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BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 401k Plan overview

Plan NameBAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN
Plan identification number 003

BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BAKER COUNTY MEDICAL SERVICES INC has sponsored the creation of one or more 401k plans.

Company Name:BAKER COUNTY MEDICAL SERVICES INC
Employer identification number (EIN):593202547
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01TIFFANY VARNADOE2023-10-11
0032021-01-01TIFFANY VARNADOE2022-10-14
0032020-01-01TIFFANY VARNADOE2021-10-14
0032019-01-01
0032018-01-01
0032017-01-01STACEY CONNER
0032016-01-01TRICIA MARTIN TRICIA MARTIN2017-10-02
0032015-01-01WILLIAM DUDLEY WILLIAM DUDLEY2016-10-05
0032014-01-01WILLIAM DUDLEY WILLIAM DUDLEY2015-10-14
0032013-01-01WILLIAM DUDLEY WILLIAM DUDLEY2014-10-08
0032012-01-01MARIA ALLEN
0032011-01-01MARIA ALLEN
0032010-01-01MARIA ALLEN
0032009-01-01MARIA ALLEN
0032009-01-01MARIA ALLEN

Plan Statistics for BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN

401k plan membership statisitcs for BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN

Measure Date Value
2022: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01572
Total number of active participants reported on line 7a of the Form 55002022-01-01326
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01237
Total of all active and inactive participants2022-01-01563
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-01564
Number of participants with account balances2022-01-01416
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-016
2021: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01595
Total number of active participants reported on line 7a of the Form 55002021-01-01344
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01213
Total of all active and inactive participants2021-01-01557
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-011
Total participants2021-01-01558
Number of participants with account balances2021-01-01415
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0112
2020: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01568
Total number of active participants reported on line 7a of the Form 55002020-01-01371
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01206
Total of all active and inactive participants2020-01-01577
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01577
Number of participants with account balances2020-01-01441
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0116
2019: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01565
Total number of active participants reported on line 7a of the Form 55002019-01-01395
Number of other retired or separated participants entitled to future benefits2019-01-01176
Total of all active and inactive participants2019-01-01571
Total participants2019-01-01571
Number of participants with account balances2019-01-01440
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0114
2018: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01537
Total number of active participants reported on line 7a of the Form 55002018-01-01402
Number of other retired or separated participants entitled to future benefits2018-01-01160
Total of all active and inactive participants2018-01-01562
Total participants2018-01-01562
Number of participants with account balances2018-01-01434
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0113
2017: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01536
Total number of active participants reported on line 7a of the Form 55002017-01-01404
Number of other retired or separated participants entitled to future benefits2017-01-01146
Total of all active and inactive participants2017-01-01550
Total participants2017-01-01550
Number of participants with account balances2017-01-01425
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0113
2016: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01524
Total number of active participants reported on line 7a of the Form 55002016-01-01403
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01144
Total of all active and inactive participants2016-01-01547
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01547
Number of participants with account balances2016-01-01391
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0119
2015: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01486
Total number of active participants reported on line 7a of the Form 55002015-01-01391
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01135
Total of all active and inactive participants2015-01-01526
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01526
Number of participants with account balances2015-01-01377
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-019
2014: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01456
Total number of active participants reported on line 7a of the Form 55002014-01-01372
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0155
Total of all active and inactive participants2014-01-01427
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01427
Number of participants with account balances2014-01-01358
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-017
2013: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01366
Total number of active participants reported on line 7a of the Form 55002013-01-01243
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01131
Total of all active and inactive participants2013-01-01374
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01374
Number of participants with account balances2013-01-01355
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01346
Total number of active participants reported on line 7a of the Form 55002012-01-01218
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01128
Total of all active and inactive participants2012-01-01346
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01346
Number of participants with account balances2012-01-01318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01303
Total number of active participants reported on line 7a of the Form 55002011-01-01184
Number of retired or separated participants receiving benefits2011-01-012
Number of other retired or separated participants entitled to future benefits2011-01-01119
Total of all active and inactive participants2011-01-01305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01305
Number of participants with account balances2011-01-01304
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-014
2010: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01299
Total number of active participants reported on line 7a of the Form 55002010-01-01187
Number of retired or separated participants receiving benefits2010-01-0110
Number of other retired or separated participants entitled to future benefits2010-01-019
Total of all active and inactive participants2010-01-01206
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-011
Total participants2010-01-01207
Number of participants with account balances2010-01-01297
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-014
2009: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-010
Total number of active participants reported on line 7a of the Form 55002009-01-01167
Number of retired or separated participants receiving benefits2009-01-01132
Total of all active and inactive participants2009-01-01299
Total participants2009-01-01299
Number of participants with account balances2009-01-01299

Financial Data on BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN

Measure Date Value
2022 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$23,350
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$7,063
Total income from all sources (including contributions)2022-12-31$631,477
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,602,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,592,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,313,569
Value of total assets at end of year2022-12-31$8,526,614
Value of total assets at beginning of year2022-12-31$9,481,426
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$10,561
Total interest from all sources2022-12-31$10,521
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$614,481
Participant contributions at end of year2022-12-31$147,919
Participant contributions at beginning of year2022-12-31$114,262
Participant contributions at end of year2022-12-31$28,160
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$226,018
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$23,350
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$7,063
Administrative expenses (other) incurred2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-971,099
Value of net assets at end of year (total assets less liabilities)2022-12-31$8,503,264
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$9,474,363
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$3,470,170
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$3,848,999
Interest on participant loans2022-12-31$4,118
Interest earned on other investments2022-12-31$4,754
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$1,649
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$4,781,691
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$5,503,820
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-692,613
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$473,070
Employer contributions (assets) at end of year2022-12-31$98,674
Employer contributions (assets) at beginning of year2022-12-31$14,345
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,592,015
Contract administrator fees2022-12-31$10,561
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31DRAFFIN & TUCKER LLP
Accountancy firm EIN2022-12-31580914992
2021 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$7,063
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,160,565
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,355,288
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,315,508
Expenses. Certain deemed distributions of participant loans2021-12-31$1,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,681,110
Value of total assets at end of year2021-12-31$9,481,426
Value of total assets at beginning of year2021-12-31$8,669,086
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$38,718
Total interest from all sources2021-12-31$4,681
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$25,023
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$680,965
Participant contributions at end of year2021-12-31$114,262
Participant contributions at beginning of year2021-12-31$188,407
Participant contributions at beginning of year2021-12-31$20,610
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$673,085
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$7,063
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$0
Administrative expenses (other) incurred2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$805,277
Value of net assets at end of year (total assets less liabilities)2021-12-31$9,474,363
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,669,086
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,848,999
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,081,578
Interest on participant loans2021-12-31$3,778
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$903
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$5,503,820
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$6,233,230
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$474,774
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$327,060
Employer contributions (assets) at end of year2021-12-31$14,345
Employer contributions (assets) at beginning of year2021-12-31$145,261
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,315,508
Contract administrator fees2021-12-31$13,695
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31DRAFFIN & TUCKER LLP
Accountancy firm EIN2021-12-31580914992
2020 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,463,091
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$3,206,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,097,533
Expenses. Certain deemed distributions of participant loans2020-12-31$11,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$925,018
Value of total assets at end of year2020-12-31$8,669,086
Value of total assets at beginning of year2020-12-31$10,412,143
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$97,554
Total interest from all sources2020-12-31$7,384
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$517,237
Participant contributions at end of year2020-12-31$188,407
Participant contributions at beginning of year2020-12-31$231,485
Participant contributions at end of year2020-12-31$20,610
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$0
Other income not declared elsewhere2020-12-31$0
Administrative expenses (other) incurred2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-1,743,057
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,669,086
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$10,412,143
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,081,578
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,747,223
Interest on participant loans2020-12-31$7,384
Income. Interest from loans (other than to participants)2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$6,233,230
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$8,433,435
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$530,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$407,781
Employer contributions (assets) at end of year2020-12-31$145,261
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$3,097,533
Contract administrator fees2020-12-31$97,554
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31Yes
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31DRAFFIN & TUCKER LLP
Accountancy firm EIN2020-12-31580914992
2019 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$1,738,948
Total of all expenses incurred2019-12-31$799,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$787,663
Expenses. Certain deemed distributions of participant loans2019-12-31$11,928
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,131,002
Value of total assets at end of year2019-12-31$10,412,143
Value of total assets at beginning of year2019-12-31$9,472,801
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$15
Total interest from all sources2019-12-31$227,685
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$519,852
Participant contributions at end of year2019-12-31$231,485
Participant contributions at beginning of year2019-12-31$246,421
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$44,420
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$939,342
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,412,143
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$9,472,801
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,747,223
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,726,967
Interest on participant loans2019-12-31$6,953
Interest earned on other investments2019-12-31$220,732
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$8,433,435
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$7,499,413
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$380,261
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$566,730
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$787,663
Contract administrator fees2019-12-31$15
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DRAFFIN & TUCKER LLP
Accountancy firm EIN2019-12-31580914992
2018 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$1,257,103
Total of all expenses incurred2018-12-31$459,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$442,067
Expenses. Certain deemed distributions of participant loans2018-12-31$6,518
Value of total corrective distributions2018-12-31$10,664
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,140,631
Value of total assets at end of year2018-12-31$9,472,801
Value of total assets at beginning of year2018-12-31$8,674,962
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$15
Total interest from all sources2018-12-31$209,535
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$504,943
Participant contributions at end of year2018-12-31$246,421
Participant contributions at beginning of year2018-12-31$158,710
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$56,006
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$797,839
Value of net assets at end of year (total assets less liabilities)2018-12-31$9,472,801
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$8,674,962
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,726,967
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,581,073
Interest on participant loans2018-12-31$5,848
Interest earned on other investments2018-12-31$203,687
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$7,499,413
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$6,935,179
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-93,063
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$579,682
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$442,067
Contract administrator fees2018-12-31$15
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31DRAFFIN & TUCKER LLP
Accountancy firm EIN2018-12-31580914992
2017 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$1,371,249
Total of all expenses incurred2017-12-31$1,229,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,206,190
Expenses. Certain deemed distributions of participant loans2017-12-31$22,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$983,305
Value of total assets at end of year2017-12-31$8,674,962
Value of total assets at beginning of year2017-12-31$8,532,914
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$15
Total interest from all sources2017-12-31$198,590
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$15
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$454,828
Participant contributions at end of year2017-12-31$158,710
Participant contributions at beginning of year2017-12-31$135,530
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$0
Administrative expenses (other) incurred2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$142,048
Value of net assets at end of year (total assets less liabilities)2017-12-31$8,674,962
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$8,532,914
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,581,073
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,507,560
Interest on participant loans2017-12-31$4,683
Interest earned on other investments2017-12-31$193,907
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$6,935,179
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$6,889,824
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$189,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$528,477
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,206,190
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31DRAFFIN & TUCKER LLP
Accountancy firm EIN2017-12-31580914992
2016 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,180,125
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$321,098
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$317,338
Expenses. Certain deemed distributions of participant loans2016-12-31$3,745
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$900,322
Value of total assets at end of year2016-12-31$8,532,914
Value of total assets at beginning of year2016-12-31$7,673,887
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$15
Total interest from all sources2016-12-31$193,983
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$409,532
Participant contributions at end of year2016-12-31$135,530
Participant contributions at beginning of year2016-12-31$85,213
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$859,027
Value of net assets at end of year (total assets less liabilities)2016-12-31$8,532,914
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,673,887
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,507,560
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,284,977
Interest on participant loans2016-12-31$3,981
Interest earned on other investments2016-12-31$190,002
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$6,889,824
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$6,303,697
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$85,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$490,790
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$317,338
Contract administrator fees2016-12-31$15
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31DRAFFIN & N TUCKER, LLP
Accountancy firm EIN2016-12-31580914992
2015 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,005,070
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$634,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$607,099
Expenses. Certain deemed distributions of participant loans2015-12-31$20,036
Value of total corrective distributions2015-12-31$7,136
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$842,947
Value of total assets at end of year2015-12-31$7,673,887
Value of total assets at beginning of year2015-12-31$7,303,103
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$15
Total interest from all sources2015-12-31$175,093
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$361,488
Participant contributions at end of year2015-12-31$85,213
Participant contributions at beginning of year2015-12-31$78,001
Assets. Other investments not covered elsewhere at end of year2015-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$15,437
Administrative expenses (other) incurred2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$370,784
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,673,887
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$7,303,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,284,977
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,899,784
Value of interest in pooled separate accounts at beginning of year2015-12-31$0
Interest on participant loans2015-12-31$2,888
Interest earned on other investments2015-12-31$172,205
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$6,303,697
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$5,325,318
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-12,970
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$466,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$607,099
Contract administrator fees2015-12-31$15
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31DRAFFIN & TUCKER, LLP
Accountancy firm EIN2015-12-31580914992
2014 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$996,237
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$520,364
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$498,209
Expenses. Certain deemed distributions of participant loans2014-12-31$22,140
Value of total corrective distributions2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$760,636
Value of total assets at end of year2014-12-31$7,303,103
Value of total assets at beginning of year2014-12-31$6,827,230
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$15
Total interest from all sources2014-12-31$163,601
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$323,461
Participant contributions at end of year2014-12-31$78,001
Participant contributions at beginning of year2014-12-31$57,467
Assets. Other investments not covered elsewhere at end of year2014-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$1,296
Administrative expenses (other) incurred2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$475,873
Value of net assets at end of year (total assets less liabilities)2014-12-31$7,303,103
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$6,827,230
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,899,784
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,654,098
Value of interest in pooled separate accounts at end of year2014-12-31$0
Value of interest in pooled separate accounts at beginning of year2014-12-31$0
Interest on participant loans2014-12-31$2,430
Interest earned on other investments2014-12-31$161,171
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$5,325,318
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$5,115,665
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$72,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$435,879
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$498,209
Contract administrator fees2014-12-31$15
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31DRAFFIN & TUCKER, LLP
Accountancy firm EIN2014-12-31580914992
2013 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,025,223
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$329,098
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$305,120
Expenses. Certain deemed distributions of participant loans2013-12-31$23,963
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$628,785
Value of total assets at end of year2013-12-31$6,827,230
Value of total assets at beginning of year2013-12-31$6,131,105
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$15
Total interest from all sources2013-12-31$156,207
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$0
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$200,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$274,219
Participant contributions at end of year2013-12-31$57,467
Participant contributions at beginning of year2013-12-31$85,425
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$696,125
Value of net assets at end of year (total assets less liabilities)2013-12-31$6,827,230
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$6,131,105
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,654,098
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,350,958
Interest on participant loans2013-12-31$2,584
Interest earned on other investments2013-12-31$153,623
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$5,115,665
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$4,694,722
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$240,231
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$354,566
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$305,120
Contract administrator fees2013-12-31$15
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31DRAFFIN & TUCKER, LLP
Accountancy firm EIN2013-12-31580914992
2012 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$785,223
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$362,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$357,463
Expenses. Certain deemed distributions of participant loans2012-12-31$4,579
Value of total corrective distributions2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$520,791
Value of total assets at end of year2012-12-31$6,131,105
Value of total assets at beginning of year2012-12-31$5,707,939
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$15
Total interest from all sources2012-12-31$148,686
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$0
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$200,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$220,500
Participant contributions at end of year2012-12-31$85,425
Participant contributions at beginning of year2012-12-31$86,095
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$423,166
Value of net assets at end of year (total assets less liabilities)2012-12-31$6,131,105
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,707,939
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,350,958
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,093,475
Interest on participant loans2012-12-31$2,903
Interest earned on other investments2012-12-31$145,783
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$4,694,722
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$4,528,369
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$115,746
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$300,291
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$357,463
Contract administrator fees2012-12-31$15
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31DRAFFIN & TUCKER, LLP
Accountancy firm EIN2012-12-31580914992
2011 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$639,519
Total of all expenses incurred2011-12-31$68,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$68,269
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$511,967
Value of total assets at end of year2011-12-31$5,707,938
Value of total assets at beginning of year2011-12-31$5,136,703
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$15
Total interest from all sources2011-12-31$152,032
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$211,311
Participant contributions at end of year2011-12-31$86,095
Participant contributions at beginning of year2011-12-31$84,235
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$14,641
Administrative expenses (other) incurred2011-12-31$15
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$571,235
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,707,938
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$5,136,703
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,093,475
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,062,594
Interest on participant loans2011-12-31$2,196
Interest earned on other investments2011-12-31$149,836
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$4,528,368
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$3,989,874
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-24,480
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$286,015
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$68,269
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31DRAFFIN & TUCKER, LLP
Accountancy firm EIN2011-12-31580914992
2010 : BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$760,624
Total of all expenses incurred2010-12-31$158,148
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$158,133
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$542,084
Value of total assets at end of year2010-12-31$5,136,703
Value of total assets at beginning of year2010-12-31$4,534,227
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$15
Total interest from all sources2010-12-31$139,228
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$215,775
Participant contributions at end of year2010-12-31$84,235
Participant contributions at beginning of year2010-12-31$73,639
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$33,365
Administrative expenses (other) incurred2010-12-31$15
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$602,476
Value of net assets at end of year (total assets less liabilities)2010-12-31$5,136,703
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,534,227
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,062,594
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,042,996
Interest earned on other investments2010-12-31$139,228
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$3,989,874
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$3,417,592
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$79,312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$292,944
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$158,133
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31DRAFFIN & TUCKER, LLP
Accountancy firm EIN2010-12-31580914992

Form 5500 Responses for BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN

2022: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: BAKER COUNTY MEDICAL SERVICES, INC. 403(B) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Submission has been amendedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG77097
Policy instance 2
Insurance contract or identification numberG77097
Number of Individuals Covered187
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered55
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 2
Insurance contract or identification number42621
Number of Individuals Covered58
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG77097
Policy instance 1
Insurance contract or identification numberG77097
Number of Individuals Covered158
Insurance policy start date2021-06-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 2
Insurance contract or identification number42621
Number of Individuals Covered59
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,820
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Commission paid to Insurance BrokerUSD $3,283
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG77097
Policy instance 1
Insurance contract or identification numberG77097
Number of Individuals Covered420
Insurance policy start date2020-06-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered443
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $16,914
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,810
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered436
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $17,633
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,004
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered409
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $14,569
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,255
Insurance broker organization code?3
Insurance broker nameSTOLL, ELAINE M
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered378
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10,900
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $9,798
Insurance broker organization code?3
Insurance broker nameSCOTT, THOMAS C
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered359
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,315
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $8,398
Insurance broker organization code?3
Insurance broker nameSCOTT, THOMAS C
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered333
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,552
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $4,985
Insurance broker organization code?3
Insurance broker nameHAMID, BAYAR A
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered313
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,985
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $3,384
Insurance broker organization code?3
Insurance broker nameTYSON, GERALD M
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered304
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,645
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number42621
Policy instance 1
Insurance contract or identification number42621
Number of Individuals Covered297
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $5,855
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,168
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameBASCOM P. KURTZ

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