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JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 401k Plan overview

Plan NameJTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN
Plan identification number 501

JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

JTS ENTERPRISES OF TAMPA, LTD. has sponsored the creation of one or more 401k plans.

Company Name:JTS ENTERPRISES OF TAMPA, LTD.
Employer identification number (EIN):591682499
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Additional information about JTS ENTERPRISES OF TAMPA, LTD.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1993-12-30
Company Identification Number: A93000001454
Legal Registered Office Address: 4908 WEST NASSAU STREET

TAMPA

33626

More information about JTS ENTERPRISES OF TAMPA, LTD.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01
5012020-12-01
5012019-12-01
5012018-12-01
5012017-12-01
5012016-12-01ADRIENNE HANSON
5012015-12-01CHARLES PETERSON
5012014-12-01CHARLES PETERSON
5012013-12-01CHARLES PETERSON
5012012-12-01CHARLES PETERSON
5012011-12-01CHARLES PETERSON
5012010-12-01CHARLES PETERSON
5012009-12-01CHARLES PETERSON
5012009-12-01CHARLES PETERSON
5012008-12-01

Plan Statistics for JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN

401k plan membership statisitcs for JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN

Measure Date Value
2021: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-01630
Total number of active participants reported on line 7a of the Form 55002021-12-01164
Number of retired or separated participants receiving benefits2021-12-0111
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-01175
2020: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01494
Total number of active participants reported on line 7a of the Form 55002020-12-01623
Number of retired or separated participants receiving benefits2020-12-017
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-01630
2019: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01595
Total number of active participants reported on line 7a of the Form 55002019-12-01484
Number of retired or separated participants receiving benefits2019-12-0110
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01494
2018: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01563
Total number of active participants reported on line 7a of the Form 55002018-12-01594
Number of retired or separated participants receiving benefits2018-12-011
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01595
2017: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01659
Total number of active participants reported on line 7a of the Form 55002017-12-01562
Number of retired or separated participants receiving benefits2017-12-011
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01563
2016: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01531
Total number of active participants reported on line 7a of the Form 55002016-12-01659
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01659
2015: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-01493
Total number of active participants reported on line 7a of the Form 55002015-12-01531
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-01531
2014: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-01484
Total number of active participants reported on line 7a of the Form 55002014-12-01493
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-010
Total of all active and inactive participants2014-12-01493
2013: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01486
Total number of active participants reported on line 7a of the Form 55002013-12-01484
Number of retired or separated participants receiving benefits2013-12-010
Number of other retired or separated participants entitled to future benefits2013-12-010
Total of all active and inactive participants2013-12-01484
2012: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-01549
Total number of active participants reported on line 7a of the Form 55002012-12-01486
Number of retired or separated participants receiving benefits2012-12-010
Number of other retired or separated participants entitled to future benefits2012-12-010
Total of all active and inactive participants2012-12-01486
2011: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-01445
Total number of active participants reported on line 7a of the Form 55002011-12-01549
Number of retired or separated participants receiving benefits2011-12-010
Number of other retired or separated participants entitled to future benefits2011-12-010
Total of all active and inactive participants2011-12-01549
2010: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-12-01527
Total number of active participants reported on line 7a of the Form 55002010-12-01445
Number of retired or separated participants receiving benefits2010-12-010
Number of other retired or separated participants entitled to future benefits2010-12-010
Total of all active and inactive participants2010-12-01445
2009: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-01540
Total number of active participants reported on line 7a of the Form 55002009-12-01527
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-010
Total of all active and inactive participants2009-12-01527

Financial Data on JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN

Measure Date Value
2022 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$602,232
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$605,541
Total income from all sources (including contributions)2022-11-30$6,020,991
Total loss/gain on sale of assets2022-11-30$0
Total of all expenses incurred2022-11-30$6,020,991
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-11-30$5,442,638
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-11-30$5,808,958
Value of total assets at end of year2022-11-30$602,232
Value of total assets at beginning of year2022-11-30$605,541
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-11-30$578,353
Total interest from all sources2022-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-11-30No
Administrative expenses professional fees incurred2022-11-30$578,353
Was this plan covered by a fidelity bond2022-11-30Yes
Value of fidelity bond cover2022-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2022-11-30No
Contributions received from participants2022-11-30$1,159,210
Assets. Other investments not covered elsewhere at end of year2022-11-30$99,000
Assets. Other investments not covered elsewhere at beginning of year2022-11-30$0
Income. Received or receivable in cash from other sources (including rollovers)2022-11-30$126,676
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-11-30$1,552
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-11-30$30,300
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-11-30$252,408
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-11-30$0
Other income not declared elsewhere2022-11-30$212,033
Liabilities. Value of operating payables at end of year2022-11-30$91,714
Liabilities. Value of operating payables at beginning of year2022-11-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Value of net income/loss2022-11-30$0
Value of net assets at end of year (total assets less liabilities)2022-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2022-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-11-30No
Were any leases to which the plan was party in default or uncollectible2022-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-11-30$501,680
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-11-30$62,397
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-11-30$62,397
Expenses. Payments to insurance carriers foe the provision of benefits2022-11-30$759,368
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-11-30No
Was there a failure to transmit to the plan any participant contributions2022-11-30No
Has the plan failed to provide any benefit when due under the plan2022-11-30No
Contributions received in cash from employer2022-11-30$4,523,072
Employer contributions (assets) at end of year2022-11-30$0
Employer contributions (assets) at beginning of year2022-11-30$512,844
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-11-30$4,683,270
Liabilities. Value of benefit claims payable at end of year2022-11-30$258,110
Liabilities. Value of benefit claims payable at beginning of year2022-11-30$605,541
Did the plan have assets held for investment2022-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-11-30No
Opinion of an independent qualified public accountant for this plan2022-11-30Unqualified
Accountancy firm name2022-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2022-11-30560574444
2021 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$605,541
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$832,436
Total income from all sources (including contributions)2021-11-30$4,723,581
Total loss/gain on sale of assets2021-11-30$0
Total of all expenses incurred2021-11-30$4,723,581
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-11-30$4,293,932
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-11-30$4,614,585
Value of total assets at end of year2021-11-30$605,541
Value of total assets at beginning of year2021-11-30$832,436
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-11-30$429,649
Total interest from all sources2021-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2021-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-11-30No
Administrative expenses professional fees incurred2021-11-30$28,105
Was this plan covered by a fidelity bond2021-11-30Yes
Value of fidelity bond cover2021-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2021-11-30No
Contributions received from participants2021-11-30$1,181,311
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-11-30$30,300
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-11-30$49,211
Other income not declared elsewhere2021-11-30$108,996
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Value of net income/loss2021-11-30$0
Value of net assets at end of year (total assets less liabilities)2021-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2021-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-11-30No
Were any leases to which the plan was party in default or uncollectible2021-11-30No
Investment advisory and management fees2021-11-30$3,234
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-11-30$62,397
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-11-30$437,505
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-11-30$437,505
Expenses. Payments to insurance carriers foe the provision of benefits2021-11-30$651,959
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-11-30No
Was there a failure to transmit to the plan any participant contributions2021-11-30No
Has the plan failed to provide any benefit when due under the plan2021-11-30No
Contributions received in cash from employer2021-11-30$3,433,274
Employer contributions (assets) at end of year2021-11-30$512,844
Employer contributions (assets) at beginning of year2021-11-30$345,720
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-11-30$3,641,973
Contract administrator fees2021-11-30$398,310
Liabilities. Value of benefit claims payable at end of year2021-11-30$605,541
Liabilities. Value of benefit claims payable at beginning of year2021-11-30$832,436
Did the plan have assets held for investment2021-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-11-30No
Opinion of an independent qualified public accountant for this plan2021-11-30Unqualified
Accountancy firm name2021-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2021-11-30560574444
2020 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$832,436
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$626,000
Total income from all sources (including contributions)2020-11-30$5,655,936
Total loss/gain on sale of assets2020-11-30$0
Total of all expenses incurred2020-11-30$5,655,936
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-11-30$5,186,978
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-11-30$5,497,051
Value of total assets at end of year2020-11-30$832,436
Value of total assets at beginning of year2020-11-30$626,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-11-30$468,958
Total interest from all sources2020-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-11-30No
Administrative expenses professional fees incurred2020-11-30$2,900
Was this plan covered by a fidelity bond2020-11-30Yes
Value of fidelity bond cover2020-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-11-30No
Contributions received from participants2020-11-30$1,490,563
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-11-30$49,211
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-11-30$1,369
Other income not declared elsewhere2020-11-30$158,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Value of net income/loss2020-11-30$0
Value of net assets at end of year (total assets less liabilities)2020-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2020-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-11-30No
Were any leases to which the plan was party in default or uncollectible2020-11-30No
Investment advisory and management fees2020-11-30$1,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-11-30$437,505
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-11-30$45,075
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-11-30$45,075
Expenses. Payments to insurance carriers foe the provision of benefits2020-11-30$866,311
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-11-30No
Was there a failure to transmit to the plan any participant contributions2020-11-30No
Has the plan failed to provide any benefit when due under the plan2020-11-30No
Contributions received in cash from employer2020-11-30$4,006,488
Employer contributions (assets) at end of year2020-11-30$345,720
Employer contributions (assets) at beginning of year2020-11-30$579,556
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-11-30$4,320,667
Contract administrator fees2020-11-30$464,933
Liabilities. Value of benefit claims payable at end of year2020-11-30$832,436
Liabilities. Value of benefit claims payable at beginning of year2020-11-30$626,000
Did the plan have assets held for investment2020-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-11-30No
Opinion of an independent qualified public accountant for this plan2020-11-30Unqualified
Accountancy firm name2020-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2020-11-30560574444
2019 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$626,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$725,555
Total income from all sources (including contributions)2019-11-30$6,006,641
Total loss/gain on sale of assets2019-11-30$0
Total of all expenses incurred2019-11-30$6,006,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-11-30$5,455,738
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-11-30$6,006,625
Value of total assets at end of year2019-11-30$626,000
Value of total assets at beginning of year2019-11-30$725,555
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-11-30$550,903
Total interest from all sources2019-11-30$16
Total dividends received (eg from common stock, registered investment company shares)2019-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-11-30No
Administrative expenses professional fees incurred2019-11-30$25,200
Was this plan covered by a fidelity bond2019-11-30Yes
Value of fidelity bond cover2019-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-11-30No
Contributions received from participants2019-11-30$1,602,481
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-11-30$1,369
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-11-30$53,698
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Value of net income/loss2019-11-30$0
Value of net assets at end of year (total assets less liabilities)2019-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2019-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-11-30No
Were any leases to which the plan was party in default or uncollectible2019-11-30No
Investment advisory and management fees2019-11-30$2,082
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-11-30$45,075
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-11-30$422,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-11-30$422,004
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-11-30$16
Expenses. Payments to insurance carriers foe the provision of benefits2019-11-30$1,006,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-11-30No
Was there a failure to transmit to the plan any participant contributions2019-11-30No
Has the plan failed to provide any benefit when due under the plan2019-11-30No
Contributions received in cash from employer2019-11-30$4,404,144
Employer contributions (assets) at end of year2019-11-30$579,556
Employer contributions (assets) at beginning of year2019-11-30$249,853
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-11-30$4,449,067
Contract administrator fees2019-11-30$523,621
Liabilities. Value of benefit claims payable at end of year2019-11-30$626,000
Liabilities. Value of benefit claims payable at beginning of year2019-11-30$725,555
Did the plan have assets held for investment2019-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-11-30No
Opinion of an independent qualified public accountant for this plan2019-11-30Unqualified
Accountancy firm name2019-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2019-11-30560574444
2018 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$725,555
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$653,261
Total income from all sources (including contributions)2018-11-30$6,161,168
Total loss/gain on sale of assets2018-11-30$0
Total of all expenses incurred2018-11-30$6,161,168
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-11-30$5,704,293
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-11-30$5,489,694
Value of total assets at end of year2018-11-30$725,555
Value of total assets at beginning of year2018-11-30$653,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-11-30$456,875
Total interest from all sources2018-11-30$24
Total dividends received (eg from common stock, registered investment company shares)2018-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-11-30No
Administrative expenses professional fees incurred2018-11-30$25,611
Was this plan covered by a fidelity bond2018-11-30Yes
Value of fidelity bond cover2018-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-11-30No
Contributions received from participants2018-11-30$1,590,285
Assets. Other investments not covered elsewhere at end of year2018-11-30$0
Assets. Other investments not covered elsewhere at beginning of year2018-11-30$56,562
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-11-30$53,698
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-11-30$314,253
Other income not declared elsewhere2018-11-30$671,450
Liabilities. Value of operating payables at end of year2018-11-30$0
Liabilities. Value of operating payables at beginning of year2018-11-30$66,166
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Value of net income/loss2018-11-30$0
Value of net assets at end of year (total assets less liabilities)2018-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2018-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-11-30No
Were any leases to which the plan was party in default or uncollectible2018-11-30No
Investment advisory and management fees2018-11-30$19,354
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-11-30$422,004
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-11-30$81,971
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-11-30$81,971
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-11-30$24
Expenses. Payments to insurance carriers foe the provision of benefits2018-11-30$998,644
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-11-30No
Was there a failure to transmit to the plan any participant contributions2018-11-30No
Has the plan failed to provide any benefit when due under the plan2018-11-30No
Contributions received in cash from employer2018-11-30$3,899,409
Employer contributions (assets) at end of year2018-11-30$249,853
Employer contributions (assets) at beginning of year2018-11-30$200,475
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-11-30$4,705,649
Contract administrator fees2018-11-30$411,910
Liabilities. Value of benefit claims payable at end of year2018-11-30$725,555
Liabilities. Value of benefit claims payable at beginning of year2018-11-30$587,095
Did the plan have assets held for investment2018-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-11-30No
Opinion of an independent qualified public accountant for this plan2018-11-30Unqualified
Accountancy firm name2018-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2018-11-30560574444
2017 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$653,261
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$680,287
Total income from all sources (including contributions)2017-11-30$6,173,264
Total loss/gain on sale of assets2017-11-30$0
Total of all expenses incurred2017-11-30$6,173,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-30$5,704,166
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-30$5,866,583
Value of total assets at end of year2017-11-30$653,261
Value of total assets at beginning of year2017-11-30$680,287
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-11-30$469,098
Total interest from all sources2017-11-30$10
Total dividends received (eg from common stock, registered investment company shares)2017-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-30No
Administrative expenses professional fees incurred2017-11-30$22,865
Was this plan covered by a fidelity bond2017-11-30Yes
Value of fidelity bond cover2017-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2017-11-30No
Contributions received from participants2017-11-30$1,437,371
Assets. Other investments not covered elsewhere at end of year2017-11-30$56,562
Assets. Other investments not covered elsewhere at beginning of year2017-11-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-11-30$314,253
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-11-30$102,058
Other income not declared elsewhere2017-11-30$306,671
Administrative expenses (other) incurred2017-11-30$2,243
Liabilities. Value of operating payables at end of year2017-11-30$66,166
Liabilities. Value of operating payables at beginning of year2017-11-30$58,451
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Value of net income/loss2017-11-30$0
Value of net assets at end of year (total assets less liabilities)2017-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2017-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-30No
Were any leases to which the plan was party in default or uncollectible2017-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-11-30$81,971
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-11-30$27,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-11-30$27,467
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-11-30$10
Expenses. Payments to insurance carriers foe the provision of benefits2017-11-30$1,157,294
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-30No
Was there a failure to transmit to the plan any participant contributions2017-11-30No
Has the plan failed to provide any benefit when due under the plan2017-11-30No
Contributions received in cash from employer2017-11-30$4,429,212
Employer contributions (assets) at end of year2017-11-30$200,475
Employer contributions (assets) at beginning of year2017-11-30$550,762
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-11-30$4,546,872
Contract administrator fees2017-11-30$443,990
Liabilities. Value of benefit claims payable at end of year2017-11-30$587,095
Liabilities. Value of benefit claims payable at beginning of year2017-11-30$621,836
Did the plan have assets held for investment2017-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-30No
Opinion of an independent qualified public accountant for this plan2017-11-30Unqualified
Accountancy firm name2017-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2017-11-30560574444
2016 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$680,287
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$748,301
Total income from all sources (including contributions)2016-11-30$6,540,570
Total loss/gain on sale of assets2016-11-30$0
Total of all expenses incurred2016-11-30$6,540,570
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-11-30$6,203,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-11-30$5,312,068
Value of total assets at end of year2016-11-30$680,287
Value of total assets at beginning of year2016-11-30$748,301
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-11-30$336,631
Total interest from all sources2016-11-30$23
Total dividends received (eg from common stock, registered investment company shares)2016-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-11-30No
Administrative expenses professional fees incurred2016-11-30$17,079
Was this plan covered by a fidelity bond2016-11-30Yes
Value of fidelity bond cover2016-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2016-11-30No
Contributions received from participants2016-11-30$1,440,379
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-11-30$102,058
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-11-30$205,775
Other income not declared elsewhere2016-11-30$1,228,479
Administrative expenses (other) incurred2016-11-30$3,423
Liabilities. Value of operating payables at end of year2016-11-30$58,451
Liabilities. Value of operating payables at beginning of year2016-11-30$64,013
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Value of net income/loss2016-11-30$0
Value of net assets at end of year (total assets less liabilities)2016-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2016-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-11-30No
Were any leases to which the plan was party in default or uncollectible2016-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-11-30$27,467
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-11-30$158,196
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-11-30$158,196
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-11-30$23
Expenses. Payments to insurance carriers foe the provision of benefits2016-11-30$1,460,188
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-11-30No
Was there a failure to transmit to the plan any participant contributions2016-11-30No
Has the plan failed to provide any benefit when due under the plan2016-11-30No
Contributions received in cash from employer2016-11-30$3,871,689
Employer contributions (assets) at end of year2016-11-30$550,762
Employer contributions (assets) at beginning of year2016-11-30$384,330
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-11-30$4,743,751
Contract administrator fees2016-11-30$316,129
Liabilities. Value of benefit claims payable at end of year2016-11-30$621,836
Liabilities. Value of benefit claims payable at beginning of year2016-11-30$684,288
Did the plan have assets held for investment2016-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-11-30No
Opinion of an independent qualified public accountant for this plan2016-11-30Unqualified
Accountancy firm name2016-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2016-11-30560574444
2015 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$748,301
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$513,834
Total income from all sources (including contributions)2015-11-30$6,130,964
Total loss/gain on sale of assets2015-11-30$0
Total of all expenses incurred2015-11-30$6,130,964
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-11-30$5,811,254
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-11-30$4,888,274
Value of total assets at end of year2015-11-30$748,301
Value of total assets at beginning of year2015-11-30$513,834
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-11-30$319,710
Total interest from all sources2015-11-30$71
Total dividends received (eg from common stock, registered investment company shares)2015-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-11-30No
Administrative expenses professional fees incurred2015-11-30$14,500
Was this plan covered by a fidelity bond2015-11-30Yes
Value of fidelity bond cover2015-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2015-11-30No
Contributions received from participants2015-11-30$1,283,022
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-11-30$205,775
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-11-30$184,269
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-11-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-11-30$100,479
Other income not declared elsewhere2015-11-30$1,242,619
Administrative expenses (other) incurred2015-11-30$1,461
Liabilities. Value of operating payables at end of year2015-11-30$64,013
Liabilities. Value of operating payables at beginning of year2015-11-30$55,442
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Value of net income/loss2015-11-30$0
Value of net assets at end of year (total assets less liabilities)2015-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2015-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-11-30No
Were any leases to which the plan was party in default or uncollectible2015-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-11-30$158,196
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-11-30$189,099
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-11-30$189,099
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-11-30$71
Expenses. Payments to insurance carriers foe the provision of benefits2015-11-30$1,153,579
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-11-30No
Was there a failure to transmit to the plan any participant contributions2015-11-30No
Has the plan failed to provide any benefit when due under the plan2015-11-30No
Contributions received in cash from employer2015-11-30$3,605,252
Employer contributions (assets) at end of year2015-11-30$384,330
Employer contributions (assets) at beginning of year2015-11-30$140,466
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-11-30$4,657,675
Contract administrator fees2015-11-30$303,749
Liabilities. Value of benefit claims payable at end of year2015-11-30$684,288
Liabilities. Value of benefit claims payable at beginning of year2015-11-30$357,913
Did the plan have assets held for investment2015-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-11-30No
Opinion of an independent qualified public accountant for this plan2015-11-30Unqualified
Accountancy firm name2015-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2015-11-30560574444
2014 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$513,834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$479,106
Total income from all sources (including contributions)2014-11-30$4,844,639
Total loss/gain on sale of assets2014-11-30$0
Total of all expenses incurred2014-11-30$4,844,639
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-11-30$4,550,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-11-30$4,435,627
Value of total assets at end of year2014-11-30$513,834
Value of total assets at beginning of year2014-11-30$479,106
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-11-30$293,787
Total interest from all sources2014-11-30$38
Total dividends received (eg from common stock, registered investment company shares)2014-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-11-30No
Administrative expenses professional fees incurred2014-11-30$14,090
Was this plan covered by a fidelity bond2014-11-30Yes
Value of fidelity bond cover2014-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2014-11-30No
Contributions received from participants2014-11-30$1,247,379
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-11-30$184,269
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-11-30$34,333
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-11-30$100,479
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-11-30$88,920
Other income not declared elsewhere2014-11-30$408,974
Liabilities. Value of operating payables at end of year2014-11-30$55,442
Liabilities. Value of operating payables at beginning of year2014-11-30$48,183
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Value of net income/loss2014-11-30$0
Value of net assets at end of year (total assets less liabilities)2014-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2014-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-11-30No
Were any leases to which the plan was party in default or uncollectible2014-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-11-30$189,099
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-11-30$109,832
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-11-30$109,832
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-11-30$38
Expenses. Payments to insurance carriers foe the provision of benefits2014-11-30$1,131,157
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-11-30No
Was there a failure to transmit to the plan any participant contributions2014-11-30No
Has the plan failed to provide any benefit when due under the plan2014-11-30No
Contributions received in cash from employer2014-11-30$3,188,248
Employer contributions (assets) at end of year2014-11-30$140,466
Employer contributions (assets) at beginning of year2014-11-30$334,941
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-11-30$3,419,695
Contract administrator fees2014-11-30$279,697
Liabilities. Value of benefit claims payable at end of year2014-11-30$357,913
Liabilities. Value of benefit claims payable at beginning of year2014-11-30$342,003
Did the plan have assets held for investment2014-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-11-30No
Opinion of an independent qualified public accountant for this plan2014-11-30Unqualified
Accountancy firm name2014-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2014-11-30560574444
2013 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$479,106
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$530,002
Total income from all sources (including contributions)2013-11-30$4,365,405
Total loss/gain on sale of assets2013-11-30$0
Total of all expenses incurred2013-11-30$4,365,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-11-30$4,083,477
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-11-30$4,017,741
Value of total assets at end of year2013-11-30$479,106
Value of total assets at beginning of year2013-11-30$530,002
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-11-30$281,928
Total interest from all sources2013-11-30$56
Total dividends received (eg from common stock, registered investment company shares)2013-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-11-30No
Administrative expenses professional fees incurred2013-11-30$24,871
Was this plan covered by a fidelity bond2013-11-30Yes
Value of fidelity bond cover2013-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2013-11-30No
Contributions received from participants2013-11-30$869,296
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-11-30$34,333
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-11-30$179,024
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-11-30$88,920
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-11-30$77,237
Other income not declared elsewhere2013-11-30$347,608
Liabilities. Value of operating payables at end of year2013-11-30$48,183
Liabilities. Value of operating payables at beginning of year2013-11-30$51,413
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Value of net income/loss2013-11-30$0
Value of net assets at end of year (total assets less liabilities)2013-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2013-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-11-30No
Were any leases to which the plan was party in default or uncollectible2013-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-11-30$109,832
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-11-30$283,622
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-11-30$283,622
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-11-30$56
Expenses. Payments to insurance carriers foe the provision of benefits2013-11-30$975,704
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-11-30No
Was there a failure to transmit to the plan any participant contributions2013-11-30No
Has the plan failed to provide any benefit when due under the plan2013-11-30No
Contributions received in cash from employer2013-11-30$3,148,445
Employer contributions (assets) at end of year2013-11-30$334,941
Employer contributions (assets) at beginning of year2013-11-30$67,356
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-11-30$3,107,773
Contract administrator fees2013-11-30$257,057
Liabilities. Value of benefit claims payable at end of year2013-11-30$342,003
Liabilities. Value of benefit claims payable at beginning of year2013-11-30$401,352
Did the plan have assets held for investment2013-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-11-30No
Opinion of an independent qualified public accountant for this plan2013-11-30Unqualified
Accountancy firm name2013-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2013-11-30560574444
2012 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$530,002
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$556,967
Total income from all sources (including contributions)2012-11-30$5,672,775
Total loss/gain on sale of assets2012-11-30$0
Total of all expenses incurred2012-11-30$5,672,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-11-30$5,395,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-11-30$4,398,644
Value of total assets at end of year2012-11-30$530,002
Value of total assets at beginning of year2012-11-30$556,967
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-11-30$277,245
Total interest from all sources2012-11-30$62
Total dividends received (eg from common stock, registered investment company shares)2012-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-11-30No
Administrative expenses professional fees incurred2012-11-30$16,000
Was this plan covered by a fidelity bond2012-11-30Yes
Value of fidelity bond cover2012-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2012-11-30No
Contributions received from participants2012-11-30$838,894
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-11-30$179,024
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-11-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-11-30$77,237
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-11-30$0
Other income not declared elsewhere2012-11-30$1,274,069
Liabilities. Value of operating payables at end of year2012-11-30$51,413
Liabilities. Value of operating payables at beginning of year2012-11-30$46,540
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Value of net income/loss2012-11-30$0
Value of net assets at end of year (total assets less liabilities)2012-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2012-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-11-30No
Were any leases to which the plan was party in default or uncollectible2012-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-11-30$283,622
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-11-30$166,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-11-30$166,479
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-11-30$62
Expenses. Payments to insurance carriers foe the provision of benefits2012-11-30$823,732
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-11-30No
Was there a failure to transmit to the plan any participant contributions2012-11-30No
Has the plan failed to provide any benefit when due under the plan2012-11-30No
Contributions received in cash from employer2012-11-30$3,559,750
Employer contributions (assets) at end of year2012-11-30$67,356
Employer contributions (assets) at beginning of year2012-11-30$390,488
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-11-30$4,571,798
Contract administrator fees2012-11-30$261,245
Liabilities. Value of benefit claims payable at end of year2012-11-30$401,352
Liabilities. Value of benefit claims payable at beginning of year2012-11-30$510,427
Did the plan have assets held for investment2012-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-11-30No
Opinion of an independent qualified public accountant for this plan2012-11-30Unqualified
Accountancy firm name2012-11-30CHERRY BEKAERT LLP
Accountancy firm EIN2012-11-30560574444
2011 : JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$556,967
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$545,973
Total income from all sources (including contributions)2011-11-30$4,106,932
Total loss/gain on sale of assets2011-11-30$0
Total of all expenses incurred2011-11-30$4,106,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-11-30$3,817,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-11-30$3,937,204
Value of total assets at end of year2011-11-30$556,967
Value of total assets at beginning of year2011-11-30$545,973
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-11-30$289,402
Total interest from all sources2011-11-30$37
Total dividends received (eg from common stock, registered investment company shares)2011-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-11-30No
Administrative expenses professional fees incurred2011-11-30$18,200
Was this plan covered by a fidelity bond2011-11-30Yes
Value of fidelity bond cover2011-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-11-30No
Contributions received from participants2011-11-30$765,172
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-11-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-11-30$9,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-11-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-11-30$113,576
Other income not declared elsewhere2011-11-30$169,691
Liabilities. Value of operating payables at end of year2011-11-30$46,540
Liabilities. Value of operating payables at beginning of year2011-11-30$27,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Value of net income/loss2011-11-30$0
Value of net assets at end of year (total assets less liabilities)2011-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2011-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-11-30No
Were any leases to which the plan was party in default or uncollectible2011-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-11-30$166,479
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-11-30$61,017
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-11-30$61,017
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-11-30$37
Expenses. Payments to insurance carriers foe the provision of benefits2011-11-30$722,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-11-30No
Was there a failure to transmit to the plan any participant contributions2011-11-30No
Has the plan failed to provide any benefit when due under the plan2011-11-30No
Contributions received in cash from employer2011-11-30$3,172,032
Employer contributions (assets) at end of year2011-11-30$390,488
Employer contributions (assets) at beginning of year2011-11-30$475,956
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-11-30$3,094,984
Contract administrator fees2011-11-30$271,202
Liabilities. Value of benefit claims payable at end of year2011-11-30$510,427
Liabilities. Value of benefit claims payable at beginning of year2011-11-30$405,354
Did the plan have assets held for investment2011-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-11-30No
Opinion of an independent qualified public accountant for this plan2011-11-30Unqualified
Accountancy firm name2011-11-30CHERRY, BEKAERT & HOLLAND, LLP
Accountancy firm EIN2011-11-30560574444

Form 5500 Responses for JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN

2021: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2020: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – TrustYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes
2019: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – TrustYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement - TrustYes
2018: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planNo
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – TrustYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement - TrustYes
2017: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planNo
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – TrustYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement - TrustYes
2016: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – TrustYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement - TrustYes
2015: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan funding arrangement – TrustYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement - TrustYes
2014: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan funding arrangement – TrustYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement - TrustYes
2013: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan funding arrangement – TrustYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement - TrustYes
2012: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan funding arrangement – TrustYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-12-01Plan benefit arrangement - TrustYes
2011: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planNo
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan funding arrangement – TrustYes
2011-12-01Plan benefit arrangement – InsuranceYes
2011-12-01Plan benefit arrangement - TrustYes
2010: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2010 form 5500 responses
2010-12-01Type of plan entitySingle employer plan
2010-12-01Submission has been amendedNo
2010-12-01This submission is the final filingNo
2010-12-01This return/report is a short plan year return/report (less than 12 months)No
2010-12-01Plan is a collectively bargained planNo
2010-12-01Plan funding arrangement – InsuranceYes
2010-12-01Plan funding arrangement – TrustYes
2010-12-01Plan benefit arrangement – InsuranceYes
2010-12-01Plan benefit arrangement - TrustYes
2009: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedYes
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement - TrustYes
2008: JTS ENTERPRISES OF TAMPA, LIMITED HEALTHCARE BENEFIT PLAN 2008 form 5500 responses
2008-12-01Type of plan entitySingle employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number849498
Policy instance 4
Insurance contract or identification number849498
Number of Individuals Covered121
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $2,928
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $36,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,928
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number941747
Policy instance 3
Insurance contract or identification number941747
Number of Individuals Covered589
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $11,152
Total amount of fees paid to insurance companyUSD $3,798
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEMPLOYEE, SPOUSE AND CHILD VOLUNTARY LIFE AND AD&D
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 $317,515
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,152
Amount paid for insurance broker fees3798
Additional information about fees paid to insurance brokerBONUSES
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number71710-0
Policy instance 2
Insurance contract or identification number71710-0
Number of Individuals Covered153
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $15,919
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS & HOSPITAL CONFINEMENT
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 $49,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,919
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number849498
Policy instance 1
Insurance contract or identification number849498
Number of Individuals Covered164
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $192,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number941826
Policy instance 4
Insurance contract or identification number941826
Number of Individuals Covered164
Insurance policy start date2021-09-01
Insurance policy end date2021-11-30
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 $104,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number941826
Policy instance 3
Insurance contract or identification number941826
Number of Individuals Covered482
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,812
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 $421,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2812
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number71710-0
Policy instance 2
Insurance contract or identification number71710-0
Number of Individuals Covered177
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $22,969
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS & HOSPITAL CONFINEMENT
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 $37,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,969
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerWRITING AGENT
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number941747
Policy instance 1
Insurance contract or identification number941747
Number of Individuals Covered1362
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $11,150
Total amount of fees paid to insurance companyUSD $4,005
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOLUNTARY LIFE AND AD&D
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 $196,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,150
Insurance broker organization code?3
Amount paid for insurance broker fees4005
Additional information about fees paid to insurance brokerBONUSES
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberEMCL18100598
Policy instance 4
Insurance contract or identification numberEMCL18100598
Number of Individuals Covered457
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
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 $472,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL110031700
Policy instance 3
Insurance contract or identification numberESL110031700
Number of Individuals Covered0
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $6,818
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $68,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number80866
Policy instance 2
Insurance contract or identification number80866
Number of Individuals Covered256
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $24,706
Total amount of fees paid to insurance companyUSD $1,419
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCANCER
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 $205,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00542526
Policy instance 1
Insurance contract or identification number00542526
Number of Individuals Covered596
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $5,630
Total amount of fees paid to insurance companyUSD $4,830
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $225,694
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL110031700
Policy instance 3
Insurance contract or identification numberESL110031700
Number of Individuals Covered600
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $1,426
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedTRANSPLANT
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 $28,533
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,426
Insurance broker organization code?3
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number80866
Policy instance 2
Insurance contract or identification number80866
Number of Individuals Covered352
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $30,886
Total amount of fees paid to insurance companyUSD $1,377
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCANCER
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 $222,658
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,512
Amount paid for insurance broker fees454
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00542526
Policy instance 1
Insurance contract or identification number00542526
Number of Individuals Covered699
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $21,071
Total amount of fees paid to insurance companyUSD $11,553
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $254,026
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,071
Amount paid for insurance broker fees11553
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
WESTPOINT INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 39845 )
Policy contract numberESL100066600
Policy instance 3
Insurance contract or identification numberESL100066600
Number of Individuals Covered556
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
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 $474,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number80866
Policy instance 2
Insurance contract or identification number80866
Number of Individuals Covered383
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $32,628
Total amount of fees paid to insurance companyUSD $1,908
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCANCER
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 $231,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00542526
Policy instance 1
Insurance contract or identification number00542526
Number of Individuals Covered692
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $23,190
Total amount of fees paid to insurance companyUSD $1,855
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $310,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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