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TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN 401k Plan overview

Plan NameTOP OF THE WORLD LLC HSA GROUP HEALTH PLAN
Plan identification number 501

TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

TOP OF THE WORLD, LLC has sponsored the creation of one or more 401k plans.

Company Name:TOP OF THE WORLD, LLC
Employer identification number (EIN):731624867
NAIC Classification:424300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-05-01KATHERINE STAGGS
5012016-05-01KATHERINE STAGGS
5012016-05-01

Plan Statistics for TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN

401k plan membership statisitcs for TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN

Measure Date Value
2017: TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01104
Total number of active participants reported on line 7a of the Form 55002017-05-01114
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-01114
2016: TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01109
Total number of active participants reported on line 7a of the Form 55002016-05-01104
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01104

Financial Data on TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN

Measure Date Value
2017 : TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$109,675
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$156,668
Total income from all sources (including contributions)2017-12-31$447,762
Total of all expenses incurred2017-12-31$447,762
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$388,850
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$447,762
Value of total assets at end of year2017-12-31$109,675
Value of total assets at beginning of year2017-12-31$156,668
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$58,912
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$138,586
Liabilities. Value of operating payables at end of year2017-12-31$109,675
Liabilities. Value of operating payables at beginning of year2017-12-31$156,668
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$60,538
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$309,176
Employer contributions (assets) at end of year2017-12-31$109,675
Employer contributions (assets) at beginning of year2017-12-31$156,668
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$328,312
Contract administrator fees2017-12-31$58,912
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31GRAY, BLODGETT & COMPANY, PLLC
Accountancy firm EIN2017-12-31731352810
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$156,668
Total income from all sources (including contributions)2017-04-30$573,115
Total of all expenses incurred2017-04-30$573,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$505,160
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$573,115
Value of total assets at end of year2017-04-30$156,668
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$67,955
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Was this plan covered by a fidelity bond2017-04-30No
If this is an individual account plan, was there a blackout period2017-04-30No
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Contributions received from participants2017-04-30$209,680
Liabilities. Value of operating payables at end of year2017-04-30$156,668
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net assets at end of year (total assets less liabilities)2017-04-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$94,073
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30No
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$363,435
Employer contributions (assets) at end of year2017-04-30$156,668
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$411,087
Contract administrator fees2017-04-30$67,955
Did the plan have assets held for investment2017-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30GRAY, BLODGETT & COMPANY, PLLC
Accountancy firm EIN2017-04-30731352810

Form 5500 Responses for TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN

2017: TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – General assets of the sponsorYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – General assets of the sponsorYes
2016: TOP OF THE WORLD LLC HSA GROUP HEALTH PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01First time form 5500 has been submittedYes
2016-05-01Submission has been amendedYes
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – General assets of the sponsorYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

SIRIUS AMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38776 )
Policy contract numberS1087-2016
Policy instance 1
Insurance contract or identification numberS1087-2016
Number of Individuals Covered114
Insurance policy start date2017-05-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $58,912
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees38297
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?5
Insurance broker nameSIRIUS AMERICA INSURANCE CO

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