1398
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $174,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30051960
Policy instance 1
Insurance contract or identification number30051960
Number of Individuals Covered736
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $57,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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