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MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan NameMISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST
Plan identification number 002

MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MISSOULA BONE & JOINT, LLC has sponsored the creation of one or more 401k plans.

Company Name:MISSOULA BONE & JOINT, LLC
Employer identification number (EIN):841392819
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01SAMANTHA SPENCER2023-10-13 SAMANTHA SPENCER2023-10-13
0022021-01-01SAMANTHA SPENCER2022-10-04 SAMANTHA SPENCER2022-10-04
0022020-01-01SAMANTHA SPENCER2021-10-06
0022019-01-01SAMANTHA SPENCER2020-10-06 SAMANTHA SPENCER2020-10-06
0022018-01-01SAMANTHA SPENCER2019-10-14 SAMANTHA SPENCER2019-10-14
0022018-01-01SAMANTHA SPENCER2020-07-16 SAMANTHA SPENCER2020-07-16
0022017-01-01GLENN JARRETT
0022017-01-01SAMANTHA SPENCER2020-04-22 SAMANTHA SPENCER2020-04-22
0022016-01-01
0022016-01-01SAMANTHA SPENCER2020-04-22
0022015-01-01SAMANTHA SPENCER2020-04-22 SAMANTHA SPENCER2020-04-22
0022015-01-01
0022015-01-01SAMANTHA SPENCER2019-10-17
0022014-01-01GLENN JARRETT2015-09-30
0022013-01-01GLENN JARRETT2014-10-03
0022012-01-01GLENN JARRETT2013-10-08
0022011-01-01GLENN JARRETT2012-10-09
0022010-01-01GLENN JARRETT2011-10-05

Plan Statistics for MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST

Measure Date Value
2022: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01305
Total number of active participants reported on line 7a of the Form 55002022-01-01185
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0149
Total of all active and inactive participants2022-01-01234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01234
Number of participants with account balances2022-01-01234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0114
2021: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01285
Total number of active participants reported on line 7a of the Form 55002021-01-01168
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01137
Total of all active and inactive participants2021-01-01305
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01305
Number of participants with account balances2021-01-01305
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0120
2020: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01228
Total number of active participants reported on line 7a of the Form 55002020-01-01168
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01117
Total of all active and inactive participants2020-01-01285
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01285
Number of participants with account balances2020-01-01285
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0125
2019: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01213
Total number of active participants reported on line 7a of the Form 55002019-01-01142
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0186
Total of all active and inactive participants2019-01-01228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01228
Number of participants with account balances2019-01-01228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0118
2018: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01199
Total number of active participants reported on line 7a of the Form 55002018-01-01139
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0174
Total of all active and inactive participants2018-01-01213
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01213
Number of participants with account balances2018-01-01213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0113
2017: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01171
Total number of active participants reported on line 7a of the Form 55002017-01-01138
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0161
Total of all active and inactive participants2017-01-01199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01199
Number of participants with account balances2017-01-01191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0116
2016: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01153
Total number of active participants reported on line 7a of the Form 55002016-01-01124
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0135
Total of all active and inactive participants2016-01-01159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01159
Number of participants with account balances2016-01-01152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0119
2015: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01137
Total number of active participants reported on line 7a of the Form 55002015-01-01121
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0119
Total of all active and inactive participants2015-01-01140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01140
Number of participants with account balances2015-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0111

Financial Data on MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST

Measure Date Value
2022 : MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,391
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$10,432
Total income from all sources (including contributions)2022-12-31$-1,337,095
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$721,762
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$675,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,795,933
Value of total assets at end of year2022-12-31$22,098,924
Value of total assets at beginning of year2022-12-31$24,166,822
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$46,739
Total interest from all sources2022-12-31$4,485
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$883,918
Participant contributions at end of year2022-12-31$118,147
Participant contributions at beginning of year2022-12-31$138,009
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$37,060
Liabilities. Value of operating payables at end of year2022-12-31$1,391
Liabilities. Value of operating payables at beginning of year2022-12-31$10,432
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,058,857
Value of net assets at end of year (total assets less liabilities)2022-12-31$22,097,533
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$24,156,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$16,638,042
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$17,760,299
Interest on participant loans2022-12-31$4,485
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$5,340,910
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$6,268,286
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-3,137,513
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$874,955
Employer contributions (assets) at end of year2022-12-31$1,825
Employer contributions (assets) at beginning of year2022-12-31$228
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$675,023
Contract administrator fees2022-12-31$46,739
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KCOE ISOM LLP
Accountancy firm EIN2022-12-31942222122
2021 : MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$10,432
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$400
Total income from all sources (including contributions)2021-12-31$3,847,770
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$540,092
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$486,068
Value of total corrective distributions2021-12-31$8,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,649,427
Value of total assets at end of year2021-12-31$24,166,822
Value of total assets at beginning of year2021-12-31$20,849,112
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$45,946
Total interest from all sources2021-12-31$4,750
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$792,921
Participant contributions at end of year2021-12-31$138,009
Participant contributions at beginning of year2021-12-31$95,945
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$6,786
Liabilities. Value of operating payables at end of year2021-12-31$10,432
Liabilities. Value of operating payables at beginning of year2021-12-31$400
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$3,307,678
Value of net assets at end of year (total assets less liabilities)2021-12-31$24,156,390
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$20,848,712
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$17,760,299
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$13,851,433
Interest on participant loans2021-12-31$4,750
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$6,268,286
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$6,332,481
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,193,593
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$849,720
Employer contributions (assets) at end of year2021-12-31$228
Employer contributions (assets) at beginning of year2021-12-31$569,253
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$486,068
Contract administrator fees2021-12-31$45,946
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ANDERSON ZURMUEHLEN & CO PC
Accountancy firm EIN2021-12-31810385940
2020 : MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$400
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,177,241
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$586,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$539,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,527,272
Value of total assets at end of year2020-12-31$20,849,112
Value of total assets at beginning of year2020-12-31$18,258,447
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$47,855
Total interest from all sources2020-12-31$5,986
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$705,076
Participant contributions at end of year2020-12-31$95,945
Participant contributions at beginning of year2020-12-31$130,529
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$35,665
Liabilities. Value of operating payables at end of year2020-12-31$400
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,590,265
Value of net assets at end of year (total assets less liabilities)2020-12-31$20,848,712
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$18,258,447
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$47,855
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$13,851,433
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$15,081,988
Interest on participant loans2020-12-31$5,986
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$6,332,481
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$3,045,313
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,643,983
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$786,531
Employer contributions (assets) at end of year2020-12-31$569,253
Employer contributions (assets) at beginning of year2020-12-31$617
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$539,121
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ANDERSON ZURMUEHLEN & CO PC
Accountancy firm EIN2020-12-31810385940
2019 : MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$4,603,742
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$2,203,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,179,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,681,185
Value of total assets at end of year2019-12-31$18,258,447
Value of total assets at beginning of year2019-12-31$15,858,342
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$23,763
Total interest from all sources2019-12-31$7,386
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$739,526
Participant contributions at end of year2019-12-31$130,529
Participant contributions at beginning of year2019-12-31$150,228
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$213,876
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$7,054
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,400,105
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,258,447
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$15,858,342
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$23,763
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$15,081,988
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$12,573,463
Interest on participant loans2019-12-31$7,386
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$3,045,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,127,594
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,915,171
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$727,783
Employer contributions (assets) at end of year2019-12-31$617
Employer contributions (assets) at beginning of year2019-12-31$3
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,179,874
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ANDERSON ZURMUEHLEN & CO PC
Accountancy firm EIN2019-12-31810385940
2018 : MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$745,900
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$549,565
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$529,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,370,223
Value of total assets at end of year2018-12-31$15,857,368
Value of total assets at beginning of year2018-12-31$15,661,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$20,421
Total interest from all sources2018-12-31$6,837
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$514,289
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$689,445
Participant contributions at end of year2018-12-31$150,228
Participant contributions at beginning of year2018-12-31$150,861
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$10,589
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$3,794
Liabilities. Value of operating payables at end of year2018-12-31$0
Liabilities. Value of operating payables at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$4,775
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$196,335
Value of net assets at end of year (total assets less liabilities)2018-12-31$15,857,368
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$15,661,033
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$19,373
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$12,573,463
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$11,882,405
Interest on participant loans2018-12-31$6,837
Value of interest in common/collective trusts at end of year2018-12-31$0
Value of interest in common/collective trusts at beginning of year2018-12-31$3,622,992
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,127,594
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-631,160
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$676,984
Employer contributions (assets) at end of year2018-12-31$6,083
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$529,144
Contract administrator fees2018-12-31$1,048
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ANDERSON ZURMUEHLEN & CO PC
Accountancy firm EIN2018-12-31810385940
2017 : MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,264,490
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$144,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$104,001
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,566,943
Value of total assets at end of year2017-12-31$15,661,033
Value of total assets at beginning of year2017-12-31$12,541,310
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$40,766
Total interest from all sources2017-12-31$6,615
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$427,749
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$427,749
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$657,924
Participant contributions at end of year2017-12-31$150,861
Participant contributions at beginning of year2017-12-31$66,216
Participant contributions at end of year2017-12-31$10,589
Participant contributions at beginning of year2017-12-31$60,591
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$237,977
Total non interest bearing cash at end of year2017-12-31$4,775
Total non interest bearing cash at beginning of year2017-12-31$53,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$3,119,723
Value of net assets at end of year (total assets less liabilities)2017-12-31$15,661,033
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$12,541,310
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$34,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$11,882,405
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$12,422,051
Interest on participant loans2017-12-31$6,615
Value of interest in common/collective trusts at end of year2017-12-31$3,622,992
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,263,159
Net investment gain or loss from common/collective trusts2017-12-31$24
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$671,042
Employer contributions (assets) at end of year2017-12-31$15,624
Employer contributions (assets) at beginning of year2017-12-31$34,880
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$104,001
Contract administrator fees2017-12-31$6,766
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ANDERSON ZURMUEHLEN
Accountancy firm EIN2017-12-31810385940
2016 : MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$2,002,499
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$428,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$346,770
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,462,431
Value of total assets at end of year2016-12-31$12,541,310
Value of total assets at beginning of year2016-12-31$10,967,546
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$81,965
Total interest from all sources2016-12-31$3,781
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$216,223
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$216,223
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$612,547
Participant contributions at end of year2016-12-31$66,216
Participant contributions at beginning of year2016-12-31$118,562
Participant contributions at end of year2016-12-31$34,880
Participant contributions at beginning of year2016-12-31$45,444
Total non interest bearing cash at end of year2016-12-31$53,043
Total non interest bearing cash at beginning of year2016-12-31$5,295
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,573,764
Value of net assets at end of year (total assets less liabilities)2016-12-31$12,541,310
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$10,967,546
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$63,739
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$12,422,051
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$10,843,689
Interest on participant loans2016-12-31$3,781
Income. Interest from loans (other than to participants)2016-12-31$3,781
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$320,064
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$849,884
Employer contributions (assets) at end of year2016-12-31$60,591
Employer contributions (assets) at beginning of year2016-12-31$42,363
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$346,770
Contract administrator fees2016-12-31$18,226
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ANDERSON ZURMUEHLEN & CO PC
Accountancy firm EIN2016-12-31810385940
2015 : MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,348,808
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,564,342
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,488,384
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,527,591
Value of total assets at end of year2015-12-31$10,967,546
Value of total assets at beginning of year2015-12-31$11,183,080
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$75,958
Total interest from all sources2015-12-31$5,293
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$244,282
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$244,282
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$531,141
Participant contributions at end of year2015-12-31$118,562
Participant contributions at beginning of year2015-12-31$127,551
Participant contributions at end of year2015-12-31$45,444
Participant contributions at beginning of year2015-12-31$43,661
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$246,146
Total non interest bearing cash at end of year2015-12-31$5,295
Total non interest bearing cash at beginning of year2015-12-31$5,714
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-215,534
Value of net assets at end of year (total assets less liabilities)2015-12-31$10,967,546
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,183,080
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$73,680
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$10,843,689
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$11,049,815
Interest on participant loans2015-12-31$5,293
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-428,358
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$750,304
Employer contributions (assets) at end of year2015-12-31$42,363
Employer contributions (assets) at beginning of year2015-12-31$74,402
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,488,384
Contract administrator fees2015-12-31$2,278
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ANDERSON ZURMUEHLEN & CO PC
Accountancy firm EIN2015-12-31810385940

Form 5500 Responses for MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST

2022: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MISSOULA BONE & JOINT,LLC 401(K) PROFIT SHARING PLAN & TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260365-01
Policy instance 1
Insurance contract or identification number1260365-01
Number of Individuals Covered76
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260365-01
Policy instance 1
Insurance contract or identification number1260365-01
Number of Individuals Covered144
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260365-01
Policy instance 1
Insurance contract or identification number1260365-01
Number of Individuals Covered154
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260365-01
Policy instance 1
Insurance contract or identification number1260365-01
Number of Individuals Covered163
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260365-01
Policy instance 1
Insurance contract or identification number1260365-01
Number of Individuals Covered170
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3

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