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MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameMEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN
Plan identification number 501

MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

LTC HOLDINGS, INC. RETIREMENT UNLIMITED, INC. has sponsored the creation of one or more 401k plans.

Company Name:LTC HOLDINGS, INC. RETIREMENT UNLIMITED, INC.
Employer identification number (EIN):541278483
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about LTC HOLDINGS, INC. RETIREMENT UNLIMITED, INC.

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1984-05-10
Company Identification Number: 0256183
Legal Registered Office Address: 2917 PENN FOREST BLVD #300

ROANOKE
United States of America (USA)
24018

More information about LTC HOLDINGS, INC. RETIREMENT UNLIMITED, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DORIS-ELLIE SULLIVAN2023-10-11
5012021-01-01DORIS-ELLIE SULLIVAN2022-12-21
5012020-01-01JASON FIELD2021-10-13
5012019-01-01JASON FIELD2020-09-02
5012018-01-01JASON FIELD2019-10-14
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01TIM MARSHALL
5012011-01-01TIM MARSHALL
5012010-01-01TIM MARSHALL
5012009-01-01TIM MARSHALL

Plan Statistics for MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01387
Total number of active participants reported on line 7a of the Form 55002022-01-01331
Number of retired or separated participants receiving benefits2022-01-0156
Total of all active and inactive participants2022-01-01387
2021: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,924
Total number of active participants reported on line 7a of the Form 55002021-01-01331
Number of retired or separated participants receiving benefits2021-01-0156
Total of all active and inactive participants2021-01-01387
2020: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-013,214
Total number of active participants reported on line 7a of the Form 55002020-01-012,924
Total of all active and inactive participants2020-01-012,924
2019: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013,084
Total number of active participants reported on line 7a of the Form 55002019-01-013,196
Number of retired or separated participants receiving benefits2019-01-0118
Total of all active and inactive participants2019-01-013,214
2018: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013,083
Total number of active participants reported on line 7a of the Form 55002018-01-013,067
Number of retired or separated participants receiving benefits2018-01-0117
Total of all active and inactive participants2018-01-013,084
2017: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,595
Total number of active participants reported on line 7a of the Form 55002017-01-013,063
Number of retired or separated participants receiving benefits2017-01-0120
Total of all active and inactive participants2017-01-013,083
2016: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,070
Total number of active participants reported on line 7a of the Form 55002016-01-012,576
Number of retired or separated participants receiving benefits2016-01-0119
Total of all active and inactive participants2016-01-012,595
2015: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,030
Total number of active participants reported on line 7a of the Form 55002015-01-013,055
Number of retired or separated participants receiving benefits2015-01-0115
Total of all active and inactive participants2015-01-013,070
2014: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,997
Total number of active participants reported on line 7a of the Form 55002014-01-013,013
Number of retired or separated participants receiving benefits2014-01-0117
Total of all active and inactive participants2014-01-013,030
2013: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,092
Total number of active participants reported on line 7a of the Form 55002013-01-012,955
Number of retired or separated participants receiving benefits2013-01-0142
Total of all active and inactive participants2013-01-012,997
2012: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,154
Total number of active participants reported on line 7a of the Form 55002012-01-013,060
Number of retired or separated participants receiving benefits2012-01-0132
Total of all active and inactive participants2012-01-013,092
2011: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,155
Total number of active participants reported on line 7a of the Form 55002011-01-013,124
Number of retired or separated participants receiving benefits2011-01-0130
Total of all active and inactive participants2011-01-013,154
2010: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-013,170
Total number of active participants reported on line 7a of the Form 55002010-01-013,099
Number of retired or separated participants receiving benefits2010-01-0156
Total of all active and inactive participants2010-01-013,155
2009: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,809
Total number of active participants reported on line 7a of the Form 55002009-01-013,121
Number of retired or separated participants receiving benefits2009-01-0149
Total of all active and inactive participants2009-01-013,170

Financial Data on MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN

Measure Date Value
2022 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$659,305
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$854,522
Total income from all sources (including contributions)2022-12-31$4,807,192
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$4,986,660
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$4,557,602
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$4,807,107
Value of total assets at end of year2022-12-31$884,456
Value of total assets at beginning of year2022-12-31$1,259,141
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$429,058
Total interest from all sources2022-12-31$85
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$783,702
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$397,215
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$142,372
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$90,872
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$210,490
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$76,787
Administrative expenses (other) incurred2022-12-31$102,405
Total non interest bearing cash at end of year2022-12-31$735,532
Total non interest bearing cash at beginning of year2022-12-31$1,168,269
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-179,468
Value of net assets at end of year (total assets less liabilities)2022-12-31$225,151
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$404,619
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$6,552
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$85
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$735,734
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$3,626,190
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,821,868
Contract administrator fees2022-12-31$326,653
Liabilities. Value of benefit claims payable at end of year2022-12-31$448,815
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$777,735
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BROWN, EDWARDS & COMPANY, L.L.P.
Accountancy firm EIN2022-12-31540504608
2021 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$712,794
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3,247,305
Total income from all sources (including contributions)2021-12-31$13,721,018
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$13,425,339
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$12,587,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$13,721,018
Value of total assets at end of year2021-12-31$1,168,269
Value of total assets at beginning of year2021-12-31$3,407,101
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$837,872
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$4,909,007
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$90,872
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$25,931
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$30,523
Administrative expenses (other) incurred2021-12-31$81,669
Total non interest bearing cash at end of year2021-12-31$1,168,269
Total non interest bearing cash at beginning of year2021-12-31$3,007,101
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$295,679
Value of net assets at end of year (total assets less liabilities)2021-12-31$455,475
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$159,796
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,113,215
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$8,812,011
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$400,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$11,474,252
Contract administrator fees2021-12-31$756,203
Liabilities. Value of benefit claims payable at end of year2021-12-31$686,863
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$3,216,782
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BROWN, EDWARDS & COMPANY, L.L.P.
Accountancy firm EIN2021-12-31540504608
2020 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$3,247,305
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$3,206,742
Total income from all sources (including contributions)2020-12-31$24,750,516
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$25,100,506
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$23,594,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$24,750,496
Value of total assets at end of year2020-12-31$3,407,101
Value of total assets at beginning of year2020-12-31$3,716,528
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,506,464
Total interest from all sources2020-12-31$20
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$10,067,150
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$30,523
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$327,529
Administrative expenses (other) incurred2020-12-31$117,864
Total non interest bearing cash at end of year2020-12-31$3,007,101
Total non interest bearing cash at beginning of year2020-12-31$3,716,528
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-349,990
Value of net assets at end of year (total assets less liabilities)2020-12-31$159,796
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$509,786
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$20
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,223,843
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$14,683,346
Employer contributions (assets) at end of year2020-12-31$400,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$21,370,199
Contract administrator fees2020-12-31$1,388,600
Liabilities. Value of benefit claims payable at end of year2020-12-31$3,216,782
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$2,879,213
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BROWN, EDWARDS & COMPANY, L.L.P.
Accountancy firm EIN2020-12-31540504608
2019 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,206,742
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,672,579
Total income from all sources (including contributions)2019-12-31$26,224,371
Total of all expenses incurred2019-12-31$25,869,413
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$24,264,449
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$26,224,249
Value of total assets at end of year2019-12-31$3,716,528
Value of total assets at beginning of year2019-12-31$2,827,407
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,604,964
Total interest from all sources2019-12-31$122
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$10,968,059
Participant contributions at beginning of year2019-12-31$66,197
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$327,529
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$27,200
Administrative expenses (other) incurred2019-12-31$118,905
Total non interest bearing cash at end of year2019-12-31$3,716,528
Total non interest bearing cash at beginning of year2019-12-31$2,558,103
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$354,958
Value of net assets at end of year (total assets less liabilities)2019-12-31$509,786
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$154,828
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$122
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,429,497
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$15,256,190
Employer contributions (assets) at beginning of year2019-12-31$203,107
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$21,834,952
Contract administrator fees2019-12-31$1,486,059
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,879,213
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,645,379
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31DAVIDSON HOLLAND WHITESELL & CO PLL
Accountancy firm EIN2019-12-31561706742
2018 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,672,579
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,123,276
Total income from all sources (including contributions)2018-12-31$26,014,611
Total of all expenses incurred2018-12-31$27,032,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$25,346,266
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$26,014,513
Value of total assets at end of year2018-12-31$2,827,407
Value of total assets at beginning of year2018-12-31$3,296,111
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,686,352
Total interest from all sources2018-12-31$98
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$11,621,310
Participant contributions at end of year2018-12-31$66,197
Participant contributions at beginning of year2018-12-31$51,209
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$27,200
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$20,000
Administrative expenses (other) incurred2018-12-31$65,280
Total non interest bearing cash at end of year2018-12-31$2,558,103
Total non interest bearing cash at beginning of year2018-12-31$3,129,153
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,018,007
Value of net assets at end of year (total assets less liabilities)2018-12-31$154,828
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,172,835
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$98
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,456,114
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$14,393,203
Employer contributions (assets) at end of year2018-12-31$203,107
Employer contributions (assets) at beginning of year2018-12-31$115,749
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$22,890,152
Contract administrator fees2018-12-31$1,621,072
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$2,645,379
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$2,103,276
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31DAVIDSON HOLLAND WHITESELL & CO PLL
Accountancy firm EIN2018-12-31561706742
2017 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,123,276
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,111,798
Total income from all sources (including contributions)2017-12-31$25,083,504
Total of all expenses incurred2017-12-31$24,319,125
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$22,707,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$25,083,467
Value of total assets at end of year2017-12-31$3,296,111
Value of total assets at beginning of year2017-12-31$3,520,254
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,611,507
Total interest from all sources2017-12-31$37
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$11,083,423
Participant contributions at end of year2017-12-31$51,209
Participant contributions at beginning of year2017-12-31$46,313
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$123,034
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$20,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$17,000
Administrative expenses (other) incurred2017-12-31$70,426
Total non interest bearing cash at end of year2017-12-31$3,129,153
Total non interest bearing cash at beginning of year2017-12-31$3,383,055
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$764,379
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,172,835
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$408,456
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$37
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$2,338,244
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$14,000,044
Employer contributions (assets) at end of year2017-12-31$115,749
Employer contributions (assets) at beginning of year2017-12-31$90,886
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$20,246,340
Contract administrator fees2017-12-31$1,541,081
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$2,103,276
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$3,094,798
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31DAVIDSON HOLLAND WHITESELL & CO PLL
Accountancy firm EIN2017-12-31561706742
2016 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,111,798
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,563,940
Total income from all sources (including contributions)2016-12-31$24,532,025
Total of all expenses incurred2016-12-31$25,652,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$23,902,403
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$24,531,983
Value of total assets at end of year2016-12-31$3,520,254
Value of total assets at beginning of year2016-12-31$4,092,820
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,750,046
Total interest from all sources2016-12-31$42
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$10,058,737
Participant contributions at end of year2016-12-31$46,313
Participant contributions at beginning of year2016-12-31$141,068
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$199,467
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$17,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$15,000
Administrative expenses (other) incurred2016-12-31$68,723
Total non interest bearing cash at end of year2016-12-31$3,383,055
Total non interest bearing cash at beginning of year2016-12-31$3,827,983
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-1,120,424
Value of net assets at end of year (total assets less liabilities)2016-12-31$408,456
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,528,880
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$42
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$2,301,781
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$14,473,246
Employer contributions (assets) at end of year2016-12-31$90,886
Employer contributions (assets) at beginning of year2016-12-31$123,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$21,401,155
Contract administrator fees2016-12-31$1,681,323
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$3,094,798
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$2,548,940
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31DAVIDSON HOLLAND WHITESELL & CO PLL
Accountancy firm EIN2016-12-31561706742
2015 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,563,940
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,121,345
Total income from all sources (including contributions)2015-12-31$24,430,665
Total of all expenses incurred2015-12-31$22,775,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$21,018,795
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$24,430,628
Value of total assets at end of year2015-12-31$4,092,820
Value of total assets at beginning of year2015-12-31$1,995,546
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,757,191
Total interest from all sources2015-12-31$37
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$9,777,056
Participant contributions at end of year2015-12-31$123,769
Participant contributions at beginning of year2015-12-31$86,822
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$287,020
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$15,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$14,800
Administrative expenses (other) incurred2015-12-31$15,193
Total non interest bearing cash at end of year2015-12-31$3,827,983
Total non interest bearing cash at beginning of year2015-12-31$1,865,059
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,654,679
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,528,880
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$-125,799
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$37
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$2,642,026
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$14,653,572
Employer contributions (assets) at end of year2015-12-31$141,068
Employer contributions (assets) at beginning of year2015-12-31$43,665
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$18,089,749
Contract administrator fees2015-12-31$1,741,998
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$2,548,940
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$2,106,545
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31DAVIDSON HOLLAND WHITESELL & CO PLL
Accountancy firm EIN2015-12-31561706742
2014 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,121,345
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,979,393
Total income from all sources (including contributions)2014-12-31$23,755,594
Total of all expenses incurred2014-12-31$23,762,384
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$22,159,054
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$23,754,646
Value of total assets at end of year2014-12-31$1,995,546
Value of total assets at beginning of year2014-12-31$1,860,384
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,603,330
Total interest from all sources2014-12-31$948
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$8,369,884
Participant contributions at end of year2014-12-31$86,822
Participant contributions at beginning of year2014-12-31$94,328
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$14,800
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$14,500
Administrative expenses (other) incurred2014-12-31$13,975
Total non interest bearing cash at end of year2014-12-31$1,865,059
Total non interest bearing cash at beginning of year2014-12-31$1,733,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-6,790
Value of net assets at end of year (total assets less liabilities)2014-12-31$-125,799
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$-119,009
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$948
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,349,937
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$15,384,762
Employer contributions (assets) at end of year2014-12-31$43,665
Employer contributions (assets) at beginning of year2014-12-31$32,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$19,809,117
Contract administrator fees2014-12-31$1,589,355
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$2,106,545
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,964,893
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31DAVIDSON HOLLAND WHITESELL & CO PLL
Accountancy firm EIN2014-12-31561706742
2013 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,979,393
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,954,398
Total income from all sources (including contributions)2013-12-31$24,663,976
Total of all expenses incurred2013-12-31$24,820,683
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$23,227,471
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$24,662,333
Value of total assets at end of year2013-12-31$1,860,384
Value of total assets at beginning of year2013-12-31$1,992,096
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,593,212
Total interest from all sources2013-12-31$1,643
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$8,691,597
Participant contributions at end of year2013-12-31$94,328
Participant contributions at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$14,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$14,000
Administrative expenses (other) incurred2013-12-31$34,237
Total non interest bearing cash at end of year2013-12-31$1,733,919
Total non interest bearing cash at beginning of year2013-12-31$1,804,641
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-156,707
Value of net assets at end of year (total assets less liabilities)2013-12-31$-119,009
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$37,698
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$1,643
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$2,376,205
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$15,970,736
Employer contributions (assets) at end of year2013-12-31$32,137
Employer contributions (assets) at beginning of year2013-12-31$187,455
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$20,851,266
Contract administrator fees2013-12-31$1,558,975
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,964,893
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,940,398
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31DAVIDSON HOLLAND WHITSELL & CO PLLC
Accountancy firm EIN2013-12-31561706742
2012 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,954,398
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,718,326
Total income from all sources (including contributions)2012-12-31$24,064,771
Total of all expenses incurred2012-12-31$24,286,320
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$22,688,495
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$24,061,147
Value of total assets at end of year2012-12-31$1,992,096
Value of total assets at beginning of year2012-12-31$1,977,573
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,597,825
Total interest from all sources2012-12-31$3,624
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$8,336,413
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$14,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$13,500
Administrative expenses (other) incurred2012-12-31$12,891
Total non interest bearing cash at end of year2012-12-31$1,804,641
Total non interest bearing cash at beginning of year2012-12-31$1,915,940
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-221,549
Value of net assets at end of year (total assets less liabilities)2012-12-31$37,698
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$259,247
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$3,624
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$2,620,906
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$15,724,734
Employer contributions (assets) at end of year2012-12-31$187,455
Employer contributions (assets) at beginning of year2012-12-31$61,633
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$20,067,589
Contract administrator fees2012-12-31$1,584,934
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,940,398
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,704,826
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31DAVIDSON HOLLAND WHITSELL & CO PLLC
Accountancy firm EIN2012-12-31561706742
2011 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,718,326
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,507,091
Total income from all sources (including contributions)2011-12-31$22,067,747
Total of all expenses incurred2011-12-31$22,447,009
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$20,842,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$22,062,080
Value of total assets at end of year2011-12-31$1,977,573
Value of total assets at beginning of year2011-12-31$2,145,600
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,604,662
Total interest from all sources2011-12-31$5,667
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$8,255,594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$13,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$13,000
Administrative expenses (other) incurred2011-12-31$9,899
Total non interest bearing cash at end of year2011-12-31$1,915,940
Total non interest bearing cash at beginning of year2011-12-31$2,145,600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-379,262
Value of net assets at end of year (total assets less liabilities)2011-12-31$259,247
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$638,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$5,667
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,378,543
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$13,806,486
Employer contributions (assets) at end of year2011-12-31$61,633
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$18,463,804
Contract administrator fees2011-12-31$1,594,763
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,704,826
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,494,091
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31DAVIDSON, HOLLAND, WHITESELL & CO.,
Accountancy firm EIN2011-12-31561706742
2010 : MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,507,091
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,833,978
Total income from all sources (including contributions)2010-12-31$22,969,983
Total of all expenses incurred2010-12-31$22,554,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$20,943,984
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$22,961,623
Value of total assets at end of year2010-12-31$2,145,600
Value of total assets at beginning of year2010-12-31$2,056,523
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,610,035
Total interest from all sources2010-12-31$8,360
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$20,526
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$7,727,737
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$13,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$6,000
Total non interest bearing cash at end of year2010-12-31$2,145,600
Total non interest bearing cash at beginning of year2010-12-31$1,972,980
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$415,964
Value of net assets at end of year (total assets less liabilities)2010-12-31$638,509
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$222,545
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$8,360
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$560,777
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$15,233,886
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$83,543
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$20,383,207
Contract administrator fees2010-12-31$1,589,509
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,494,091
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,827,978
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31DAVIDSON,HOLLAND,WHITESELL & CO., P
Accountancy firm EIN2010-12-31561706742

Form 5500 Responses for MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN

2022: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MEDICAL FACILITIES OF AMERICA INC & RETIREMENT UNLIMITED INC HEALTH AND DENTAL EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number50009091001
Policy instance 4
Insurance contract or identification number50009091001
Number of Individuals Covered413
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $22,896
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 number00000000845
Policy instance 3
Insurance contract or identification number00000000845
Number of Individuals Covered835
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number201039
Policy instance 2
Insurance contract or identification number201039
Number of Individuals Covered1819
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $70,624
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 numberL03629
Policy instance 1
Insurance contract or identification numberL03629
Number of Individuals Covered717
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 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 $763,731
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 number201039
Policy instance 1
Insurance contract or identification number201039
Number of Individuals Covered684
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $1,120,777
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 number201039
Policy instance 1
Insurance contract or identification number201039
Number of Individuals Covered4459
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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 $2,002,563
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 number000006449
Policy instance 2
Insurance contract or identification number000006449
Number of Individuals Covered5139
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
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 number201039
Policy instance 1
Insurance contract or identification number201039
Number of Individuals Covered4709
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $930,996
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 number201039
Policy instance 1
Insurance contract or identification number201039
Number of Individuals Covered4835
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $896,333
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 number000006449
Policy instance 2
Insurance contract or identification number000006449
Number of Individuals Covered5051
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
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 number000006449
Policy instance 2
Insurance contract or identification number000006449
Number of Individuals Covered5285
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
Dental Insurance Welfare BenefitYes
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 number201039
Policy instance 1
Insurance contract or identification number201039
Number of Individuals Covered4928
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
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $742,426
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 number000006449
Policy instance 2
Insurance contract or identification number000006449
Number of Individuals Covered5256
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
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 number201039
Policy instance 1
Insurance contract or identification number201039
Number of Individuals Covered5092
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,087,234
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 number06649
Policy instance 1
Insurance contract or identification number06649
Number of Individuals Covered2266
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $399,465
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number06649
Policy instance 2
Insurance contract or identification number06649
Number of Individuals Covered2810
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $478,331
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 number000006449
Policy instance 3
Insurance contract or identification number000006449
Number of Individuals Covered5255
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number06649
Policy instance 2
Insurance contract or identification number06649
Number of Individuals Covered3430
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $464,416
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 number000006449
Policy instance 3
Insurance contract or identification number000006449
Number of Individuals Covered5564
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
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 number06649
Policy instance 1
Insurance contract or identification number06649
Number of Individuals Covered1987
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $283,986
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 number06649
Policy instance 1
Insurance contract or identification number06649
Number of Individuals Covered2139
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $345,948
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 number000006449
Policy instance 3
Insurance contract or identification number000006449
Number of Individuals Covered5735
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number06649
Policy instance 2
Insurance contract or identification number06649
Number of Individuals Covered3376
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $525,939
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 number000006449
Policy instance 3
Insurance contract or identification number000006449
Number of Individuals Covered5921
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number06649
Policy instance 2
Insurance contract or identification number06649
Number of Individuals Covered3318
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $379,669
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 number06649
Policy instance 1
Insurance contract or identification number06649
Number of Individuals Covered2329
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $277,949
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 number000006449
Policy instance 3
Insurance contract or identification number000006449
Number of Individuals Covered5734
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHKEEPERS, INC (National Association of Insurance Commissioners NAIC id number: 95169 )
Policy contract number06649
Policy instance 2
Insurance contract or identification number06649
Number of Individuals Covered3096
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $280,663
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 number06649
Policy instance 1
Insurance contract or identification number06649
Number of Individuals Covered2351
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $213,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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