401k Plan data: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE plan

FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 401k Plan overview

Plan Name	FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE
Plan identification number	001

FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE Benefits

401k Plan Type

Defined 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).
Money purchase (other than target benefit)
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.
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

COMMUNITY HEALTH ALLIANCE has sponsored the creation of one or more 401k plans.

Company Name: COMMUNITY HEALTH ALLIANCE

Employer identification number (EIN): 880293149

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Additional information about COMMUNITY HEALTH ALLIANCE

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 1992-03-31

Company Identification Number: 19921028701

Legal Registered Office Address: 5421 KIETZKE LANE SUITE 100

RENO
United States of America (USA)
89511

More information about COMMUNITY HEALTH ALLIANCE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 LAURA E HOWE 2023-10-03
001 2021-01-01 PHILLIP NOWAK 2022-09-23 PHILLIP NOWAK 2022-09-23
001 2020-01-01 PHILLIP NOWAK 2021-09-21 PHILLIP NOWAK 2021-09-21
001 2018-01-01 CASSIE MOIR 2019-10-02 CASSIE MOIR 2019-10-02
001 2017-01-01
001 2016-01-01 DIAHANN BARRERA DIAHANN BARRERA 2017-10-03
001 2015-01-01 DIAHANN BARRERA DIAHANN BARRERA 2016-09-13
001 2014-01-01 DIAHANN BARRERA DIAHANN BARRERA 2015-10-13
001 2013-01-01 DIAHANN BARRERA DIAHANN BARRERA 2014-10-10
001 2012-01-01 LIZA FOMOUS
001 2011-01-01 LIZA FOMOUS
001 2010-01-01 LIZA FOMOUS 2011-10-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	LAURA E HOWE	2023-10-03
001	2021-01-01	PHILLIP NOWAK	2022-09-23	PHILLIP NOWAK	2022-09-23
001	2020-01-01	PHILLIP NOWAK	2021-09-21	PHILLIP NOWAK	2021-09-21
001	2018-01-01	CASSIE MOIR	2019-10-02	CASSIE MOIR	2019-10-02
001	2017-01-01
001	2016-01-01	DIAHANN BARRERA		DIAHANN BARRERA	2017-10-03
001	2015-01-01	DIAHANN BARRERA		DIAHANN BARRERA	2016-09-13
001	2014-01-01	DIAHANN BARRERA		DIAHANN BARRERA	2015-10-13
001	2013-01-01	DIAHANN BARRERA		DIAHANN BARRERA	2014-10-10
001	2012-01-01	LIZA FOMOUS
001	2011-01-01	LIZA FOMOUS
001	2010-01-01	LIZA FOMOUS	2011-10-05

Plan Statistics for FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE

401k plan membership statisitcs for FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE

Measure Date Value
2022: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2022 401k membership
Total participants, beginning-of-year 2022-01-01 276
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 182
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 116
Total of all active and inactive participants 2022-01-01 298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 1
Total participants 2022-01-01 299
Number of participants with account balances 2022-01-01 299
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 34
2021: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2021 401k membership
Total participants, beginning-of-year 2021-01-01 284
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 206
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 64
Total of all active and inactive participants 2021-01-01 270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 270
Number of participants with account balances 2021-01-01 270
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 13
2020: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2020 401k membership
Total participants, beginning-of-year 2020-01-01 279
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 196
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 87
Total of all active and inactive participants 2020-01-01 283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 283
Number of participants with account balances 2020-01-01 283
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 18
2018: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2018 401k membership
Total participants, beginning-of-year 2018-01-01 246
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 209
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 43
Total of all active and inactive participants 2018-01-01 252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 252
Number of participants with account balances 2018-01-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 18
2017: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2017 401k membership
Total participants, beginning-of-year 2017-01-01 212
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 179
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 63
Total of all active and inactive participants 2017-01-01 242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 242
Number of participants with account balances 2017-01-01 242
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 19
2016: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2016 401k membership
Total participants, beginning-of-year 2016-01-01 183
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 207
Total of all active and inactive participants 2016-01-01 207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 207
Number of participants with account balances 2016-01-01 207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2015 401k membership
Total participants, beginning-of-year 2015-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 146
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 35
Total of all active and inactive participants 2015-01-01 181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 2
Total participants 2015-01-01 183
Number of participants with account balances 2015-01-01 182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 4
2014: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2014 401k membership
Total participants, beginning-of-year 2014-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 131
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 37
Total of all active and inactive participants 2014-01-01 168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 2
Total participants 2014-01-01 170
Number of participants with account balances 2014-01-01 170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 5
2013: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2013 401k membership
Total participants, beginning-of-year 2013-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 87
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 43
Total of all active and inactive participants 2013-01-01 130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 2
Total participants 2013-01-01 132
Number of participants with account balances 2013-01-01 132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 12
2012: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2012 401k membership
Total participants, beginning-of-year 2012-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 62
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 36
Total of all active and inactive participants 2012-01-01 98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 3
Total participants 2012-01-01 101
Number of participants with account balances 2012-01-01 99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 11
2011: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 65
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 36
Total of all active and inactive participants 2011-01-01 101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 1
Total participants 2011-01-01 102
Number of participants with account balances 2011-01-01 102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 5

Measure	Date	Value
2022: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2022 401k membership
Total participants, beginning-of-year	2022-01-01	276
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	182
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	116
Total of all active and inactive participants	2022-01-01	298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	1
Total participants	2022-01-01	299
Number of participants with account balances	2022-01-01	299
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	34
2021: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2021 401k membership
Total participants, beginning-of-year	2021-01-01	284
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	206
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	64
Total of all active and inactive participants	2021-01-01	270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	270
Number of participants with account balances	2021-01-01	270
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	13
2020: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2020 401k membership
Total participants, beginning-of-year	2020-01-01	279
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	196
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	87
Total of all active and inactive participants	2020-01-01	283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	283
Number of participants with account balances	2020-01-01	283
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	18
2018: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2018 401k membership
Total participants, beginning-of-year	2018-01-01	246
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	209
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	43
Total of all active and inactive participants	2018-01-01	252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	252
Number of participants with account balances	2018-01-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	18
2017: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2017 401k membership
Total participants, beginning-of-year	2017-01-01	212
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	179
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	63
Total of all active and inactive participants	2017-01-01	242
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	242
Number of participants with account balances	2017-01-01	242
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	19
2016: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2016 401k membership
Total participants, beginning-of-year	2016-01-01	183
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	207
Total of all active and inactive participants	2016-01-01	207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	207
Number of participants with account balances	2016-01-01	207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2015 401k membership
Total participants, beginning-of-year	2015-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	146
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	35
Total of all active and inactive participants	2015-01-01	181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	2
Total participants	2015-01-01	183
Number of participants with account balances	2015-01-01	182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	4
2014: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2014 401k membership
Total participants, beginning-of-year	2014-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	131
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	37
Total of all active and inactive participants	2014-01-01	168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	2
Total participants	2014-01-01	170
Number of participants with account balances	2014-01-01	170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	5
2013: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2013 401k membership
Total participants, beginning-of-year	2013-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	87
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	43
Total of all active and inactive participants	2013-01-01	130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	2
Total participants	2013-01-01	132
Number of participants with account balances	2013-01-01	132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	12
2012: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2012 401k membership
Total participants, beginning-of-year	2012-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	62
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	36
Total of all active and inactive participants	2012-01-01	98
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	3
Total participants	2012-01-01	101
Number of participants with account balances	2012-01-01	99
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	11
2011: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	65
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	36
Total of all active and inactive participants	2011-01-01	101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	1
Total participants	2011-01-01	102
Number of participants with account balances	2011-01-01	102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	5

Financial Data on FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE

Measure	Date	Value
2022 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$220
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$8,102
Total income from all sources (including contributions)	2022-12-31	$-306,389
Total loss/gain on sale of assets	2022-12-31	$-167,990
Total of all expenses incurred	2022-12-31	$643,833
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$588,218
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$679,899
Value of total assets at end of year	2022-12-31	$5,302,936
Value of total assets at beginning of year	2022-12-31	$6,261,040
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$55,615
Total interest from all sources	2022-12-31	$8,785
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$126,883
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2022-12-31	$126,883
Administrative expenses professional fees incurred	2022-12-31	$12,431
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Participant contributions at end of year	2022-12-31	$161,012
Participant contributions at beginning of year	2022-12-31	$152,739
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$220
Liabilities. Value of operating payables at end of year	2022-12-31	$0
Liabilities. Value of operating payables at beginning of year	2022-12-31	$8,102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-950,222
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$5,302,716
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$6,252,938
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$4,829,206
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$5,822,031
Interest on participant loans	2022-12-31	$8,785
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$312,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$281,523
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2022-12-31	$-953,966
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$679,899
Employer contributions (assets) at end of year	2022-12-31	$0
Employer contributions (assets) at beginning of year	2022-12-31	$4,747
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$588,218
Contract administrator fees	2022-12-31	$43,184
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Aggregate proceeds on sale of assets	2022-12-31	$1,168,430
Aggregate carrying amount (costs) on sale of assets	2022-12-31	$1,336,420
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	JWT & ASSOCIATES LLP
Accountancy firm EIN	2022-12-31	472718509
2021 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$8,102
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$22,029
Total income from all sources (including contributions)	2021-12-31	$1,362,680
Total loss/gain on sale of assets	2021-12-31	$60,344
Total of all expenses incurred	2021-12-31	$838,401
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$786,173
Expenses. Certain deemed distributions of participant loans	2021-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$628,343
Value of total assets at end of year	2021-12-31	$6,261,040
Value of total assets at beginning of year	2021-12-31	$5,750,688
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$52,228
Total interest from all sources	2021-12-31	$9,656
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$168,312
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-12-31	$168,312
Administrative expenses professional fees incurred	2021-12-31	$23,727
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Participant contributions at end of year	2021-12-31	$152,739
Participant contributions at beginning of year	2021-12-31	$180,992
Liabilities. Value of operating payables at end of year	2021-12-31	$8,102
Liabilities. Value of operating payables at beginning of year	2021-12-31	$22,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$524,279
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$6,252,938
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$5,728,659
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$5,822,031
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$5,259,732
Interest on participant loans	2021-12-31	$9,656
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$281,523
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$304,964
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-12-31	$496,025
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$628,343
Employer contributions (assets) at end of year	2021-12-31	$4,747
Employer contributions (assets) at beginning of year	2021-12-31	$5,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$786,173
Contract administrator fees	2021-12-31	$28,501
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Aggregate proceeds on sale of assets	2021-12-31	$1,781,198
Aggregate carrying amount (costs) on sale of assets	2021-12-31	$1,720,854
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	JWT & ASSOCIATES LLP
Accountancy firm EIN	2021-12-31	472718509
2020 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$22,029
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$20,285
Total income from all sources (including contributions)	2020-12-31	$1,287,417
Total loss/gain on sale of assets	2020-12-31	$4,167
Total of all expenses incurred	2020-12-31	$466,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$420,442
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$567,547
Value of total assets at end of year	2020-12-31	$5,750,688
Value of total assets at beginning of year	2020-12-31	$4,928,390
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$46,421
Total interest from all sources	2020-12-31	$12,301
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$106,986
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$106,986
Administrative expenses professional fees incurred	2020-12-31	$3,900
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$495,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Participant contributions at end of year	2020-12-31	$180,992
Participant contributions at beginning of year	2020-12-31	$190,836
Liabilities. Value of operating payables at end of year	2020-12-31	$22,029
Liabilities. Value of operating payables at beginning of year	2020-12-31	$20,285
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	$820,554
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$5,728,659
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$4,908,105
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 in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$5,259,732
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$4,521,603
Interest on participant loans	2020-12-31	$12,301
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$304,964
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$213,927
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$596,416
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	$567,547
Employer contributions (assets) at end of year	2020-12-31	$5,000
Employer contributions (assets) at beginning of year	2020-12-31	$2,024
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$420,442
Contract administrator fees	2020-12-31	$42,521
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
Aggregate proceeds on sale of assets	2020-12-31	$1,111,699
Aggregate carrying amount (costs) on sale of assets	2020-12-31	$1,107,532
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	JWT & ASSOCIATES LLP
Accountancy firm EIN	2020-12-31	472718509
2018 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$1,158
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	$285,956
Total of all expenses incurred	2018-12-31	$511,398
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$465,681
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$527,277
Value of total assets at end of year	2018-12-31	$4,073,917
Value of total assets at beginning of year	2018-12-31	$4,298,201
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$45,717
Total interest from all sources	2018-12-31	$8,891
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Administrative expenses professional fees incurred	2018-12-31	$10,041
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$330,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Participant contributions at end of year	2018-12-31	$148,811
Participant contributions at beginning of year	2018-12-31	$134,934
Participant contributions at end of year	2018-12-31	$0
Participant contributions at beginning of year	2018-12-31	$46,422
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-12-31	$0
Liabilities. Value of operating payables at end of year	2018-12-31	$1,158
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-225,442
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,072,759
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$4,298,201
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$3,652,350
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$3,874,778
Interest on participant loans	2018-12-31	$8,891
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$272,756
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$242,067
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-250,212
Net investment gain or loss from common/collective trusts	2018-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$527,277
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$465,681
Contract administrator fees	2018-12-31	$35,676
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	JWT & ASSOCIATES LLP
Accountancy firm EIN	2018-12-31	472718509
2017 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2017 401k financial data
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	$1,220,178
Total of all expenses incurred	2017-12-31	$178,933
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$157,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$591,419
Value of total assets at end of year	2017-12-31	$4,298,201
Value of total assets at beginning of year	2017-12-31	$3,256,956
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$21,324
Total interest from all sources	2017-12-31	$3,893
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$1,525
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$330,000
If this is an individual account plan, was there a blackout period	2017-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Participant contributions at end of year	2017-12-31	$134,934
Participant contributions at beginning of year	2017-12-31	$86,137
Participant contributions at end of year	2017-12-31	$46,422
Participant contributions at beginning of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,041,245
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$4,298,201
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,256,956
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$3,874,778
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$2,991,194
Interest on participant loans	2017-12-31	$3,893
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$242,067
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$179,625
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$624,866
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$591,419
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$157,609
Contract administrator fees	2017-12-31	$19,799
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	Yes
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	JWT & ASSOCIATES LLP
Accountancy firm EIN	2017-12-31	472718509
2016 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$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	$790,836
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$164,855
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$161,979
Expenses. Certain deemed distributions of participant loans	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$537,774
Value of total assets at end of year	2016-12-31	$3,256,956
Value of total assets at beginning of year	2016-12-31	$2,630,975
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$2,876
Total interest from all sources	2016-12-31	$2,909
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$300,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$0
Participant contributions at end of year	2016-12-31	$86,137
Participant contributions at beginning of year	2016-12-31	$76,956
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$2,876
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$625,981
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$3,256,956
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$2,630,975
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$2,991,194
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$2,363,343
Interest on participant loans	2016-12-31	$0
Interest earned on other investments	2016-12-31	$2,909
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$179,625
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$190,676
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Net investment gain/loss from pooled separate accounts	2016-12-31	$250,153
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$537,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$161,979
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	JWT & ASSOCIATES, LLP
Accountancy firm EIN	2016-12-31	472718509
2015 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$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	$398,233
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$540,402
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$537,402
Expenses. Certain deemed distributions of participant loans	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$408,492
Value of total assets at end of year	2015-12-31	$2,630,975
Value of total assets at beginning of year	2015-12-31	$2,773,144
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$3,000
Total interest from all sources	2015-12-31	$2,960
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$300,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$0
Participant contributions at end of year	2015-12-31	$76,956
Participant contributions at beginning of year	2015-12-31	$91,481
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$3,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-142,169
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$2,630,975
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,773,144
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$2,363,343
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,469,022
Interest on participant loans	2015-12-31	$0
Interest earned on other investments	2015-12-31	$2,960
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$190,676
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$212,641
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Net investment gain/loss from pooled separate accounts	2015-12-31	$-13,219
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$408,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$537,402
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	JWT & ASSOCIATES
Accountancy firm EIN	2015-12-31	472718509
2014 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$530,876
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$215,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$212,511
Expenses. Certain deemed distributions of participant loans	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$363,360
Value of total assets at end of year	2014-12-31	$2,773,144
Value of total assets at beginning of year	2014-12-31	$2,458,066
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,287
Total interest from all sources	2014-12-31	$3,038
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$300,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$434,933
Amount contributed by the employer to the plan for this plan year	2014-12-31	$434,933
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$0
Participant contributions at end of year	2014-12-31	$91,481
Participant contributions at beginning of year	2014-12-31	$60,629
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$0
Administrative expenses (other) incurred	2014-12-31	$3,287
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$315,078
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$2,773,144
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$2,458,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$2,469,022
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$2,167,650
Interest on participant loans	2014-12-31	$0
Interest earned on other investments	2014-12-31	$3,038
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$212,641
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$229,787
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Net investment gain/loss from pooled separate accounts	2014-12-31	$164,478
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$363,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$212,511
Did the plan have assets held for investment	2014-12-31	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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	JWT & ASSOCIATES, LLP
Accountancy firm EIN	2014-12-31	472718509
2013 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2013 401k financial data
Total income from all sources	2013-12-31	$686,092
Expenses. Total of all expenses incurred	2013-12-31	$655,840
Benefits paid (including direct rollovers)	2013-12-31	$606,774
Total plan assets at end of year	2013-12-31	$2,454,314
Total plan assets at beginning of year	2013-12-31	$2,424,062
Value of fidelity bond covering the plan	2013-12-31	$300,000
Total contributions received or receivable from participants	2013-12-31	$0
Expenses. Other expenses not covered elsewhere	2013-12-31	$49,066
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$397,890
Noncash contributions received	2013-12-31	$0
Net income (gross income less expenses)	2013-12-31	$30,252
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,454,314
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$2,424,062
Assets. Value of participant loans	2013-12-31	$60,629
Total contributions received or receivable from employer(s)	2013-12-31	$288,202
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2012 401k financial data
Total income from all sources	2012-12-31	$523,171
Expenses. Total of all expenses incurred	2012-12-31	$773,633
Benefits paid (including direct rollovers)	2012-12-31	$709,182
Total plan assets at end of year	2012-12-31	$2,424,062
Total plan assets at beginning of year	2012-12-31	$2,674,525
Value of fidelity bond covering the plan	2012-12-31	$300,000
Total contributions received or receivable from participants	2012-12-31	$0
Expenses. Other expenses not covered elsewhere	2012-12-31	$62,198
Contributions received from other sources (not participants or employers)	2012-12-31	$30,707
Other income received	2012-12-31	$215,305
Net income (gross income less expenses)	2012-12-31	$-250,462
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$2,424,062
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$2,674,525
Total contributions received or receivable from employer(s)	2012-12-31	$277,159
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,253
Funding deficiency by the employer to the plan for this plan year	2012-12-31	$0
Minimum employer required contribution for this plan year	2012-12-31	$277,159
Amount contributed by the employer to the plan for this plan year	2012-12-31	$277,159
2011 : FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2011 401k financial data
Total income from all sources	2011-12-31	$369,048
Expenses. Total of all expenses incurred	2011-12-31	$418,140
Benefits paid (including direct rollovers)	2011-12-31	$391,341
Total plan assets at end of year	2011-12-31	$2,674,525
Total plan assets at beginning of year	2011-12-31	$2,723,617
Value of fidelity bond covering the plan	2011-12-31	$300,000
Expenses. Other expenses not covered elsewhere	2011-12-31	$24,533
Contributions received from other sources (not participants or employers)	2011-12-31	$12,620
Other income received	2011-12-31	$-5,531
Net income (gross income less expenses)	2011-12-31	$-49,092
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$2,674,525
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$2,723,617
Total contributions received or receivable from employer(s)	2011-12-31	$361,959
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$2,266
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$374,579
Amount contributed by the employer to the plan for this plan year	2011-12-31	$374,579

Form 5500 Responses for FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE

2022: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2018: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: FLEXIBLE ANNUITY DC PLAN OF COMMUNITY HEALTH ALLIANCE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

500988-01

Policy instance

Insurance contract or identification number	500988-01
Number of Individuals Covered	37
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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 number

500988-01

Policy instance

Insurance contract or identification number	500988-01
Number of Individuals Covered	45
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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 number

500988-01

Policy instance

Insurance contract or identification number	500988-01
Number of Individuals Covered	41
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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 number

500988-01

Policy instance

Insurance contract or identification number	500988-01
Number of Individuals Covered	46
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

500988-01

Policy instance

Insurance contract or identification number	500988-01
Number of Individuals Covered	49
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $50
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $50
Insurance broker organization code?	3
Insurance broker name	STEVEN ROSE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

018128F

Policy instance

Insurance contract or identification number	018128F
Number of Individuals Covered	183
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $228
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $0
Amount paid for insurance broker fees	228
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	SAN FRANCISCO REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

018128F

Policy instance

Insurance contract or identification number	018128F
Number of Individuals Covered	170
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $275
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $0
Amount paid for insurance broker fees	275
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	SAN FRANCISCO REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

018128F

Policy instance

Insurance contract or identification number	018128F
Number of Individuals Covered	132
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,142
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $0
Amount paid for insurance broker fees	1142
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?	3
Insurance broker name	SAN FRANCISCO REGIONAL OFFICE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

018128-F

Policy instance

Insurance contract or identification number	018128-F
Number of Individuals Covered	103
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $275
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	94
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	3
Insurance broker name	JAMIE DANFORD

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

018125-F

Policy instance

Insurance contract or identification number	018125-F
Number of Individuals Covered	102
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $675

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The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
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See full terms and conditions

Company Name:	COMMUNITY HEALTH ALLIANCE
Employer identification number (EIN):	880293149
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	1992-03-31
Company Identification Number:	19921028701
Legal Registered Office Address:	5421 KIETZKE LANE SUITE 100 RENO United States of America (USA) 89511