?>
Logo

SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 401k Plan overview

Plan NameSOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN
Plan identification number 507

SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

RACETRAC, INC. has sponsored the creation of one or more 401k plans.

Company Name:RACETRAC, INC.
Employer identification number (EIN):630642959
NAIC Classification:447100
NAIC Description: Gasoline Stations, Gas

Additional information about RACETRAC, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0787490

More information about RACETRAC, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-01-01
5072021-01-01
5072020-01-01
5072019-01-01
5072018-01-01
5072017-01-01WHITNEY WOODWARD
5072016-01-01WHITNEY WOODWARD
5072015-01-01WHITNEY WOODWARD
5072014-01-01WHITNEY WOODWARD
5072013-01-01WHITNEY WOODWARD
5072012-01-01ROBERT DUMBACHER
5072011-01-01ROBERT DUMBACHER
5072009-01-01ROBERT DUMBACHER,CFO ROBERT DUMBACHER, CFO2010-10-07

Plan Statistics for SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN

401k plan membership statisitcs for SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN

Measure Date Value
2022: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,852
Total number of active participants reported on line 7a of the Form 55002022-01-013,130
Number of retired or separated participants receiving benefits2022-01-0138
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-013,168
2021: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-013,933
Total number of active participants reported on line 7a of the Form 55002021-01-015,216
Number of retired or separated participants receiving benefits2021-01-0126
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-015,242
2020: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-013,768
Total number of active participants reported on line 7a of the Form 55002020-01-013,900
Number of retired or separated participants receiving benefits2020-01-0125
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-013,925
2019: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013,562
Total number of active participants reported on line 7a of the Form 55002019-01-013,432
Number of retired or separated participants receiving benefits2019-01-0112
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-013,444
2018: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013,962
Total number of active participants reported on line 7a of the Form 55002018-01-013,268
Number of retired or separated participants receiving benefits2018-01-0115
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-013,283
2017: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013,763
Total number of active participants reported on line 7a of the Form 55002017-01-013,130
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-013,133
2016: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,505
Total number of active participants reported on line 7a of the Form 55002016-01-013,292
Number of retired or separated participants receiving benefits2016-01-0111
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-013,303
2015: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,152
Total number of active participants reported on line 7a of the Form 55002015-01-012,830
Number of retired or separated participants receiving benefits2015-01-013
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-012,833
2014: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,679
Total number of active participants reported on line 7a of the Form 55002014-01-011,718
Number of retired or separated participants receiving benefits2014-01-017
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,725
2013: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,543
Total number of active participants reported on line 7a of the Form 55002013-01-012,134
Number of retired or separated participants receiving benefits2013-01-0115
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012,149
2012: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,542
Total number of active participants reported on line 7a of the Form 55002012-01-012,304
Number of retired or separated participants receiving benefits2012-01-018
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012,312
2011: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,522
Total number of active participants reported on line 7a of the Form 55002011-01-012,280
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-012,280
2009: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,561
Total number of active participants reported on line 7a of the Form 55002009-01-012,507
Number of retired or separated participants receiving benefits2009-01-0112
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-012,519

Financial Data on SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN

Measure Date Value
2022 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE 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$640,102
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$2,491,193
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,190,748
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,951,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,491,007
Value of total assets at end of year2022-12-31$2,161,272
Value of total assets at beginning of year2022-12-31$1,220,725
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$238,752
Total interest from all sources2022-12-31$186
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$2,491,007
Liabilities. Value of operating payables at end of year2022-12-31$640,102
Liabilities. Value of operating payables at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$300,445
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,521,170
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,220,725
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 bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$2,161,272
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,220,725
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,220,725
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$186
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$1,951,996
Contract administrator fees2022-12-31$238,752
Did the plan have assets held for investment2022-12-31No
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 name2022-12-31RUBIO CPA, PC
Accountancy firm EIN2022-12-31582032697
2021 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,450,118
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,140,131
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,903,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,450,116
Value of total assets at end of year2021-12-31$1,220,725
Value of total assets at beginning of year2021-12-31$910,738
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$236,261
Total interest from all sources2021-12-31$2
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,450,116
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$309,987
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,220,725
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$910,738
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 bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,220,725
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$910,738
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$910,738
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$2
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$1,903,870
Contract administrator fees2021-12-31$236,261
Did the plan have assets held for investment2021-12-31No
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 name2021-12-31RUBIO CPA, PC
Accountancy firm EIN2021-12-31582032697
2020 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$2,618,719
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,034,107
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,731,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,618,676
Value of total assets at end of year2020-12-31$910,738
Value of total assets at beginning of year2020-12-31$326,126
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$302,569
Total interest from all sources2020-12-31$43
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$4,200
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$2,618,676
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$584,612
Value of net assets at end of year (total assets less liabilities)2020-12-31$910,738
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$326,126
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 bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$910,738
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$326,126
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$326,126
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$43
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$1,731,538
Contract administrator fees2020-12-31$298,369
Did the plan have assets held for investment2020-12-31No
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 plan2020-12-31Unqualified
Accountancy firm name2020-12-31RUBIO CPA, PC
Accountancy firm EIN2020-12-31582032697
2019 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$2,473,410
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$2,255,954
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,949,455
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,473,162
Value of total assets at end of year2019-12-31$326,126
Value of total assets at beginning of year2019-12-31$108,670
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$306,499
Total interest from all sources2019-12-31$248
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$4,100
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$2,473,162
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$217,456
Value of net assets at end of year (total assets less liabilities)2019-12-31$326,126
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$108,670
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 bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$326,126
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$108,670
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$108,670
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$248
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$1,949,455
Contract administrator fees2019-12-31$302,399
Did the plan have assets held for investment2019-12-31No
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)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31RUBIO CPA, PC
Accountancy firm EIN2019-12-31582032697
2018 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$2,507,402
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,478,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,158,531
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,507,200
Value of total assets at end of year2018-12-31$108,670
Value of total assets at beginning of year2018-12-31$79,781
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$319,982
Total interest from all sources2018-12-31$202
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$4,000
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,507,200
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$28,889
Value of net assets at end of year (total assets less liabilities)2018-12-31$108,670
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$79,781
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 bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$108,670
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$79,781
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$79,781
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$202
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$2,158,531
Contract administrator fees2018-12-31$315,982
Did the plan have assets held for investment2018-12-31No
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)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31RUBIO CPA, PC
Accountancy firm EIN2018-12-31582032697
2017 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$50,000
Total income from all sources (including contributions)2017-12-31$2,114,157
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$2,096,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,782,785
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,113,968
Value of total assets at end of year2017-12-31$79,781
Value of total assets at beginning of year2017-12-31$112,394
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$313,985
Total interest from all sources2017-12-31$189
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$7,600
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,113,968
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$17,387
Value of net assets at end of year (total assets less liabilities)2017-12-31$79,781
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$62,394
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 bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$79,781
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$112,394
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$112,394
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$189
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$1,782,785
Contract administrator fees2017-12-31$306,385
Liabilities. Value of benefit claims payable at end of year2017-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$50,000
Did the plan have assets held for investment2017-12-31No
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)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31RUBIO CPA, PC
Accountancy firm EIN2017-12-31582032697
2016 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$50,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,882,231
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,127,373
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,835,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,882,106
Value of total assets at end of year2016-12-31$112,394
Value of total assets at beginning of year2016-12-31$307,536
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$291,839
Total interest from all sources2016-12-31$125
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,882,106
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-245,142
Value of net assets at end of year (total assets less liabilities)2016-12-31$62,394
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$307,536
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$112,394
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$307,536
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$307,536
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,835,534
Contract administrator fees2016-12-31$291,839
Liabilities. Value of benefit claims payable at end of year2016-12-31$50,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31RUBIO CPA, PC
Accountancy firm EIN2016-12-31582032697
2015 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,706,729
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,808,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,559,781
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,706,720
Value of total assets at end of year2015-12-31$307,536
Value of total assets at beginning of year2015-12-31$409,103
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$248,515
Total interest from all sources2015-12-31$9
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$3,200
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,706,720
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-101,567
Value of net assets at end of year (total assets less liabilities)2015-12-31$307,536
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$409,103
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$307,536
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$409,103
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$409,103
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$9
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,559,781
Contract administrator fees2015-12-31$245,315
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31RUBIO CPA, PC
Accountancy firm EIN2015-12-31582032697
2014 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$119,832
Total income from all sources (including contributions)2014-12-31$1,444,723
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,409,992
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,193,053
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,444,717
Value of total assets at end of year2014-12-31$409,103
Value of total assets at beginning of year2014-12-31$494,204
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$216,939
Total interest from all sources2014-12-31$6
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$3,099
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,444,717
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$119,832
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$34,731
Value of net assets at end of year (total assets less liabilities)2014-12-31$409,103
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$374,372
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$409,103
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$494,204
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$494,204
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$6
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,193,053
Contract administrator fees2014-12-31$213,840
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31RUBIO CPA, PC
Accountancy firm EIN2014-12-31582032697
2013 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$119,832
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$7,110
Total income from all sources (including contributions)2013-12-31$1,368,360
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,336,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,157,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,368,354
Value of total assets at end of year2013-12-31$494,204
Value of total assets at beginning of year2013-12-31$349,848
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$178,935
Total interest from all sources2013-12-31$6
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,368,354
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$119,832
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$7,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$31,634
Value of net assets at end of year (total assets less liabilities)2013-12-31$374,372
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$342,738
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$494,204
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$349,848
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$349,848
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$6
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$149,103
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,008,688
Contract administrator fees2013-12-31$178,935
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31RUBIO CPA, PC
Accountancy firm EIN2013-12-31582032697
2012 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$7,110
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,293,854
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,173,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,014,916
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,293,848
Value of total assets at end of year2012-12-31$349,848
Value of total assets at beginning of year2012-12-31$222,765
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$158,965
Total interest from all sources2012-12-31$6
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$2,900
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,293,848
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$7,110
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$119,973
Value of net assets at end of year (total assets less liabilities)2012-12-31$342,738
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$222,765
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$349,848
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$222,765
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$222,765
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$6
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$140,632
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$874,284
Contract administrator fees2012-12-31$156,065
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31RUBIO CPA, PC
Accountancy firm EIN2012-12-31582032697
2011 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$1,264,679
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$1,136,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$965,904
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,264,625
Value of total assets at end of year2011-12-31$222,765
Value of total assets at beginning of year2011-12-31$94,541
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$170,551
Total interest from all sources2011-12-31$54
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$6,121
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,264,625
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$128,224
Value of net assets at end of year (total assets less liabilities)2011-12-31$222,765
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$94,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$222,765
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$94,541
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$94,541
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$54
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$129,582
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$836,322
Contract administrator fees2011-12-31$164,430
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31RUBIO CPA, PC
Accountancy firm EIN2011-12-31582032697
2010 : SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,080,902
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,192,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,070,877
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,080,748
Value of total assets at end of year2010-12-31$94,541
Value of total assets at beginning of year2010-12-31$206,225
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$121,709
Total interest from all sources2010-12-31$154
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$17,155
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,080,748
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$-183
Total non interest bearing cash at end of year2010-12-31$0
Total non interest bearing cash at beginning of year2010-12-31$60,024
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-111,684
Value of net assets at end of year (total assets less liabilities)2010-12-31$94,541
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$206,225
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$94,541
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$146,201
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$146,201
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$154
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$118,305
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$952,755
Contract administrator fees2010-12-31$104,554
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31RUBIO CPA, PC
Accountancy firm EIN2010-12-31582032697

Form 5500 Responses for SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN

2022: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE 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 – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
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: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: SOUTHERN EMPLOYERS HOSPITALIZATION, DENTAL & VISION CARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9736976
Policy instance 1
Insurance contract or identification number9736976
Number of Individuals Covered3986
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $148,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9833393
Policy instance 2
Insurance contract or identification number9833393
Number of Individuals Covered10
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $376
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9736976
Policy instance 1
Insurance contract or identification number9736976
Number of Individuals Covered4125
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $139,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9833393
Policy instance 2
Insurance contract or identification number9833393
Number of Individuals Covered14
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9736976
Policy instance 1
Insurance contract or identification number9736976
Number of Individuals Covered4028
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $129,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9736976
Policy instance 1
Insurance contract or identification number9736976
Number of Individuals Covered3644
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $118,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3