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UNIVERSITY CLINICAL HEALTH 403B PLAN 401k Plan overview

Plan NameUNIVERSITY CLINICAL HEALTH 403B PLAN
Plan identification number 005

UNIVERSITY CLINICAL HEALTH 403B 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

UNIVERSITY CLINICAL HEALTH has sponsored the creation of one or more 401k plans.

Company Name:UNIVERSITY CLINICAL HEALTH
Employer identification number (EIN):621162462
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNIVERSITY CLINICAL HEALTH 403B PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0052022-01-01
0052021-01-01
0052020-01-01
0052019-01-01
0052018-01-01
0052017-05-23TIM CARLEW

Plan Statistics for UNIVERSITY CLINICAL HEALTH 403B PLAN

401k plan membership statisitcs for UNIVERSITY CLINICAL HEALTH 403B PLAN

Measure Date Value
2022: UNIVERSITY CLINICAL HEALTH 403B PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01511
Total number of active participants reported on line 7a of the Form 55002022-01-01487
Number of other retired or separated participants entitled to future benefits2022-01-0160
Total of all active and inactive participants2022-01-01547
Total participants2022-01-01547
Number of participants with account balances2022-01-01284
2021: UNIVERSITY CLINICAL HEALTH 403B PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01633
Total number of active participants reported on line 7a of the Form 55002021-01-01456
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-0152
Total of all active and inactive participants2021-01-01510
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01510
Number of participants with account balances2021-01-01277
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: UNIVERSITY CLINICAL HEALTH 403B PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01576
Total number of active participants reported on line 7a of the Form 55002020-01-01598
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-0134
Total of all active and inactive participants2020-01-01633
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01633
Number of participants with account balances2020-01-01263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: UNIVERSITY CLINICAL HEALTH 403B PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01546
Total number of active participants reported on line 7a of the Form 55002019-01-01546
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-0129
Total of all active and inactive participants2019-01-01576
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01576
Number of participants with account balances2019-01-01234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: UNIVERSITY CLINICAL HEALTH 403B PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01447
Total number of active participants reported on line 7a of the Form 55002018-01-01491
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0119
Total of all active and inactive participants2018-01-01510
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01510
Number of participants with account balances2018-01-01202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: UNIVERSITY CLINICAL HEALTH 403B PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-23364
Total number of active participants reported on line 7a of the Form 55002017-05-23437
Number of retired or separated participants receiving benefits2017-05-230
Number of other retired or separated participants entitled to future benefits2017-05-238
Total of all active and inactive participants2017-05-23445
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-05-230
Total participants2017-05-23445
Number of participants with account balances2017-05-23175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-05-230

Financial Data on UNIVERSITY CLINICAL HEALTH 403B PLAN

Measure Date Value
2022 : UNIVERSITY CLINICAL HEALTH 403B 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$258,569
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$860,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$839,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,202,101
Value of total assets at end of year2022-12-31$10,165,774
Value of total assets at beginning of year2022-12-31$10,767,910
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$21,480
Total interest from all sources2022-12-31$26,353
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$163,429
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$163,429
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$2,098,131
Participant contributions at end of year2022-12-31$197,789
Participant contributions at beginning of year2022-12-31$126,382
Participant contributions at end of year2022-12-31$30,043
Participant contributions at beginning of year2022-12-31$0
Assets. Other investments not covered elsewhere at end of year2022-12-31$22,654
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$20,953
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$103,970
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$570
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$27
Other income not declared elsewhere2022-12-31$-4,828
Administrative expenses (other) incurred2022-12-31$21,480
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-602,136
Value of net assets at end of year (total assets less liabilities)2022-12-31$10,165,774
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,767,910
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$8,907,303
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$9,885,229
Interest on participant loans2022-12-31$5,768
Interest earned on other investments2022-12-31$20,585
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$1
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,007,414
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$735,318
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,128,486
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$839,225
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : UNIVERSITY CLINICAL HEALTH 403B PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$3,630,165
Total of all expenses incurred2021-12-31$600,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$579,371
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,374,450
Value of total assets at end of year2021-12-31$10,767,910
Value of total assets at beginning of year2021-12-31$7,738,740
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$21,624
Total interest from all sources2021-12-31$22,412
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$164,523
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$164,523
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$1,922,681
Participant contributions at end of year2021-12-31$126,382
Participant contributions at beginning of year2021-12-31$165,178
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$29,462
Assets. Other investments not covered elsewhere at end of year2021-12-31$20,953
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$20,180
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$451,769
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$27
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$63
Other income not declared elsewhere2021-12-31$773
Administrative expenses (other) incurred2021-12-31$21,624
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$3,029,170
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,767,910
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$7,738,740
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$9,885,229
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$6,684,605
Interest on participant loans2021-12-31$5,511
Interest earned on other investments2021-12-31$16,901
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$735,318
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$839,251
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,068,007
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$579,371
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : UNIVERSITY CLINICAL HEALTH 403B PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$2,799,735
Total of all expenses incurred2020-12-31$532,776
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$520,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,857,378
Value of total assets at end of year2020-12-31$7,738,740
Value of total assets at beginning of year2020-12-31$5,471,781
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$11,876
Total interest from all sources2020-12-31$23,229
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$103,503
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$103,503
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 period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,689,147
Participant contributions at end of year2020-12-31$165,178
Participant contributions at beginning of year2020-12-31$66,274
Participant contributions at end of year2020-12-31$29,462
Participant contributions at beginning of year2020-12-31$0
Assets. Other investments not covered elsewhere at end of year2020-12-31$20,180
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$168,231
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$63
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$117
Other income not declared elsewhere2020-12-31$3,729
Administrative expenses (other) incurred2020-12-31$11,876
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$2,266,959
Value of net assets at end of year (total assets less liabilities)2020-12-31$7,738,740
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$5,471,781
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$6,684,605
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,715,273
Interest on participant loans2020-12-31$4,338
Interest earned on other investments2020-12-31$18,891
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$839,251
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$690,117
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$811,896
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$520,900
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2020-12-31560747981
2019 : UNIVERSITY CLINICAL HEALTH 403B PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$3,242,708
Total of all expenses incurred2019-12-31$215,366
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$205,530
Value of total corrective distributions2019-12-31$554
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,517,635
Value of total assets at end of year2019-12-31$5,471,781
Value of total assets at beginning of year2019-12-31$2,444,439
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$9,282
Total interest from all sources2019-12-31$8,385
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$82,351
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$82,351
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,576,269
Participant contributions at end of year2019-12-31$66,274
Participant contributions at beginning of year2019-12-31$5,377
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$941,366
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$117
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2
Administrative expenses (other) incurred2019-12-31$9,282
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$3,027,342
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,471,781
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,444,439
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,715,273
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,303,182
Interest on participant loans2019-12-31$449
Interest earned on other investments2019-12-31$7,936
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$690,117
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$135,878
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$634,337
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$205,530
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
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 name2019-12-31WATKINS UIBERALL
Accountancy firm EIN2019-12-31621804252
2018 : UNIVERSITY CLINICAL HEALTH 403B PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$1,743,369
Total of all expenses incurred2018-12-31$128,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$125,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,943,037
Value of total assets at end of year2018-12-31$2,444,439
Value of total assets at beginning of year2018-12-31$829,876
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,153
Total interest from all sources2018-12-31$1,178
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$45,194
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$45,194
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,456,973
Participant contributions at end of year2018-12-31$5,377
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$486,064
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$2
Administrative expenses (other) incurred2018-12-31$3,153
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$1,614,563
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,444,439
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$829,876
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$2,303,182
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$814,237
Interest on participant loans2018-12-31$133
Interest earned on other investments2018-12-31$1,045
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$135,878
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$15,639
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-246,040
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$125,653
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WATKINS UIBERALL
Accountancy firm EIN2018-12-31621804252
2017 : UNIVERSITY CLINICAL HEALTH 403B PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$837,040
Total of all expenses incurred2017-12-31$7,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$6,592
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$799,517
Value of total assets at end of year2017-12-31$829,876
Value of total assets at beginning of year2017-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$572
Total interest from all sources2017-12-31$70
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$9,674
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$9,674
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$793,580
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$5,937
Administrative expenses (other) incurred2017-12-31$572
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$829,876
Value of net assets at end of year (total assets less liabilities)2017-12-31$829,876
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$0
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$814,237
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$0
Interest earned on other investments2017-12-31$70
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$15,639
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$27,779
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$6,592
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
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 name2017-12-31WATKINS UIBERALL
Accountancy firm EIN2017-12-31621804252

Form 5500 Responses for UNIVERSITY CLINICAL HEALTH 403B PLAN

2022: UNIVERSITY CLINICAL HEALTH 403B 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: UNIVERSITY CLINICAL HEALTH 403B PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UNIVERSITY CLINICAL HEALTH 403B PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: UNIVERSITY CLINICAL HEALTH 403B 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: UNIVERSITY CLINICAL HEALTH 403B PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UNIVERSITY CLINICAL HEALTH 403B PLAN 2017 form 5500 responses
2017-05-23Type of plan entitySingle employer plan
2017-05-23First time form 5500 has been submittedYes
2017-05-23This return/report is a short plan year return/report (less than 12 months)Yes
2017-05-23Plan funding arrangement – InsuranceYes
2017-05-23Plan funding arrangement – TrustYes
2017-05-23Plan benefit arrangement – InsuranceYes
2017-05-23Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069867
Policy instance 1
Insurance contract or identification numberTA069867
Number of Individuals Covered284
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069867
Policy instance 1
Insurance contract or identification numberTA069867
Number of Individuals Covered277
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069867
Policy instance 1
Insurance contract or identification numberTA069867
Number of Individuals Covered263
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069867
Policy instance 1
Insurance contract or identification numberTA069867
Number of Individuals Covered234
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069867
Policy instance 1
Insurance contract or identification numberTA069867
Number of Individuals Covered202
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberTA069867
Policy instance 1
Insurance contract or identification numberTA069867
Number of Individuals Covered175
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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