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WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameWELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN
Plan identification number 013

WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

WELLMONT HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:WELLMONT HEALTH SYSTEM
Employer identification number (EIN):621636465
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about WELLMONT HEALTH SYSTEM

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 1996-06-14
Company Identification Number: F125749
Legal Registered Office Address: 131 EAST VALLEY STREET

ABINGDON
United States of America (USA)
24210

More information about WELLMONT HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0132017-07-01
0132017-07-01
0132016-07-01HAMLIN J. WILSON HAMLIN J. WILSON2018-04-16
0132015-07-01HAMLIN J. WILSON HAMLIN J. WILSON2017-04-17
0132014-07-01HAMLIN J. WILSON
0132013-07-01HAMLIN J. WILSON
0132012-07-01HAMLIN J. WILSON
0132011-07-01HAMLIN J. WILSON
0132010-07-01HAMLIN J. WILSON
0132009-07-01HAMLIN J. WILSON

Plan Statistics for WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN

Measure Date Value
2017: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-018,940
Total number of active participants reported on line 7a of the Form 55002017-07-017,223
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-011,637
Total of all active and inactive participants2017-07-018,860
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-018,860
Number of participants with account balances2017-07-015,230
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-018,053
Total number of active participants reported on line 7a of the Form 55002016-07-017,343
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-011,592
Total of all active and inactive participants2016-07-018,935
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-018,935
Number of participants with account balances2016-07-015,214
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-018,093
Total number of active participants reported on line 7a of the Form 55002015-07-016,332
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-011,677
Total of all active and inactive participants2015-07-018,009
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-018,009
Number of participants with account balances2015-07-018,009
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-018,157
Total number of active participants reported on line 7a of the Form 55002014-07-016,464
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-011,433
Total of all active and inactive participants2014-07-017,897
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-017,897
Number of participants with account balances2014-07-014,780
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-018,246
Total number of active participants reported on line 7a of the Form 55002013-07-017,085
Number of retired or separated participants receiving benefits2013-07-01120
Number of other retired or separated participants entitled to future benefits2013-07-012,255
Total of all active and inactive participants2013-07-019,460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-019,460
Number of participants with account balances2013-07-015,276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-018,183
Total number of active participants reported on line 7a of the Form 55002012-07-016,519
Number of retired or separated participants receiving benefits2012-07-0195
Number of other retired or separated participants entitled to future benefits2012-07-011,595
Total of all active and inactive participants2012-07-018,209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-018,209
Number of participants with account balances2012-07-015,392
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-017,899
Total number of active participants reported on line 7a of the Form 55002011-07-016,445
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-011,575
Total of all active and inactive participants2011-07-018,020
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-018,020
Number of participants with account balances2011-07-015,330
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-017,006
Total number of active participants reported on line 7a of the Form 55002010-07-015,525
Number of other retired or separated participants entitled to future benefits2010-07-011,480
Total of all active and inactive participants2010-07-017,005
Total participants2010-07-017,005
Number of participants with account balances2010-07-014,455
2009: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-016,429
Total number of active participants reported on line 7a of the Form 55002009-07-015,386
Number of retired or separated participants receiving benefits2009-07-01282
Number of other retired or separated participants entitled to future benefits2009-07-011,338
Total of all active and inactive participants2009-07-017,006
Total participants2009-07-017,006
Number of participants with account balances2009-07-014,515

Financial Data on WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN

Measure Date Value
2018 : WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total transfer of assets to this plan2018-06-30$26,864,881
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$37,212,711
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$21,314,742
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$21,078,188
Expenses. Certain deemed distributions of participant loans2018-06-30$-18,264
Value of total corrective distributions2018-06-30$1,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$20,273,056
Value of total assets at end of year2018-06-30$228,533,147
Value of total assets at beginning of year2018-06-30$212,635,178
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$253,791
Total interest from all sources2018-06-30$1,163,739
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$7,030,509
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$7,030,509
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$10,000,000
If this is an individual account plan, was there a blackout period2018-06-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$16,068,702
Participant contributions at end of year2018-06-30$3,353,864
Participant contributions at beginning of year2018-06-30$3,219,981
Income. Received or receivable in cash from other sources (including rollovers)2018-06-30$4,204,354
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$26,864,881
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$0
Administrative expenses (other) incurred2018-06-30$479
Total non interest bearing cash at end of year2018-06-30$190,255,309
Total non interest bearing cash at beginning of year2018-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$15,897,969
Value of net assets at end of year (total assets less liabilities)2018-06-30$228,533,147
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$212,635,178
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$20,205,585
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$160,991,186
Interest on participant loans2018-06-30$154,802
Interest earned on other investments2018-06-30$1,008,937
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$14,718,389
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$48,424,011
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$8,745,407
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$21,078,188
Contract administrator fees2018-06-30$253,312
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30Yes
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30PYA, P.C.
Accountancy firm EIN2018-06-30621517792
2017 : WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$38,675,408
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$11,876,302
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$11,683,541
Expenses. Certain deemed distributions of participant loans2017-06-30$2,967
Value of total corrective distributions2017-06-30$4,719
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$17,004,662
Value of total assets at end of year2017-06-30$212,635,178
Value of total assets at beginning of year2017-06-30$185,836,072
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$185,075
Total interest from all sources2017-06-30$1,155,538
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$4,754,418
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$4,754,418
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$10,000,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$14,409,956
Participant contributions at end of year2017-06-30$3,219,981
Participant contributions at beginning of year2017-06-30$2,659,919
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$2,594,706
Administrative expenses (other) incurred2017-06-30$76
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$26,799,106
Value of net assets at end of year (total assets less liabilities)2017-06-30$212,635,178
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$185,836,072
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$160,991,186
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$137,696,013
Interest on participant loans2017-06-30$121,010
Interest earned on other investments2017-06-30$1,034,528
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-06-30$48,424,011
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-06-30$45,480,140
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$15,760,790
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$11,683,541
Contract administrator fees2017-06-30$184,999
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30RODEFER MOSS & CO., PLLC
Accountancy firm EIN2017-06-30621690032
2016 : WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total transfer of assets to this plan2016-06-30$251,645
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$14,371,720
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$11,581,951
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$11,379,052
Expenses. Certain deemed distributions of participant loans2016-06-30$28,243
Value of total corrective distributions2016-06-30$720
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$13,739,554
Value of total assets at end of year2016-06-30$185,836,072
Value of total assets at beginning of year2016-06-30$182,794,658
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$173,936
Total interest from all sources2016-06-30$1,217,355
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$8,706,728
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$8,706,728
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$10,000,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$12,778,693
Participant contributions at end of year2016-06-30$2,659,919
Participant contributions at beginning of year2016-06-30$2,841,617
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$960,861
Administrative expenses (other) incurred2016-06-30$150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$2,789,769
Value of net assets at end of year (total assets less liabilities)2016-06-30$185,836,072
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$182,794,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$137,696,013
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$137,693,061
Interest on participant loans2016-06-30$109,204
Interest earned on other investments2016-06-30$1,108,151
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-06-30$45,480,140
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-06-30$42,259,980
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-9,291,917
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$11,379,052
Contract administrator fees2016-06-30$173,786
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30RODEFER MOSS & CO., PLLC
Accountancy firm EIN2016-06-30621690032
2015 : WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$20,014,478
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$12,079,779
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$11,814,014
Expenses. Certain deemed distributions of participant loans2015-06-30$106,779
Value of total corrective distributions2015-06-30$126
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$13,687,694
Value of total assets at end of year2015-06-30$182,794,658
Value of total assets at beginning of year2015-06-30$174,859,959
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$158,860
Total interest from all sources2015-06-30$1,180,826
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$7,213,511
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$7,213,511
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$10,000,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$12,401,408
Participant contributions at end of year2015-06-30$2,841,617
Participant contributions at beginning of year2015-06-30$2,867,800
Participant contributions at beginning of year2015-06-30$503,100
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$1,286,286
Administrative expenses (other) incurred2015-06-30$11,735
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$7,934,699
Value of net assets at end of year (total assets less liabilities)2015-06-30$182,794,658
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$174,859,959
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$137,693,061
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$130,082,259
Interest on participant loans2015-06-30$109,218
Interest earned on other investments2015-06-30$1,071,608
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-06-30$42,259,980
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$41,406,800
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$-2,067,553
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$11,814,014
Contract administrator fees2015-06-30$147,125
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30ROEDEFER MOSS & CO., PLLC
Accountancy firm EIN2015-06-30621690032
2014 : WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$35,981,025
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$12,976,403
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$12,562,272
Expenses. Certain deemed distributions of participant loans2014-06-30$223,964
Value of total corrective distributions2014-06-30$5,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$14,310,413
Value of total assets at end of year2014-06-30$174,859,959
Value of total assets at beginning of year2014-06-30$151,855,337
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$184,971
Total interest from all sources2014-06-30$1,165,479
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$3,736,376
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$3,736,376
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$10,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$12,901,433
Participant contributions at end of year2014-06-30$2,867,800
Participant contributions at beginning of year2014-06-30$3,023,292
Participant contributions at end of year2014-06-30$503,100
Participant contributions at beginning of year2014-06-30$498,596
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$1,408,980
Administrative expenses (other) incurred2014-06-30$11,067
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$23,004,622
Value of net assets at end of year (total assets less liabilities)2014-06-30$174,859,959
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$151,855,337
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$130,082,259
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$109,106,436
Interest on participant loans2014-06-30$108,795
Interest earned on other investments2014-06-30$1,056,684
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$41,406,800
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$39,227,013
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$16,768,757
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$12,562,272
Contract administrator fees2014-06-30$173,904
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30ROEDEFER MOSS & CO., PLLC
Accountancy firm EIN2014-06-30621690032
2013 : WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total transfer of assets from this plan2013-06-30$378,408
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$32,930,653
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$8,786,211
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$8,592,797
Expenses. Certain deemed distributions of participant loans2013-06-30$-6,882
Value of total corrective distributions2013-06-30$3,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$17,921,465
Value of total assets at end of year2013-06-30$151,855,337
Value of total assets at beginning of year2013-06-30$128,089,303
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$197,219
Total interest from all sources2013-06-30$1,071,579
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$2,414,547
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$2,414,547
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$10,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$14,080,886
Participant contributions at end of year2013-06-30$3,023,292
Participant contributions at beginning of year2013-06-30$2,417,536
Participant contributions at end of year2013-06-30$498,596
Participant contributions at beginning of year2013-06-30$481,707
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$3,840,579
Administrative expenses (other) incurred2013-06-30$9,945
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$24,144,442
Value of net assets at end of year (total assets less liabilities)2013-06-30$151,855,337
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$128,089,303
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$109,106,436
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$90,753,810
Interest on participant loans2013-06-30$93,641
Interest earned on other investments2013-06-30$977,938
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$39,227,013
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$34,436,250
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$11,523,062
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$8,592,797
Contract administrator fees2013-06-30$187,274
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30RODEFER MOSS & CO., PLLC
Accountancy firm EIN2013-06-30621690032
2012 : WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2012 401k financial data
Total transfer of assets to this plan2012-06-30$4,891,569
Total income from all sources (including contributions)2012-06-30$11,554,206
Total of all expenses incurred2012-06-30$13,681,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$13,446,156
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$11,963,656
Value of total assets at end of year2012-06-30$128,089,303
Value of total assets at beginning of year2012-06-30$125,324,582
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$234,898
Total interest from all sources2012-06-30$72,365
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$1,739,955
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$1,739,955
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$1,000,000
If this is an individual account plan, was there a blackout period2012-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
Minimum employer required contribution for this plan year2012-06-30$0
Amount contributed by the employer to the plan for this plan year2012-06-30$0
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$11,643,860
Participant contributions at end of year2012-06-30$2,417,536
Participant contributions at beginning of year2012-06-30$2,762,934
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$319,796
Other income not declared elsewhere2012-06-30$958,217
Administrative expenses (other) incurred2012-06-30$234,898
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-2,126,848
Value of net assets at end of year (total assets less liabilities)2012-06-30$128,089,303
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$125,324,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$90,753,810
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$89,665,181
Interest on participant loans2012-06-30$72,365
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$34,436,250
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$32,526,009
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$-3,179,987
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Employer contributions (assets) at end of year2012-06-30$481,707
Employer contributions (assets) at beginning of year2012-06-30$370,458
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$13,446,156
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30KPMG LLP
Accountancy firm EIN2012-06-30135565207
2011 : WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2011 401k financial data
Total transfer of assets to this plan2011-06-30$1,976,689
Total income from all sources (including contributions)2011-06-30$30,792,708
Total of all expenses incurred2011-06-30$9,109,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$8,900,631
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$11,299,765
Value of total assets at end of year2011-06-30$125,324,582
Value of total assets at beginning of year2011-06-30$101,664,449
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$208,633
Total interest from all sources2011-06-30$63,979
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$1,411,670
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$1,411,670
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$1,000,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$10,664,132
Participant contributions at end of year2011-06-30$2,762,934
Participant contributions at beginning of year2011-06-30$2,402,151
Participant contributions at end of year2011-06-30$370,458
Participant contributions at beginning of year2011-06-30$311,916
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$635,633
Other income not declared elsewhere2011-06-30$2,083,387
Administrative expenses (other) incurred2011-06-30$208,633
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$21,683,444
Value of net assets at end of year (total assets less liabilities)2011-06-30$125,324,582
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$101,664,449
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$89,665,181
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$68,507,758
Interest on participant loans2011-06-30$63,979
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$32,526,009
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$30,442,624
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$15,933,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$8,900,631
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30KPMG LLP
Accountancy firm EIN2011-06-30135565207

Form 5500 Responses for WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN

2017: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedYes
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedYes
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: WELLMONT HEALTH SYSTEM 403(B) RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54494
Policy instance 2
Insurance contract or identification number54494
Number of Individuals Covered1377
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $5,643
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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
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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54494
Policy instance 1
Insurance contract or identification number54494
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered1377
Total amount of commissions paid to insurance brokerUSD $5,643
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54494
Policy instance 2
Insurance contract or identification number54494
Number of Individuals Covered1675
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $5,288
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,572
Insurance broker organization code?3
Insurance broker nameROSE, MATTHEW J
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54494
Policy instance 1
Insurance contract or identification number54494
Number of Individuals Covered4080
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
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
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 number54494
Policy instance 1
Insurance contract or identification number54494
Number of Individuals Covered1857
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $7,801
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,539
Insurance broker organization code?3
Insurance broker name
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54494
Policy instance 2
Insurance contract or identification number54494
Number of Individuals Covered3975
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
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
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 number54494
Policy instance 2
Insurance contract or identification number54494
Number of Individuals Covered3977
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
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
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 number54494
Policy instance 1
Insurance contract or identification number54494
Number of Individuals Covered2492
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $10,147
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,560
Insurance broker organization code?3
Insurance broker nameDISON, MARK A
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54494
Policy instance 2
Insurance contract or identification number54494
Number of Individuals Covered3906
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
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
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 number54494
Policy instance 1
Insurance contract or identification number54494
Number of Individuals Covered2833
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $9,084
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,656
Insurance broker organization code?3
Insurance broker nameHART, MICHAEL S
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54494
Policy instance 1
Insurance contract or identification number54494
Number of Individuals Covered3413
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $144,005
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 number54494
Policy instance 2
Insurance contract or identification number54494
Number of Individuals Covered3551
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
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 number54494
Policy instance 1
Insurance contract or identification number54494
Number of Individuals Covered4485
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $153,716
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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