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STAPLCOTN MEDICAL PLAN 401k Plan overview

Plan NameSTAPLCOTN MEDICAL PLAN
Plan identification number 502

STAPLCOTN MEDICAL PLAN Benefits

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

401k Sponsoring company profile

STAPLE COTTON COOPERATIVE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:STAPLE COTTON COOPERATIVE ASSOCIATION
Employer identification number (EIN):640247150
NAIC Classification:424500

Additional information about STAPLE COTTON COOPERATIVE ASSOCIATION

Jurisdiction of Incorporation: Mississippi Secretary of State
Incorporation Date:
Company Identification Number: 205320

More information about STAPLE COTTON COOPERATIVE ASSOCIATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STAPLCOTN MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-07-01
5022021-07-01
5022020-07-01
5022019-07-01
5022018-07-01
5022017-07-01RUSSELL ROBERTSON JAMES MOFFATT2019-02-27
5022016-07-01RUSSELL ROBERTSON JAMES MOFFATT2018-03-01
5022015-07-01RUSSELL ROBERTSON JAMES MOFFATT2017-02-20
5022014-07-01RUSSELL ROBERTSON JAMES MOFFATT2016-01-06
5022013-07-01RUSSELL ROBERTSON JAMES MOFFATT2015-03-27
5022012-07-01RUSSELL ROBERTSON CHARLES ROBERTSON2014-04-11
5022011-07-01RUSSELL ROBERTSON CHARLES ROBERTSON2013-04-12
5022009-07-01RUSSELL ROBERTSON CHARLES ROBERTSON2011-04-12

Plan Statistics for STAPLCOTN MEDICAL PLAN

401k plan membership statisitcs for STAPLCOTN MEDICAL PLAN

Measure Date Value
2022: STAPLCOTN MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01151
Total number of active participants reported on line 7a of the Form 55002022-07-01145
Number of retired or separated participants receiving benefits2022-07-017
Total of all active and inactive participants2022-07-01152
Total participants2022-07-01152
2021: STAPLCOTN MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01149
Total number of active participants reported on line 7a of the Form 55002021-07-01144
Number of retired or separated participants receiving benefits2021-07-017
Total of all active and inactive participants2021-07-01151
Total participants2021-07-01151
2020: STAPLCOTN MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01152
Total number of active participants reported on line 7a of the Form 55002020-07-01143
Number of retired or separated participants receiving benefits2020-07-016
Total of all active and inactive participants2020-07-01149
Total participants2020-07-01149
2019: STAPLCOTN MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01136
Total number of active participants reported on line 7a of the Form 55002019-07-01145
Number of retired or separated participants receiving benefits2019-07-017
Total of all active and inactive participants2019-07-01152
Total participants2019-07-01152
2018: STAPLCOTN MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01120
Total number of active participants reported on line 7a of the Form 55002018-07-01115
Number of retired or separated participants receiving benefits2018-07-017
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-01122
Number of participants with account balances2018-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
Number of employers contributing to the scheme2018-07-010
2017: STAPLCOTN MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01119
Total number of active participants reported on line 7a of the Form 55002017-07-01118
Number of retired or separated participants receiving benefits2017-07-012
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-01120
Number of participants with account balances2017-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: STAPLCOTN MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01120
Total number of active participants reported on line 7a of the Form 55002016-07-01118
Number of retired or separated participants receiving benefits2016-07-011
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-01119
Number of participants with account balances2016-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
Number of employers contributing to the scheme2016-07-010
2015: STAPLCOTN MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01121
Total number of active participants reported on line 7a of the Form 55002015-07-01117
Number of retired or separated participants receiving benefits2015-07-013
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-01120
Number of participants with account balances2015-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
Number of employers contributing to the scheme2015-07-010
2014: STAPLCOTN MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01120
Total number of active participants reported on line 7a of the Form 55002014-07-01118
Number of retired or separated participants receiving benefits2014-07-013
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01121
Total participants2014-07-01121
2013: STAPLCOTN MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01121
Total number of active participants reported on line 7a of the Form 55002013-07-01114
Number of retired or separated participants receiving benefits2013-07-016
Total of all active and inactive participants2013-07-01120
Total participants2013-07-01120
2012: STAPLCOTN MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01126
Total number of active participants reported on line 7a of the Form 55002012-07-01113
Number of retired or separated participants receiving benefits2012-07-018
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01121
Number of participants with account balances2012-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: STAPLCOTN MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01125
Total number of active participants reported on line 7a of the Form 55002011-07-01117
Number of retired or separated participants receiving benefits2011-07-019
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01126
Total participants2011-07-01126
2009: STAPLCOTN MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01157
Total number of active participants reported on line 7a of the Form 55002009-07-01135
Number of retired or separated participants receiving benefits2009-07-013
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01138
Total participants2009-07-01138

Financial Data on STAPLCOTN MEDICAL PLAN

Measure Date Value
2023 : STAPLCOTN MEDICAL PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total income from all sources (including contributions)2023-06-30$1,529,105
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$2,124,933
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$2,020,458
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$1,487,741
Value of total assets at end of year2023-06-30$1,155,085
Value of total assets at beginning of year2023-06-30$1,750,913
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$104,475
Total interest from all sources2023-06-30$41,364
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Administrative expenses professional fees incurred2023-06-30$15,000
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$115,508
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$589,392
Administrative expenses (other) incurred2023-06-30$1,266
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$-595,828
Value of net assets at end of year (total assets less liabilities)2023-06-30$1,155,085
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$1,750,913
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Income. Interest from US Government securities2023-06-30$20,446
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$438,641
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$1,750,913
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$1,750,913
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-06-30$20,918
Expenses. Payments to insurance carriers foe the provision of benefits2023-06-30$362,539
Asset value of US Government securities at end of year2023-06-30$716,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30No
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$898,349
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$1,657,919
Contract administrator fees2023-06-30$88,209
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30SAYLE, SANDIFER & JOHNSON, LLP
Accountancy firm EIN2023-06-30640474730
2022 : STAPLCOTN MEDICAL PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$1,457,772
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$2,385,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$2,291,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$1,457,375
Value of total assets at end of year2022-06-30$1,750,913
Value of total assets at beginning of year2022-06-30$2,678,601
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$93,711
Total interest from all sources2022-06-30$397
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$7,700
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$175,091
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$563,458
Administrative expenses (other) incurred2022-06-30$166
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-927,688
Value of net assets at end of year (total assets less liabilities)2022-06-30$1,750,913
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$2,678,601
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$1,750,913
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$2,678,601
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$2,678,601
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$397
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$273,416
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$893,917
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$2,018,333
Contract administrator fees2022-06-30$85,845
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30SAYLE, SANDIFER & JOHNSON, LLP
Accountancy firm EIN2022-06-30640474730
2021 : STAPLCOTN MEDICAL PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$1,552,429
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$2,002,641
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$1,907,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$1,537,745
Value of total assets at end of year2021-06-30$2,678,601
Value of total assets at beginning of year2021-06-30$3,128,813
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$95,124
Total interest from all sources2021-06-30$14,684
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$7,000
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$267,860
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$587,390
Administrative expenses (other) incurred2021-06-30$120
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-450,212
Value of net assets at end of year (total assets less liabilities)2021-06-30$2,678,601
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$3,128,813
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$2,678,601
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$3,128,813
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$3,128,813
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$14,684
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$236,810
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$950,355
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$1,670,707
Contract administrator fees2021-06-30$88,004
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30ORSBORN, SUTPHEN, & O'NEAL, P.A.
Accountancy firm EIN2021-06-30640683684
2020 : STAPLCOTN MEDICAL PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$1,534,267
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$1,335,366
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$1,248,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$1,486,850
Value of total assets at end of year2020-06-30$3,128,813
Value of total assets at beginning of year2020-06-30$2,929,912
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$86,608
Total interest from all sources2020-06-30$47,417
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Administrative expenses professional fees incurred2020-06-30$7,000
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$312,881
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$575,864
Administrative expenses (other) incurred2020-06-30$40
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$198,901
Value of net assets at end of year (total assets less liabilities)2020-06-30$3,128,813
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$2,929,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$3,128,813
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$2,929,912
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$2,929,912
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$47,417
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$209,320
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$910,986
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$1,039,438
Contract administrator fees2020-06-30$79,568
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30ORSBORN, SUTPHEN, & O'NEAL, P.A.
Accountancy firm EIN2020-06-30640683684
2019 : STAPLCOTN MEDICAL PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$1,398,664
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$1,274,740
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$1,199,916
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$1,377,007
Value of total assets at end of year2019-06-30$2,929,912
Value of total assets at beginning of year2019-06-30$2,805,988
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$74,824
Total interest from all sources2019-06-30$21,657
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$6,800
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$292,991
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$523,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$123,924
Value of net assets at end of year (total assets less liabilities)2019-06-30$2,929,912
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$2,805,988
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$2,929,912
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$2,805,988
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$2,805,988
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$21,657
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$183,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$853,122
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$1,016,552
Contract administrator fees2019-06-30$68,024
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30ORSBORN, SUTPHEN, & O'NEAL, P.A.
Accountancy firm EIN2019-06-30640683684
2018 : STAPLCOTN MEDICAL PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$1,291,753
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$1,111,592
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$1,044,548
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$1,291,481
Value of total assets at end of year2018-06-30$2,805,988
Value of total assets at beginning of year2018-06-30$2,625,827
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$67,044
Total interest from all sources2018-06-30$272
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$6,500
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$280,599
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$487,785
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$180,161
Value of net assets at end of year (total assets less liabilities)2018-06-30$2,805,988
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$2,625,827
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$2,805,988
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$2,625,827
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$2,625,827
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$272
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$166,863
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$803,696
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$877,685
Contract administrator fees2018-06-30$60,544
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30ORSBORN, SUTPHEN, & O'NEAL, PA
Accountancy firm EIN2018-06-30640683684
2017 : STAPLCOTN MEDICAL PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$1,242,641
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$1,130,926
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$1,068,110
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$1,242,379
Value of total assets at end of year2017-06-30$2,625,827
Value of total assets at beginning of year2017-06-30$2,514,112
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$62,816
Total interest from all sources2017-06-30$262
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$5,400
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$262,583
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$474,589
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$111,715
Value of net assets at end of year (total assets less liabilities)2017-06-30$2,625,827
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$2,514,112
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$2,625,827
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$2,514,112
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$2,514,112
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$262
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$152,973
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$767,790
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$915,137
Contract administrator fees2017-06-30$57,416
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30ORSBORN, SUTPHEN, & O'NEAL, PA
Accountancy firm EIN2017-06-30640683684
2016 : STAPLCOTN MEDICAL PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$1,265,892
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$1,152,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$1,086,848
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$1,265,645
Value of total assets at end of year2016-06-30$2,514,112
Value of total assets at beginning of year2016-06-30$2,400,302
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$65,234
Total interest from all sources2016-06-30$247
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$5,400
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$240,030
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$481,003
Administrative expenses (other) incurred2016-06-30$1,410
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$113,810
Value of net assets at end of year (total assets less liabilities)2016-06-30$2,514,112
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$2,400,302
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$2,514,112
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$2,400,302
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$2,400,302
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$247
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$147,312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$784,642
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$939,536
Contract administrator fees2016-06-30$58,424
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30ORSBORN, SUTPHEN, & O'NEAL, PA
Accountancy firm EIN2016-06-30640683684
2015 : STAPLCOTN MEDICAL PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$1,283,687
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$1,006,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$943,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$1,283,457
Value of total assets at end of year2015-06-30$2,400,302
Value of total assets at beginning of year2015-06-30$2,123,293
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$63,129
Total interest from all sources2015-06-30$230
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$5,275
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$212,329
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$490,040
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$277,009
Value of net assets at end of year (total assets less liabilities)2015-06-30$2,400,302
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$2,123,293
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$2,400,302
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$2,123,293
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$2,123,293
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$230
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$144,401
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$793,417
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$799,148
Contract administrator fees2015-06-30$57,854
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30ORSBORN, SUTPHEN, & O'NEAL, PA
Accountancy firm EIN2015-06-30640683684
2014 : STAPLCOTN MEDICAL PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$1,285,009
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$1,141,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$1,081,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$1,284,799
Value of total assets at end of year2014-06-30$2,123,293
Value of total assets at beginning of year2014-06-30$1,979,718
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$60,296
Total interest from all sources2014-06-30$210
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$4,640
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$197,972
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$486,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$143,575
Value of net assets at end of year (total assets less liabilities)2014-06-30$2,123,293
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,979,718
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$2,123,293
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$1,979,718
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$1,979,718
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$210
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$138,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$797,899
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$942,723
Contract administrator fees2014-06-30$55,656
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30ORSBORN, SUTPHEN, & O'NEAL, PA
Accountancy firm EIN2014-06-30640683684
2013 : STAPLCOTN MEDICAL PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$1,302,782
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$955,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$894,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$1,302,603
Value of total assets at end of year2013-06-30$1,979,718
Value of total assets at beginning of year2013-06-30$1,632,742
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$61,115
Total interest from all sources2013-06-30$179
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$4,640
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$163,274
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$492,571
Administrative expenses (other) incurred2013-06-30$13
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$346,976
Value of net assets at end of year (total assets less liabilities)2013-06-30$1,979,718
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$1,632,742
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$1,979,718
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$1,632,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$1,632,742
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$179
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$140,779
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$810,032
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$753,912
Contract administrator fees2013-06-30$56,462
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30ORSBORN, SUTPHEN & O'NEAL, PA
Accountancy firm EIN2013-06-30640683684
2012 : STAPLCOTN MEDICAL PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-06-30$1,317,581
Total of all expenses incurred2012-06-30$879,321
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$820,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$1,316,808
Value of total assets at end of year2012-06-30$1,632,742
Value of total assets at beginning of year2012-06-30$1,194,482
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$59,173
Total interest from all sources2012-06-30$773
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$4,639
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$119,448
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$498,918
Administrative expenses (other) incurred2012-06-30$15
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$438,260
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,632,742
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$1,194,482
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$1,632,742
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$1,194,482
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$1,194,482
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$773
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$140,389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$817,890
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$679,759
Contract administrator fees2012-06-30$54,519
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30ORSBORN, SUTPHEN & O'NEAL, PA
Accountancy firm EIN2012-06-30640683684
2011 : STAPLCOTN MEDICAL PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-06-30$1,428,934
Total of all expenses incurred2011-06-30$1,023,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$962,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$1,426,675
Value of total assets at end of year2011-06-30$1,194,482
Value of total assets at beginning of year2011-06-30$789,262
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$61,169
Total interest from all sources2011-06-30$1,008
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$4,639
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$78,926
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$525,970
Other income not declared elsewhere2011-06-30$1,251
Administrative expenses (other) incurred2011-06-30$150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$405,220
Value of net assets at end of year (total assets less liabilities)2011-06-30$1,194,482
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$789,262
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$1,194,482
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$789,262
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$789,262
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$1,008
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$150,692
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$900,705
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$811,853
Contract administrator fees2011-06-30$56,380
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30ORSBORN, SUTPHEN & O'NEAL, PA
Accountancy firm EIN2011-06-30640683684

Form 5500 Responses for STAPLCOTN MEDICAL PLAN

2022: STAPLCOTN MEDICAL PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: STAPLCOTN MEDICAL PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: STAPLCOTN MEDICAL PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: STAPLCOTN MEDICAL PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: STAPLCOTN MEDICAL PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: STAPLCOTN MEDICAL PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: STAPLCOTN MEDICAL PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: STAPLCOTN MEDICAL PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: STAPLCOTN MEDICAL PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: STAPLCOTN MEDICAL PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: STAPLCOTN MEDICAL PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: STAPLCOTN MEDICAL PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: STAPLCOTN MEDICAL PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER2022-038
Policy instance 1
Insurance contract or identification numberGER2022-038
Number of Individuals Covered317
Insurance policy start date2022-08-01
Insurance policy end date2023-07-31
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?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 $370,735
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number7523-MS210-C
Policy instance 1
Insurance contract or identification number7523-MS210-C
Number of Individuals Covered152
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
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?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 $278,622
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number7023-MS200-C
Policy instance 1
Insurance contract or identification number7023-MS200-C
Number of Individuals Covered146
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
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?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 BenefitYes
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 $238,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY INSURANCE UNDERWRITERS, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberTRU000140-02
Policy instance 1
Insurance contract or identification numberTRU000140-02
Number of Individuals Covered159
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
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?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 BenefitYes
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 $210,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFASLP20081078T
Policy instance 1
Insurance contract or identification numberAFASLP20081078T
Number of Individuals Covered286
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
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?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 BenefitYes
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 $168,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFASLP2008987TR
Policy instance 1
Insurance contract or identification numberAFASLP2008987TR
Number of Individuals Covered266
Insurance policy start date2016-08-01
Insurance policy end date2017-07-31
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?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 BenefitYes
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 $153,669
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFASLP2008757TR
Policy instance 1
Insurance contract or identification numberAFASLP2008757TR
Number of Individuals Covered269
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
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 BenefitYes
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 $144,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFASLP2008757TR
Policy instance 1
Insurance contract or identification numberAFASLP2008757TR
Number of Individuals Covered275
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
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 BenefitYes
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 $138,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFASLP2008446TR
Policy instance 1
Insurance contract or identification numberAFASLP2008446TR
Number of Individuals Covered282
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
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 BenefitYes
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 $140,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFA-SLP-2008-29
Policy instance 1
Insurance contract or identification numberAFA-SLP-2008-29
Number of Individuals Covered287
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
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 BenefitYes
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 $140,803
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFA-SLP-2008-15
Policy instance 1
Insurance contract or identification numberAFA-SLP-2008-15
Number of Individuals Covered125
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $144,033
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberAFA-SLP-2008-04
Policy instance 1
Insurance contract or identification numberAFA-SLP-2008-04
Number of Individuals Covered141
Insurance policy start date2009-08-01
Insurance policy end date2010-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $223,812
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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