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UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST 401k Plan overview

Plan NameUNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST
Plan identification number 501

UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST Benefits

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

401k Sponsoring company profile

UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST has sponsored the creation of one or more 401k plans.

Company Name:UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST
Employer identification number (EIN):852370921
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01MICHELLE SLEITER2023-07-25
5012021-01-01MICHELLE SLEITER2022-07-21

Plan Statistics for UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST

401k plan membership statisitcs for UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST

Measure Date Value
2022: UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-011,342
Total number of active participants reported on line 7a of the Form 55002022-01-011,309
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-011,309
2021: UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-010
Total number of active participants reported on line 7a of the Form 55002021-01-011,342
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,342
Total participants2021-01-011,342

Financial Data on UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST

Measure Date Value
2022 : UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-330,495
Total unrealized appreciation/depreciation of assets2022-12-31$-330,495
Total transfer of assets to this plan2022-12-31$750,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,261,053
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,375,854
Total income from all sources (including contributions)2022-12-31$23,569,682
Total of all expenses incurred2022-12-31$24,778,033
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$21,329,232
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$21,433,941
Value of total assets at end of year2022-12-31$3,084,455
Value of total assets at beginning of year2022-12-31$3,657,607
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$3,448,801
Total interest from all sources2022-12-31$40,246
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$271,260
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$250,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$682,583
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$516,817
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$1,539,638
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$1,640,501
Other income not declared elsewhere2022-12-31$2,425,990
Administrative expenses (other) incurred2022-12-31$2,069,493
Liabilities. Value of operating payables at end of year2022-12-31$8,422
Liabilities. Value of operating payables at beginning of year2022-12-31$6,580
Total non interest bearing cash at end of year2022-12-31$691,982
Total non interest bearing cash at beginning of year2022-12-31$1,128,776
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,208,351
Value of net assets at end of year (total assets less liabilities)2022-12-31$823,402
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,281,753
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
Investment advisory and management fees2022-12-31$11,876
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,681,025
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,012,014
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$28,865
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$40,246
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$21,433,941
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$21,329,232
Contract administrator fees2022-12-31$1,096,172
Liabilities. Value of benefit claims payable at end of year2022-12-31$712,993
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$728,773
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MHCS P.C.
Accountancy firm EIN2022-12-31421104473
2021 : UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-5,765
Total unrealized appreciation/depreciation of assets2021-12-31$-5,765
Total transfer of assets to this plan2021-12-31$500,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,375,854
Total income from all sources (including contributions)2021-12-31$21,947,266
Total of all expenses incurred2021-12-31$21,165,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$16,332,069
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$20,662,208
Value of total assets at end of year2021-12-31$3,657,607
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$4,833,444
Total interest from all sources2021-12-31$18,464
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$238,416
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$250,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$516,817
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$1,640,501
Other income not declared elsewhere2021-12-31$1,272,359
Administrative expenses (other) incurred2021-12-31$3,608,010
Liabilities. Value of operating payables at end of year2021-12-31$6,580
Total non interest bearing cash at end of year2021-12-31$1,128,776
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$781,753
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,281,753
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
Investment advisory and management fees2021-12-31$684
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$2,012,014
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$18,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$20,662,208
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$16,332,069
Contract administrator fees2021-12-31$986,334
Liabilities. Value of benefit claims payable at end of year2021-12-31$728,773
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 name2021-12-31MHCS P.C.
Accountancy firm EIN2021-12-31421104473

Form 5500 Responses for UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST

2022: UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
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: UNITYPOINT RURAL HEALTH ALLIANCE BENEFITS TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )
Policy contract numberB64
Policy instance 1
Insurance contract or identification numberB64
Number of Individuals Covered1295
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )
Policy contract numberB64
Policy instance 1
Insurance contract or identification numberB64
Number of Individuals Covered1342
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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