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GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 401k Plan overview

Plan NameGOODMAN ALLEN DONNELLY HEALTH CARE PLAN
Plan identification number 501

GOODMAN ALLEN DONNELLY HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

GOODMAN ALLEN DONNELLY PLLC has sponsored the creation of one or more 401k plans.

Company Name:GOODMAN ALLEN DONNELLY PLLC
Employer identification number (EIN):541850188
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOODMAN ALLEN DONNELLY HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012021-06-01
5012020-06-01

Plan Statistics for GOODMAN ALLEN DONNELLY HEALTH CARE PLAN

401k plan membership statisitcs for GOODMAN ALLEN DONNELLY HEALTH CARE PLAN

Measure Date Value
2022: GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0135
Total number of active participants reported on line 7a of the Form 55002022-07-0133
Number of retired or separated participants receiving benefits2022-07-011
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-0134
2021: GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0142
Total number of active participants reported on line 7a of the Form 55002021-07-0135
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0135
Total participants, beginning-of-year2021-06-0142
Total number of active participants reported on line 7a of the Form 55002021-06-0141
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-0141
2020: GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-0139
Total number of active participants reported on line 7a of the Form 55002020-06-0141
Number of retired or separated participants receiving benefits2020-06-011
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-0142

Financial Data on GOODMAN ALLEN DONNELLY HEALTH CARE PLAN

Measure Date Value
2023 : GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 2023 401k financial data
Total plan liabilities at end of year2023-06-30$-5,190
Total plan liabilities at beginning of year2023-06-30$31,907
Total income from all sources2023-06-30$584,930
Expenses. Total of all expenses incurred2023-06-30$454,925
Benefits paid (including direct rollovers)2023-06-30$216,300
Total plan assets at end of year2023-06-30$112,365
Total plan assets at beginning of year2023-06-30$19,457
Value of fidelity bond covering the plan2023-06-30$250,000
Total contributions received or receivable from participants2023-06-30$52,810
Expenses. Other expenses not covered elsewhere2023-06-30$218,629
Contributions received from other sources (not participants or employers)2023-06-30$0
Other income received2023-06-30$470
Net income (gross income less expenses)2023-06-30$130,005
Net plan assets at end of year (total assets less liabilities)2023-06-30$117,555
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$-12,450
Total contributions received or receivable from employer(s)2023-06-30$531,650
Value of corrective distributions2023-06-30$15,586
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$4,410
2022 : GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 2022 401k financial data
Total plan liabilities at end of year2022-06-30$31,907
Total plan liabilities at beginning of year2022-06-30$30,423
Total income from all sources2022-06-30$575,481
Expenses. Total of all expenses incurred2022-06-30$673,509
Benefits paid (including direct rollovers)2022-06-30$354,171
Total plan assets at end of year2022-06-30$19,457
Total plan assets at beginning of year2022-06-30$116,001
Value of fidelity bond covering the plan2022-06-30$250,000
Total contributions received or receivable from participants2022-06-30$47,325
Expenses. Other expenses not covered elsewhere2022-06-30$219,073
Contributions received from other sources (not participants or employers)2022-06-30$0
Other income received2022-06-30$0
Net income (gross income less expenses)2022-06-30$-98,028
Net plan assets at end of year (total assets less liabilities)2022-06-30$-12,450
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$85,578
Total contributions received or receivable from employer(s)2022-06-30$528,156
Value of corrective distributions2022-06-30$95,496
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$4,769
2021 : GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 2021 401k financial data
Total plan liabilities at end of year2021-06-30$30,423
Total plan liabilities at beginning of year2021-06-30$30,397
Total income from all sources2021-06-30$46,305
Expenses. Total of all expenses incurred2021-06-30$32,529
Benefits paid (including direct rollovers)2021-06-30$15,443
Total plan assets at end of year2021-06-30$116,001
Total plan assets at beginning of year2021-06-30$102,199
Value of fidelity bond covering the plan2021-06-30$250,000
Total contributions received or receivable from participants2021-06-30$3,901
Expenses. Other expenses not covered elsewhere2021-06-30$16,653
Contributions received from other sources (not participants or employers)2021-06-30$736
Other income received2021-06-30$0
Net income (gross income less expenses)2021-06-30$13,776
Net plan assets at end of year (total assets less liabilities)2021-06-30$85,578
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$71,802
Total contributions received or receivable from employer(s)2021-06-30$41,668
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$433
Total plan liabilities at end of year2021-05-31$30,397
Total plan liabilities at beginning of year2021-05-31$0
Total income from all sources2021-05-31$540,230
Expenses. Total of all expenses incurred2021-05-31$468,428
Benefits paid (including direct rollovers)2021-05-31$268,521
Total plan assets at end of year2021-05-31$102,199
Total plan assets at beginning of year2021-05-31$0
Value of fidelity bond covering the plan2021-05-31$250,000
Total contributions received or receivable from participants2021-05-31$42,719
Expenses. Other expenses not covered elsewhere2021-05-31$194,769
Contributions received from other sources (not participants or employers)2021-05-31$1,408
Net income (gross income less expenses)2021-05-31$71,802
Net plan assets at end of year (total assets less liabilities)2021-05-31$71,802
Net plan assets at beginning of year (total assets less liabilities)2021-05-31$0
Total contributions received or receivable from employer(s)2021-05-31$496,103
Expenses. Administrative service providers (salaries,fees and commissions)2021-05-31$5,138

Form 5500 Responses for GOODMAN ALLEN DONNELLY HEALTH CARE PLAN

2022: GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2021-06-01Type of plan entitySingle employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement - TrustYes
2020: GOODMAN ALLEN DONNELLY HEALTH CARE PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01First time form 5500 has been submittedYes
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000127
Policy instance 1
Insurance contract or identification number31000127
Number of Individuals Covered34
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $195,051
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000127
Policy instance 1
Insurance contract or identification number31000127
Number of Individuals Covered35
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $194,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000127
Policy instance 1
Insurance contract or identification number31000127
Number of Individuals Covered41
Insurance policy start date2021-06-01
Insurance policy end date2021-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000127
Policy instance 1
Insurance contract or identification number31000127
Number of Individuals Covered42
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $168,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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