401k Plan data: PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN plan

PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN
Plan identification number	501

PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

PREFERRED HEALTH SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name: PREFERRED HEALTH SERVICES, LLC

Employer identification number (EIN): 640902406

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-01-01
501 2019-01-01
501 2019-01-01

Plan Statistics for PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN

Measure Date Value
2020: PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 692
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 692
2019: PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 137
Total of all active and inactive participants 2019-01-01 137
Total participants 2019-01-01 137
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0

Measure	Date	Value
2020: PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	692
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	692
2019: PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	137
Total of all active and inactive participants	2019-01-01	137
Total participants	2019-01-01	137
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0

Financial Data on PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN

Measure	Date	Value
2020 : PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,195,603
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$514,227
Total income from all sources (including contributions)	2020-12-31	$4,939,548
Total of all expenses incurred	2020-12-31	$6,735,626
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$6,241,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$4,938,723
Value of total assets at end of year	2020-12-31	$139,910
Value of total assets at beginning of year	2020-12-31	$254,612
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$494,305
Total interest from all sources	2020-12-31	$825
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$189,091
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$30,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$226
Assets. Other investments not covered elsewhere at beginning of year	2020-12-31	$3,010
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$56,013
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$34,235
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$515,452
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$315,834
Administrative expenses (other) incurred	2020-12-31	$21,634
Liabilities. Value of operating payables at end of year	2020-12-31	$371,662
Liabilities. Value of operating payables at beginning of year	2020-12-31	$39,112
Total non interest bearing cash at end of year	2020-12-31	$54,330
Total non interest bearing cash at beginning of year	2020-12-31	$38,851
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-1,796,078
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$-2,055,693
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$-259,615
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$29,341
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$178,516
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$178,516
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$825
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$1,291,392
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$4,938,723
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$4,949,929
Contract administrator fees	2020-12-31	$283,580
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$1,308,489
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$159,281
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Qualified
Accountancy firm name	2020-12-31	TJS DEEMER DANA LLP
Accountancy firm EIN	2020-12-31	582663273
2019 : PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$492,204
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$506,327
Expenses. Total of all expenses incurred	2019-12-31	$751,348
Benefits paid (including direct rollovers)	2019-12-31	$572,936
Total plan assets at end of year	2019-12-31	$247,183
Total plan assets at beginning of year	2019-12-31	$0
Value of fidelity bond covering the plan	2019-12-31	$30,000
Expenses. Other expenses not covered elsewhere	2019-12-31	$4,076
Other income received	2019-12-31	$3,536
Net income (gross income less expenses)	2019-12-31	$-245,021
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$-245,021
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$0
Total contributions received or receivable from employer(s)	2019-12-31	$502,791
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$174,336

Form 5500 Responses for PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN

2020: PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Mulitple employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: PREFERRED HEALTH SERVICES EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Mulitple employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )

Policy contract number

Policy instance

Number of Individuals Covered	692
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Welfare Benefit Premiums Paid to Carrier	USD $982,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

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Company Name:	PREFERRED HEALTH SERVICES, LLC
Employer identification number (EIN):	640902406
NAIC Classification:	524140