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CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 401k Plan overview

Plan NameCANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT
Plan identification number 002

CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ANMED HEALTH CANNON has sponsored the creation of one or more 401k plans.

Company Name:ANMED HEALTH CANNON
Employer identification number (EIN):570342027
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01MELISSA A. CANTRELL
0022016-01-01WILL GRANT
0022015-01-01NORMAN G. RENTZ
0022014-01-01NORMAN G. RENTZ
0022013-01-01NORMAN G. RENTZ
0022012-01-01MARGARET N. CATER NORMAN G. RENTZ2013-10-14
0022009-01-01MARGARET N. CATER NORMAN G. RENTZ2010-10-13
0022009-01-01MARGARET N. CATER NORMAN G. RENTZ2010-10-14
0022009-01-01MARGARET N. CATER NORMAN G. RENTZ2010-10-14

Plan Statistics for CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT

401k plan membership statisitcs for CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT

Measure Date Value
2022: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2022 401k membership
Total participants, beginning-of-year2022-01-01324
Total number of active participants reported on line 7a of the Form 55002022-01-01193
Number of retired or separated participants receiving benefits2022-01-0116
Number of other retired or separated participants entitled to future benefits2022-01-01117
Total of all active and inactive participants2022-01-01326
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01326
Number of participants with account balances2022-01-01259
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2021 401k membership
Total participants, beginning-of-year2021-01-01337
Total number of active participants reported on line 7a of the Form 55002021-01-01213
Number of retired or separated participants receiving benefits2021-01-0114
Number of other retired or separated participants entitled to future benefits2021-01-0197
Total of all active and inactive participants2021-01-01324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01324
Number of participants with account balances2021-01-01249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2020 401k membership
Total participants, beginning-of-year2020-01-01350
Total number of active participants reported on line 7a of the Form 55002020-01-01230
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01107
Total of all active and inactive participants2020-01-01337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01337
Number of participants with account balances2020-01-01254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2019 401k membership
Total participants, beginning-of-year2019-01-01387
Total number of active participants reported on line 7a of the Form 55002019-01-01244
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0199
Total of all active and inactive participants2019-01-01343
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01343
Number of participants with account balances2019-01-01254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2018 401k membership
Total participants, beginning-of-year2018-01-01384
Total number of active participants reported on line 7a of the Form 55002018-01-01243
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01142
Total of all active and inactive participants2018-01-01385
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01385
Number of participants with account balances2018-01-01308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2017 401k membership
Total participants, beginning-of-year2017-01-01386
Total number of active participants reported on line 7a of the Form 55002017-01-01264
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01130
Total of all active and inactive participants2017-01-01394
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01394
Number of participants with account balances2017-01-01308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2016 401k membership
Total participants, beginning-of-year2016-01-01392
Total number of active participants reported on line 7a of the Form 55002016-01-01273
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01121
Total of all active and inactive participants2016-01-01394
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01394
Number of participants with account balances2016-01-01308
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2015 401k membership
Total participants, beginning-of-year2015-01-01315
Total number of active participants reported on line 7a of the Form 55002015-01-01210
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0191
Total of all active and inactive participants2015-01-01301
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01301
Number of participants with account balances2015-01-01271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-018
2014: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2014 401k membership
Total participants, beginning-of-year2014-01-01396
Total number of active participants reported on line 7a of the Form 55002014-01-01292
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0192
Total of all active and inactive participants2014-01-01384
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01384
Number of participants with account balances2014-01-01298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2013 401k membership
Total participants, beginning-of-year2013-01-01374
Total number of active participants reported on line 7a of the Form 55002013-01-01321
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0182
Total of all active and inactive participants2013-01-01403
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01403
Number of participants with account balances2013-01-01296
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2012 401k membership
Total participants, beginning-of-year2012-01-01287
Total number of active participants reported on line 7a of the Form 55002012-01-01189
Number of retired or separated participants receiving benefits2012-01-014
Number of other retired or separated participants entitled to future benefits2012-01-01113
Total of all active and inactive participants2012-01-01306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01306
Number of participants with account balances2012-01-01294
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2009: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2009 401k membership
Total participants, beginning-of-year2009-01-01233
Total number of active participants reported on line 7a of the Form 55002009-01-01158
Number of retired or separated participants receiving benefits2009-01-013
Number of other retired or separated participants entitled to future benefits2009-01-0184
Total of all active and inactive participants2009-01-01245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-01246
Number of participants with account balances2009-01-01246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT

Measure Date Value
2022 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-656,049
Total of all expenses incurred2022-12-31$723,786
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$722,421
Value of total corrective distributions2022-12-31$557
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$558,993
Value of total assets at end of year2022-12-31$9,148,606
Value of total assets at beginning of year2022-12-31$10,528,441
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$808
Total interest from all sources2022-12-31$101,381
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$49,282
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$49,282
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
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$448,533
Participant contributions at end of year2022-12-31$70,108
Participant contributions at beginning of year2022-12-31$84,219
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$35,659
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,379,835
Value of net assets at end of year (total assets less liabilities)2022-12-31$9,148,606
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,528,441
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 in registered invesment companies (eg mutual funds) at end of year2022-12-31$5,052,380
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$6,549,017
Interest on participant loans2022-12-31$1,694
Interest earned on other investments2022-12-31$94,059
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$5,628
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$4,026,118
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$3,895,205
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$340,679
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,365,705
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$74,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$381,742
Contract administrator fees2022-12-31$808
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 name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$1,444,887
Total of all expenses incurred2021-12-31$719,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$716,915
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$480,804
Value of total assets at end of year2021-12-31$10,528,441
Value of total assets at beginning of year2021-12-31$9,803,238
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,769
Total interest from all sources2021-12-31$103,938
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$58,181
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$58,181
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$397,544
Participant contributions at end of year2021-12-31$84,219
Participant contributions at beginning of year2021-12-31$117,494
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$58,617
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$725,203
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,528,441
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$9,803,238
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$6,549,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$5,447,581
Interest on participant loans2021-12-31$1,926
Interest earned on other investments2021-12-31$102,012
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$3,895,205
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$4,238,163
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$490,128
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$801,964
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$24,643
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$226,787
Contract administrator fees2021-12-31$2,769
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,386,884
Total of all expenses incurred2020-12-31$858,567
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$854,544
Expenses. Certain deemed distributions of participant loans2020-12-31$272
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$421,310
Value of total assets at end of year2020-12-31$9,803,238
Value of total assets at beginning of year2020-12-31$9,274,921
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,751
Total interest from all sources2020-12-31$113,314
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$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$367,922
Participant contributions at end of year2020-12-31$117,494
Participant contributions at beginning of year2020-12-31$134,790
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$5,842
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$528,317
Value of net assets at end of year (total assets less liabilities)2020-12-31$9,803,238
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$9,274,921
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$5,447,581
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,673,587
Interest on participant loans2020-12-31$3,769
Interest earned on other investments2020-12-31$109,545
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$4,238,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$4,466,544
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$542,391
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$852,260
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$47,546
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$312,153
Contract administrator fees2020-12-31$3,751
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 plan2020-12-31Disclaimer
Accountancy firm name2020-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2020-12-31560747981
2019 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$1,598,361
Total of all expenses incurred2019-12-31$343,427
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$342,629
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$578,028
Value of total assets at end of year2019-12-31$9,274,921
Value of total assets at beginning of year2019-12-31$8,019,987
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$798
Total interest from all sources2019-12-31$109,759
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$1,000,000
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$433,601
Participant contributions at end of year2019-12-31$134,790
Participant contributions at beginning of year2019-12-31$137,516
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$1,254,934
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,274,921
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,019,987
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,673,587
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,831,398
Interest on participant loans2019-12-31$4,331
Interest earned on other investments2019-12-31$105,428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$4,466,544
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$4,051,073
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$910,574
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 contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$144,427
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$342,629
Contract administrator fees2019-12-31$798
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2019-12-31560747981
2018 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$414,057
Total of all expenses incurred2018-12-31$351,042
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$352,027
Expenses. Certain deemed distributions of participant loans2018-12-31$-1,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$613,804
Value of total assets at end of year2018-12-31$8,019,987
Value of total assets at beginning of year2018-12-31$7,956,972
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$471
Total interest from all sources2018-12-31$103,247
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$1,000,000
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$433,699
Participant contributions at end of year2018-12-31$137,516
Participant contributions at beginning of year2018-12-31$154,265
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$30,905
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$63,015
Value of net assets at end of year (total assets less liabilities)2018-12-31$8,019,987
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,956,972
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,831,398
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$3,885,910
Interest on participant loans2018-12-31$3,804
Interest earned on other investments2018-12-31$99,443
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$4,051,073
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$3,916,797
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-302,994
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$149,200
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$352,027
Contract administrator fees2018-12-31$471
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)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2018-12-31560747981
2017 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$1,212,226
Total of all expenses incurred2017-12-31$691,634
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$690,002
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$532,425
Value of total assets at end of year2017-12-31$7,956,972
Value of total assets at beginning of year2017-12-31$7,436,380
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,632
Total interest from all sources2017-12-31$106,456
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$1,000,000
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$398,009
Participant contributions at end of year2017-12-31$154,265
Participant contributions at beginning of year2017-12-31$68,859
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$2,188
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$520,592
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,956,972
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$7,436,380
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$3,885,910
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,166,880
Interest on participant loans2017-12-31$3,067
Interest earned on other investments2017-12-31$103,389
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$3,916,797
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$4,200,641
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$573,345
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$132,228
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$690,002
Contract administrator fees2017-12-31$1,632
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)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2017-12-31560747981
2016 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$920,011
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$252,055
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$251,954
Expenses. Certain deemed distributions of participant loans2016-12-31$-1,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$566,662
Value of total assets at end of year2016-12-31$7,436,380
Value of total assets at beginning of year2016-12-31$6,768,424
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,028
Total interest from all sources2016-12-31$108,193
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
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$1,000,000
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$381,177
Participant contributions at end of year2016-12-31$68,859
Participant contributions at beginning of year2016-12-31$38,002
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$55,863
Administrative expenses (other) incurred2016-12-31$2,028
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$667,956
Value of net assets at end of year (total assets less liabilities)2016-12-31$7,436,380
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,768,424
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,166,880
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,669,807
Interest on participant loans2016-12-31$1,811
Interest earned on other investments2016-12-31$106,382
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$4,200,641
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$4,060,615
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$245,156
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$129,622
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$251,954
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)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2016-12-31560747981
2015 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$664,417
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$397,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$390,619
Expenses. Certain deemed distributions of participant loans2015-12-31$3,952
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$593,040
Value of total assets at end of year2015-12-31$6,768,424
Value of total assets at beginning of year2015-12-31$6,501,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,066
Total interest from all sources2015-12-31$108,230
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
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$1,000,000
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$399,296
Participant contributions at end of year2015-12-31$38,002
Participant contributions at beginning of year2015-12-31$53,620
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$71,495
Administrative expenses (other) incurred2015-12-31$3,066
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$266,780
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,768,424
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,501,644
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,669,807
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$2,595,416
Interest on participant loans2015-12-31$1,357
Interest earned on other investments2015-12-31$106,873
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$4,060,615
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$3,852,608
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-36,853
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$122,249
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$390,619
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2015-12-31560747981
2014 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$950,923
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,041,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,042,343
Expenses. Certain deemed distributions of participant loans2014-12-31$-1,794
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$677,439
Value of total assets at end of year2014-12-31$6,501,644
Value of total assets at beginning of year2014-12-31$6,592,716
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,446
Total interest from all sources2014-12-31$113,412
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
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$1,000,000
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$412,838
Participant contributions at end of year2014-12-31$53,620
Participant contributions at beginning of year2014-12-31$67,212
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$123,512
Administrative expenses (other) incurred2014-12-31$1,446
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-91,072
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,501,644
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$6,592,716
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$2,595,416
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,201,371
Interest on participant loans2014-12-31$1,769
Interest earned on other investments2014-12-31$111,643
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$3,852,608
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$4,324,133
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$160,072
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$141,089
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,042,343
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2014-12-31560747981
2013 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,142,564
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$892,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$857,945
Expenses. Certain deemed distributions of participant loans2013-12-31$34,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$589,097
Value of total assets at end of year2013-12-31$6,592,716
Value of total assets at beginning of year2013-12-31$6,342,933
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$795
Total interest from all sources2013-12-31$127,617
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
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$1,000,000
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$429,644
Participant contributions at end of year2013-12-31$67,212
Participant contributions at beginning of year2013-12-31$120,840
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$3,155
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$249,783
Value of net assets at end of year (total assets less liabilities)2013-12-31$6,592,716
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$6,342,933
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,201,371
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,694,498
Interest on participant loans2013-12-31$2,987
Interest earned on other investments2013-12-31$124,630
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$4,324,133
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$4,527,595
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$425,850
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$156,298
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$857,945
Contract administrator fees2013-12-31$795
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2013-12-31560747981
2012 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$762,499
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$271,582
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$264,626
Expenses. Certain deemed distributions of participant loans2012-12-31$6,518
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$437,419
Value of total assets at end of year2012-12-31$6,342,933
Value of total assets at beginning of year2012-12-31$5,852,016
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$438
Total interest from all sources2012-12-31$132,072
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
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$1,000,000
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$299,451
Participant contributions at end of year2012-12-31$120,840
Participant contributions at beginning of year2012-12-31$127,950
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$15,102
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$490,917
Value of net assets at end of year (total assets less liabilities)2012-12-31$6,342,933
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,852,016
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,694,498
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,422,893
Interest on participant loans2012-12-31$3,662
Interest earned on other investments2012-12-31$128,410
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$4,527,595
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$4,301,173
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$193,008
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 contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$122,866
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$264,626
Contract administrator fees2012-12-31$438
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31DIXON HUGHES GOODMAN
Accountancy firm EIN2012-12-31560747981
2011 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$560,296
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$272,988
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$257,978
Expenses. Certain deemed distributions of participant loans2011-12-31$14,263
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$453,250
Value of total assets at end of year2011-12-31$5,852,016
Value of total assets at beginning of year2011-12-31$5,564,708
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$747
Total interest from all sources2011-12-31$141,398
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
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$1,000,000
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$321,449
Participant contributions at end of year2011-12-31$127,950
Participant contributions at beginning of year2011-12-31$141,341
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$287,308
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,852,016
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$5,564,708
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,422,893
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,553,191
Interest on participant loans2011-12-31$4,088
Interest earned on other investments2011-12-31$137,310
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$4,301,173
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$3,870,176
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-34,352
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$131,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$257,978
Contract administrator fees2011-12-31$747
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31DIXON HUGHES GOODMAN, LLP
Accountancy firm EIN2011-12-31560747981
2010 : CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$783,681
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$294,172
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$292,731
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$465,160
Value of total assets at end of year2010-12-31$5,564,708
Value of total assets at beginning of year2010-12-31$5,075,199
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,441
Total interest from all sources2010-12-31$134,109
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$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$266,038
Participant contributions at end of year2010-12-31$141,341
Participant contributions at beginning of year2010-12-31$56,742
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$80,484
Administrative expenses (other) incurred2010-12-31$1,441
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$489,509
Value of net assets at end of year (total assets less liabilities)2010-12-31$5,564,708
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$5,075,199
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,553,191
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,425,914
Interest on participant loans2010-12-31$3,437
Interest earned on other investments2010-12-31$130,672
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$3,870,176
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$3,592,543
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$184,412
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$118,638
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$292,731
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2010-12-31560747981

Form 5500 Responses for CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT

2022: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2009: CANNON MEMORIAL HOSPITAL EMPLOYEES RETIREMENT PLAN AGREEMENT 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number43587
Policy instance 4
Insurance contract or identification number43587
Number of Individuals Covered133
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG70273
Policy instance 3
Insurance contract or identification numberG70273
Number of Individuals Covered5
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberB01437
Policy instance 2
Insurance contract or identification numberB01437
Number of Individuals Covered2
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number43587
Policy instance 1
Insurance contract or identification number43587
Number of Individuals Covered210
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number43587
Policy instance 1
Insurance contract or identification number43587
Number of Individuals Covered223
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,241
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,161
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberB01437
Policy instance 2
Insurance contract or identification numberB01437
Number of Individuals Covered3
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG70273
Policy instance 3
Insurance contract or identification numberG70273
Number of Individuals Covered5
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number43587
Policy instance 4
Insurance contract or identification number43587
Number of Individuals Covered123
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG70273
Policy instance 3
Insurance contract or identification numberG70273
Number of Individuals Covered5
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberB01437
Policy instance 2
Insurance contract or identification numberB01437
Number of Individuals Covered3
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number43587
Policy instance 1
Insurance contract or identification number43587
Number of Individuals Covered257
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $14,461
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,391
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number43587
Policy instance 1
Insurance contract or identification number43587
Number of Individuals Covered256
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,535
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,857
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberB01437
Policy instance 2
Insurance contract or identification numberB01437
Number of Individuals Covered3
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG70273
Policy instance 3
Insurance contract or identification numberG70273
Number of Individuals Covered5
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number43587
Policy instance 1
Insurance contract or identification number43587
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,776
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberB01437
Policy instance 2
Insurance contract or identification numberB01437
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG70273
Policy instance 3
Insurance contract or identification numberG70273
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG70273
Policy instance 3
Insurance contract or identification numberG70273
Number of Individuals Covered6
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberB01437
Policy instance 2
Insurance contract or identification numberB01437
Number of Individuals Covered3
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number43587
Policy instance 1
Insurance contract or identification number43587
Number of Individuals Covered311
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,666
Insurance broker organization code?3
Insurance broker nameTAYLOR, MARK A

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