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METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameMETROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN
Plan identification number 502

METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

METROLINA NEPHROLOGY ASSOCIATES, P.A. has sponsored the creation of one or more 401k plans.

Company Name:METROLINA NEPHROLOGY ASSOCIATES, P.A.
Employer identification number (EIN):561378901
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-10-01
5022020-10-01
5022020-08-01
5022019-08-01

Plan Statistics for METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN

Measure Date Value
2021: METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01157
Total number of active participants reported on line 7a of the Form 55002021-10-01164
Number of retired or separated participants receiving benefits2021-10-014
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-01168
2020: METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01162
Total number of active participants reported on line 7a of the Form 55002020-10-01156
Number of retired or separated participants receiving benefits2020-10-011
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01157
Total participants, beginning-of-year2020-08-01166
Total number of active participants reported on line 7a of the Form 55002020-08-01160
Number of retired or separated participants receiving benefits2020-08-012
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01162
2019: METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01165
Total number of active participants reported on line 7a of the Form 55002019-08-01164
Number of retired or separated participants receiving benefits2019-08-012
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-01166

Financial Data on METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN

Measure Date Value
2022 : METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$377,549
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$407,582
Total income from all sources (including contributions)2022-09-30$3,033,943
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$3,088,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$2,919,083
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$3,003,910
Value of total assets at end of year2022-09-30$11,902
Value of total assets at beginning of year2022-09-30$96,333
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$169,258
Total interest from all sources2022-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$401,370
Income. Received or receivable in cash from other sources (including rollovers)2022-09-30$1,584,965
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-09-30$2,919,083
Other income not declared elsewhere2022-09-30$30,033
Total non interest bearing cash at end of year2022-09-30$11,902
Total non interest bearing cash at beginning of year2022-09-30$96,333
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-54,398
Value of net assets at end of year (total assets less liabilities)2022-09-30$-365,647
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$-311,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$1,017,575
Contract administrator fees2022-09-30$169,258
Liabilities. Value of benefit claims payable at end of year2022-09-30$377,549
Liabilities. Value of benefit claims payable at beginning of year2022-09-30$407,582
Did the plan have assets held for investment2022-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30GREERWALKER LLP
Accountancy firm EIN2022-09-30561434747
2021 : METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$407,582
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$274,374
Total income from all sources (including contributions)2021-09-30$1,773,331
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$1,891,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$1,722,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$1,906,539
Value of total assets at end of year2021-09-30$96,333
Value of total assets at beginning of year2021-09-30$81,397
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$169,559
Total interest from all sources2021-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$2,000,000
If this is an individual account plan, was there a blackout period2021-09-30No
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$432,239
Income. Received or receivable in cash from other sources (including rollovers)2021-09-30$631,851
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-09-30$1,722,044
Other income not declared elsewhere2021-09-30$-133,208
Total non interest bearing cash at end of year2021-09-30$96,333
Total non interest bearing cash at beginning of year2021-09-30$81,397
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$-118,272
Value of net assets at end of year (total assets less liabilities)2021-09-30$-311,249
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$-192,977
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Assets. Invements in employer securities at end of year2021-09-30$0
Assets. Invements in employer securities at beginning of year2021-09-30$0
Contributions received in cash from employer2021-09-30$842,449
Contract administrator fees2021-09-30$169,559
Liabilities. Value of benefit claims payable at end of year2021-09-30$407,582
Liabilities. Value of benefit claims payable at beginning of year2021-09-30$274,374
Did the plan have assets held for investment2021-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30GREERWALKER LLP
Accountancy firm EIN2021-09-30561434747
2020 : METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$274,374
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$362,287
Total income from all sources (including contributions)2020-09-30$529,048
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$394,113
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$365,942
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$441,135
Value of total assets at end of year2020-09-30$81,397
Value of total assets at beginning of year2020-09-30$34,375
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$28,171
Total interest from all sources2020-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$2,000,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$64,255
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$228,189
Other income not declared elsewhere2020-09-30$87,913
Total non interest bearing cash at end of year2020-09-30$81,397
Total non interest bearing cash at beginning of year2020-09-30$34,375
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$134,935
Value of net assets at end of year (total assets less liabilities)2020-09-30$-192,977
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$-327,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$365,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Assets. Invements in employer securities at end of year2020-09-30$0
Assets. Invements in employer securities at beginning of year2020-09-30$0
Contributions received in cash from employer2020-09-30$148,691
Contract administrator fees2020-09-30$28,171
Liabilities. Value of benefit claims payable at end of year2020-09-30$274,374
Liabilities. Value of benefit claims payable at beginning of year2020-09-30$362,287
Did the plan have assets held for investment2020-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Opinion of an independent qualified public accountant for this plan2020-09-30Unqualified
Accountancy firm name2020-09-30GREERWALKER LLP
Accountancy firm EIN2020-09-30561434747
Total unrealized appreciation/depreciation of assets2020-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-31$362,287
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-07-31$0
Total income from all sources (including contributions)2020-07-31$1,294,008
Total loss/gain on sale of assets2020-07-31$0
Total of all expenses incurred2020-07-31$1,621,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-07-31$1,115,319
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-07-31$1,294,008
Value of total assets at end of year2020-07-31$34,375
Value of total assets at beginning of year2020-07-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-07-31$506,601
Total interest from all sources2020-07-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-07-31No
Was this plan covered by a fidelity bond2020-07-31Yes
Value of fidelity bond cover2020-07-31$2,000,000
If this is an individual account plan, was there a blackout period2020-07-31No
Were there any nonexempt tranactions with any party-in-interest2020-07-31No
Contributions received from participants2020-07-31$377,794
Income. Received or receivable in cash from other sources (including rollovers)2020-07-31$210,311
Administrative expenses (other) incurred2020-07-31$362,287
Total non interest bearing cash at end of year2020-07-31$34,375
Total non interest bearing cash at beginning of year2020-07-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Value of net income/loss2020-07-31$-327,912
Value of net assets at end of year (total assets less liabilities)2020-07-31$-327,912
Value of net assets at beginning of year (total assets less liabilities)2020-07-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-07-31No
Were any leases to which the plan was party in default or uncollectible2020-07-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-07-31$1,115,319
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-07-31No
Was there a failure to transmit to the plan any participant contributions2020-07-31No
Has the plan failed to provide any benefit when due under the plan2020-07-31No
Assets. Invements in employer securities at end of year2020-07-31$0
Assets. Invements in employer securities at beginning of year2020-07-31$0
Contributions received in cash from employer2020-07-31$705,903
Contract administrator fees2020-07-31$144,314
Liabilities. Value of benefit claims payable at end of year2020-07-31$362,287
Liabilities. Value of benefit claims payable at beginning of year2020-07-31$0
Did the plan have assets held for investment2020-07-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-07-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-07-31No
Opinion of an independent qualified public accountant for this plan2020-07-31Unqualified
Accountancy firm name2020-07-31GREERWALKER LLP
Accountancy firm EIN2020-07-31561434747

Form 5500 Responses for METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN

2021: METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2020-08-01Type of plan entitySingle employer plan
2020-08-01Submission has been amendedNo
2020-08-01This submission is the final filingNo
2020-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-08-01Plan is a collectively bargained planNo
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – TrustYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement - TrustYes
2019: METROLINA NEPHROLOGY ASSOCIATES, P.A. EMPLOYEE BENEFITS PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01First time form 5500 has been submittedYes
2019-08-01Submission has been amendedNo
2019-08-01This submission is the final filingNo
2019-08-01This return/report is a short plan year return/report (less than 12 months)No
2019-08-01Plan is a collectively bargained planNo
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – TrustYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000100
Policy instance 1
Insurance contract or identification number31000100
Number of Individuals Covered168
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
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 $426,468
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 number31000100
Policy instance 1
Insurance contract or identification number31000100
Number of Individuals Covered157
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
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 $385,057
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 number31000100
Policy instance 1
Insurance contract or identification number31000100
Number of Individuals Covered162
Insurance policy start date2020-08-01
Insurance policy end date2020-09-30
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 $60,947
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 number31000100
Policy instance 1
Insurance contract or identification number31000100
Number of Individuals Covered166
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
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 $293,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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