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MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 401k Plan overview

Plan NameMESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST
Plan identification number 502

MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST Benefits

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

401k Sponsoring company profile

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

Company Name:MESA ASSOCIATES, INC.
Employer identification number (EIN):631029698
NAIC Classification:541330
NAIC Description:Engineering Services

Additional information about MESA ASSOCIATES, INC.

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 2001-10-04
Company Identification Number: 20011192704
Legal Registered Office Address: 2870 KENYON CIR

Boulder
United States of America (USA)
80305

More information about MESA ASSOCIATES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022019-01-01
5022018-01-01
5022017-01-01DESTINIE SAVANT DESTINIE SAVANT2018-10-12
5022016-01-01DESTINIE SAVANT DESTINIE SAVANT2017-10-16
5022015-01-01DESTINIE SAVANT DESTINIE SAVANT2016-10-17
5022014-01-01DESTINIE SAVANT DESTINIE SAVANT2015-10-13
5022013-01-01DESTINIE SAVANT DESTINIE SAVANT2014-10-13
5022012-01-01DESTINIE SAVANT DESTINIE SAVANT2013-10-13
5022011-01-01DESTINIE SAVANT DESTINIE SAVANT2012-10-11
5022010-01-01DESTINIE SAVANT DESTINIE SAVANT2011-10-14
5022009-01-01DESTINIE SAVANT DESTINIE SAVANT2010-10-14

Plan Statistics for MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST

401k plan membership statisitcs for MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST

Measure Date Value
2022: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01785
Total number of active participants reported on line 7a of the Form 55002022-01-01882
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0110
Total of all active and inactive participants2022-01-01892
2021: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01713
Total number of active participants reported on line 7a of the Form 55002021-01-01770
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0115
Total of all active and inactive participants2021-01-01785
2020: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01682
Total number of active participants reported on line 7a of the Form 55002020-01-01705
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-018
Total of all active and inactive participants2020-01-01713
2019: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01567
Total number of active participants reported on line 7a of the Form 55002019-01-01682
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01682
2018: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01503
Total number of active participants reported on line 7a of the Form 55002018-01-01567
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01567
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
2017: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01459
Total number of active participants reported on line 7a of the Form 55002017-01-01503
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01503
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
2016: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01442
Total number of active participants reported on line 7a of the Form 55002016-01-01459
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01459
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
2015: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01413
Total number of active participants reported on line 7a of the Form 55002015-01-01442
Total of all active and inactive participants2015-01-01442
2014: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01388
Total number of active participants reported on line 7a of the Form 55002014-01-01413
Total of all active and inactive participants2014-01-01413
2013: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01362
Total number of active participants reported on line 7a of the Form 55002013-01-01388
Total of all active and inactive participants2013-01-01388
2012: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01355
Total number of active participants reported on line 7a of the Form 55002012-01-01362
Total of all active and inactive participants2012-01-01362
2011: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01325
Total number of active participants reported on line 7a of the Form 55002011-01-01355
Total of all active and inactive participants2011-01-01355
2010: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-01319
Total number of active participants reported on line 7a of the Form 55002010-01-01325
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01325
2009: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01302
Total number of active participants reported on line 7a of the Form 55002009-01-01319
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01319

Financial Data on MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST

Measure Date Value
2019 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
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 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$163,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$163,000
Total income from all sources (including contributions)2019-12-31$9,801,707
Total income from all sources (including contributions)2019-12-31$9,801,707
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$9,679,390
Total of all expenses incurred2019-12-31$9,679,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$9,000,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$9,000,479
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$8,942,636
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$8,942,636
Value of total assets at end of year2019-12-31$0
Value of total assets at end of year2019-12-31$0
Value of total assets at beginning of year2019-12-31$40,683
Value of total assets at beginning of year2019-12-31$40,683
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$678,911
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$678,911
Total interest from all sources2019-12-31$1,743
Total interest from all sources2019-12-31$1,743
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
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
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$25,000
Value of fidelity bond cover2019-12-31$25,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,789,950
Contributions received from participants2019-12-31$1,789,950
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$247,991
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$81
Other income not declared elsewhere2019-12-31$857,328
Other income not declared elsewhere2019-12-31$857,328
Administrative expenses (other) incurred2019-12-31$41,509
Administrative expenses (other) incurred2019-12-31$41,509
Liabilities. Value of operating payables at end of year2019-12-31$0
Liabilities. Value of operating payables at end of year2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$31,855
Liabilities. Value of operating payables at beginning of year2019-12-31$31,855
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
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$122,317
Value of net income/loss2019-12-31$122,317
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-122,317
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-122,317
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$83
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$40,683
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$40,683
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$40,683
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$40,683
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$1,743
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$1,743
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$9,000,479
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$9,000,479
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$7,152,686
Contributions received in cash from employer2019-12-31$7,152,686
Employer contributions (assets) at end of year2019-12-31$115,035
Contract administrator fees2019-12-31$637,402
Contract administrator fees2019-12-31$637,402
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$131,145
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$131,145
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
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
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
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
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31HILL FOGG AND ASSOCIATES PC
Accountancy firm name2019-12-31HILL FOGG AND ASSOCIATES PC
Accountancy firm EIN2019-12-31630857231
Accountancy firm EIN2019-12-31630857231
2018 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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$163,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$113,367
Total income from all sources (including contributions)2018-12-31$8,112,293
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$8,413,778
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$7,930,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$6,990,564
Value of total assets at end of year2018-12-31$40,683
Value of total assets at beginning of year2018-12-31$292,535
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$483,069
Total interest from all sources2018-12-31$2,056
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
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$25,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,559,189
Other income not declared elsewhere2018-12-31$1,119,673
Administrative expenses (other) incurred2018-12-31$43,298
Liabilities. Value of operating payables at end of year2018-12-31$31,855
Liabilities. Value of operating payables at beginning of year2018-12-31$24,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-301,485
Value of net assets at end of year (total assets less liabilities)2018-12-31$-122,317
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$179,168
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$40,683
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$292,535
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$292,535
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$2,056
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$7,930,709
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$5,431,375
Contract administrator fees2018-12-31$439,771
Liabilities. Value of benefit claims payable at end of year2018-12-31$131,145
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$89,252
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31HILL FOGG AND ASSOCIATES PC
Accountancy firm EIN2018-12-31630857231
2017 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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$113,367
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$115,055
Total income from all sources (including contributions)2017-12-31$7,061,982
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$6,996,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$6,610,339
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$6,701,401
Value of total assets at end of year2017-12-31$292,535
Value of total assets at beginning of year2017-12-31$229,168
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$386,588
Total interest from all sources2017-12-31$328
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
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$25,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,292,410
Other income not declared elsewhere2017-12-31$360,253
Administrative expenses (other) incurred2017-12-31$34,217
Liabilities. Value of operating payables at end of year2017-12-31$24,115
Liabilities. Value of operating payables at beginning of year2017-12-31$25,987
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$65,055
Value of net assets at end of year (total assets less liabilities)2017-12-31$179,168
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$114,113
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
Investment advisory and management fees2017-12-31$205
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$292,535
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$229,168
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$229,168
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$328
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$6,610,339
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$5,408,991
Contract administrator fees2017-12-31$352,166
Liabilities. Value of benefit claims payable at end of year2017-12-31$89,252
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$89,068
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Qualified
Accountancy firm name2017-12-31HILL FOGG AND ASSOCIATES PC
Accountancy firm EIN2017-12-31630857231
2016 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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$115,055
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$50,343
Total income from all sources (including contributions)2016-12-31$7,138,933
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$7,157,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,723,797
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$6,874,621
Value of total assets at end of year2016-12-31$229,168
Value of total assets at beginning of year2016-12-31$183,496
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$434,176
Total interest from all sources2016-12-31$4
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$25,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,221,685
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$-31,631
Other income not declared elsewhere2016-12-31$264,308
Administrative expenses (other) incurred2016-12-31$28,839
Liabilities. Value of operating payables at end of year2016-12-31$25,987
Liabilities. Value of operating payables at beginning of year2016-12-31$18,981
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-19,040
Value of net assets at end of year (total assets less liabilities)2016-12-31$114,113
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$133,153
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
Investment advisory and management fees2016-12-31$205
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$229,168
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$183,496
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$183,496
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$4
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$6,723,797
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$5,652,936
Contract administrator fees2016-12-31$405,132
Liabilities. Value of benefit claims payable at end of year2016-12-31$89,068
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$62,993
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Qualified
Accountancy firm name2016-12-31HILL, FOGG & ASSOCIATES, PC
Accountancy firm EIN2016-12-31630857231
2015 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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$50,343
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$658,405
Total income from all sources (including contributions)2015-12-31$6,143,491
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$5,863,512
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$5,484,246
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$5,898,375
Value of total assets at end of year2015-12-31$183,496
Value of total assets at beginning of year2015-12-31$511,579
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$379,266
Total interest from all sources2015-12-31$4
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$25,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,326,454
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$-31,631
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$415,065
Other income not declared elsewhere2015-12-31$245,112
Administrative expenses (other) incurred2015-12-31$28,596
Liabilities. Value of operating payables at end of year2015-12-31$18,981
Liabilities. Value of operating payables at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$279,979
Value of net assets at end of year (total assets less liabilities)2015-12-31$133,153
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$-146,826
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
Investment advisory and management fees2015-12-31$180
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$183,496
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$511,579
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$511,579
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$4
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$5,484,246
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$4,571,921
Contract administrator fees2015-12-31$350,490
Liabilities. Value of benefit claims payable at end of year2015-12-31$62,993
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$243,340
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Qualified
Accountancy firm name2015-12-31HILL, FOGG & ASSOCIATES, PC
Accountancy firm EIN2015-12-31630857231
2014 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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$658,405
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$62,170
Total income from all sources (including contributions)2014-12-31$5,389,656
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$5,922,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,584,207
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$4,832,040
Value of total assets at end of year2014-12-31$511,579
Value of total assets at beginning of year2014-12-31$447,961
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$338,066
Total interest from all sources2014-12-31$20
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
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$25,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,176,113
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$415,065
Other income not declared elsewhere2014-12-31$557,596
Administrative expenses (other) incurred2014-12-31$26,947
Liabilities. Value of operating payables at end of year2014-12-31$0
Liabilities. Value of operating payables at beginning of year2014-12-31$14,589
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-532,617
Value of net assets at end of year (total assets less liabilities)2014-12-31$-146,826
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$385,791
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
Investment advisory and management fees2014-12-31$180
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$511,579
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$447,961
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$447,961
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$20
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$5,584,207
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$3,655,927
Contract administrator fees2014-12-31$310,939
Liabilities. Value of benefit claims payable at end of year2014-12-31$243,340
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$47,581
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Qualified
Accountancy firm name2014-12-31HILL, FOGG & ASSOCIATES, PC
Accountancy firm EIN2014-12-31630857231
2013 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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$62,170
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$48,201
Total income from all sources (including contributions)2013-12-31$5,165,033
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$5,005,858
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,700,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$4,696,880
Value of total assets at end of year2013-12-31$447,961
Value of total assets at beginning of year2013-12-31$274,817
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$305,605
Total interest from all sources2013-12-31$2
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 bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,090,922
Other income not declared elsewhere2013-12-31$468,151
Administrative expenses (other) incurred2013-12-31$25,556
Liabilities. Value of operating payables at end of year2013-12-31$14,589
Liabilities. Value of operating payables at beginning of year2013-12-31$25,449
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$159,175
Value of net assets at end of year (total assets less liabilities)2013-12-31$385,791
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$226,616
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
Investment advisory and management fees2013-12-31$205
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$447,961
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$274,817
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$274,817
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$2
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$4,700,253
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$3,605,958
Contract administrator fees2013-12-31$279,844
Liabilities. Value of benefit claims payable at end of year2013-12-31$47,581
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$22,752
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Qualified
Accountancy firm name2013-12-31HILL, FOGG & ASSOCIATES, PC
Accountancy firm EIN2013-12-31630857231
2012 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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$48,201
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$57,386
Total income from all sources (including contributions)2012-12-31$5,174,094
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$4,881,970
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,523,578
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$4,759,450
Value of total assets at end of year2012-12-31$274,817
Value of total assets at beginning of year2012-12-31$-8,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$358,392
Total interest from all sources2012-12-31$4
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
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$718,442
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Other income not declared elsewhere2012-12-31$414,640
Administrative expenses (other) incurred2012-12-31$30,956
Liabilities. Value of operating payables at end of year2012-12-31$25,449
Liabilities. Value of operating payables at beginning of year2012-12-31$25,026
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$292,124
Value of net assets at end of year (total assets less liabilities)2012-12-31$226,616
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-65,508
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
Investment advisory and management fees2012-12-31$150
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$274,817
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$-8,122
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$-8,122
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$4
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$4,523,578
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$4,041,008
Contract administrator fees2012-12-31$327,286
Liabilities. Value of benefit claims payable at end of year2012-12-31$22,752
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$32,360
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Qualified
Accountancy firm name2012-12-31HILL, FOGG & ASSOCIATES, PC
Accountancy firm EIN2012-12-31630857231
2011 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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$57,386
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$69,487
Total income from all sources (including contributions)2011-12-31$4,798,640
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$4,785,187
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,468,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$4,395,760
Value of total assets at end of year2011-12-31$-8,122
Value of total assets at beginning of year2011-12-31$-9,474
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$316,198
Total interest from all sources2011-12-31$31
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
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$711,097
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$0
Other income not declared elsewhere2011-12-31$402,849
Administrative expenses (other) incurred2011-12-31$23,916
Liabilities. Value of operating payables at end of year2011-12-31$25,026
Liabilities. Value of operating payables at beginning of year2011-12-31$45,291
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$13,453
Value of net assets at end of year (total assets less liabilities)2011-12-31$-65,508
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-78,961
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
Investment advisory and management fees2011-12-31$150
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$-8,122
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$-9,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$-9,474
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$31
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$4,468,989
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$3,684,663
Contract administrator fees2011-12-31$292,132
Liabilities. Value of benefit claims payable at end of year2011-12-31$32,360
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$24,196
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Qualified
Accountancy firm name2011-12-31HILL, FOGG & ASSOCIATES, PC
Accountancy firm EIN2011-12-31630857231
2010 : MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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$69,487
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$35,716
Total income from all sources (including contributions)2010-12-31$3,486,773
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$3,620,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,359,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$3,461,000
Value of total assets at end of year2010-12-31$-9,474
Value of total assets at beginning of year2010-12-31$90,207
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$260,833
Total interest from all sources2010-12-31$64
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
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$652,370
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$90,136
Other income not declared elsewhere2010-12-31$25,709
Administrative expenses (other) incurred2010-12-31$6,351
Liabilities. Value of operating payables at end of year2010-12-31$45,291
Liabilities. Value of operating payables at beginning of year2010-12-31$16,819
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-133,452
Value of net assets at end of year (total assets less liabilities)2010-12-31$-78,961
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$54,491
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
Investment advisory and management fees2010-12-31$210
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$-9,474
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$71
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$71
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$64
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$3,359,392
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$2,808,630
Contract administrator fees2010-12-31$254,272
Liabilities. Value of benefit claims payable at end of year2010-12-31$24,196
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$18,897
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Qualified
Accountancy firm name2010-12-31HILL, FOGG & ASSOCIATES, PC
Accountancy firm EIN2010-12-31630857231

Form 5500 Responses for MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST

2022: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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 – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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 – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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 – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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 – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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
2010: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: MESA ASSOCIATES GROUP HEALTH EMPLOYEE BENEFIT PLAN AND TRUST 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

GREENWICH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22322 )
Policy contract numberXLV-0015
Policy instance 1
Insurance contract or identification numberXLV-0015
Number of Individuals Covered682
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $15,000
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $458,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,000
Insurance broker organization code?3
GREENWICH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22322 )
Policy contract numberXLV-0015
Policy instance 1
Insurance contract or identification numberXLV-0015
Number of Individuals Covered567
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $20,000
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $552,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,000
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0028-VU
Policy instance 1
Insurance contract or identification numberGL-0028-VU
Number of Individuals Covered503
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $15,000
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $494,636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,000
Insurance broker organization code?3
Insurance broker nameSS NESBITT & COMPANY
UNITED TRUST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81531 )
Policy contract numberEXL-30291
Policy instance 1
Insurance contract or identification numberEXL-30291
Number of Individuals Covered442
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $20,000
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
Welfare Benefit Premiums Paid to CarrierUSD $405,951
Commission paid to Insurance BrokerUSD $20,000
Insurance broker organization code?3
Insurance broker nameSS NESBITT & COMPANY
UNITED TRUST INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81531 )
Policy contract numberEXL-29257
Policy instance 1
Insurance contract or identification numberEXL-29257
Number of Individuals Covered413
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $20,000
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
Welfare Benefit Premiums Paid to CarrierUSD $446,642
Commission paid to Insurance BrokerUSD $20,000
Insurance broker organization code?3
Insurance broker nameSS NESBITT & COMPANY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP-ACKQ
Policy instance 1
Insurance contract or identification numberUP-ACKQ
Number of Individuals Covered388
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $20,000
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
Welfare Benefit Premiums Paid to CarrierUSD $314,031
Commission paid to Insurance BrokerUSD $20,000
Insurance broker organization code?3
Insurance broker nameSS NESBITT & COMPANY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP-ACKQ
Policy instance 1
Insurance contract or identification numberUP-ACKQ
Number of Individuals Covered362
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $20,000
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
Welfare Benefit Premiums Paid to CarrierUSD $307,710
Commission paid to Insurance BrokerUSD $20,000
Insurance broker organization code?3
Insurance broker nameSS NESBITT & COMPANY
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP-ACKQ
Policy instance 1
Insurance contract or identification numberUP-ACKQ
Number of Individuals Covered355
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $20,000
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
Welfare Benefit Premiums Paid to CarrierUSD $283,384
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberUP-ACKQ
Policy instance 1
Insurance contract or identification numberUP-ACKQ
Number of Individuals Covered325
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $21,302
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
Welfare Benefit Premiums Paid to CarrierUSD $284,029

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