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NASOMAH HEALTH GROUP 401k Plan overview

Plan NameNASOMAH HEALTH GROUP
Plan identification number 501

NASOMAH HEALTH GROUP Benefits

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

401k Sponsoring company profile

COQUILLE INDIAN TRIBE has sponsored the creation of one or more 401k plans.

Company Name:COQUILLE INDIAN TRIBE
Employer identification number (EIN):931073003
NAIC Classification:921000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NASOMAH HEALTH GROUP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012019-05-01
5012017-05-01ROD COOK
5012016-05-01ROD COOK
5012015-05-01ROD COOK
5012015-05-01ROD COOK
5012015-05-01
5012014-05-01ROD COOK
5012014-05-01ROD COOK
5012014-05-01ROD COOK2017-08-10
5012013-05-01ROD COOK
5012012-05-01ROD COOK
5012011-05-01ROD COOK
5012010-05-01ROD COOK
5012009-05-01ROD COOK
5012009-05-01ROD COOK
5012008-05-01ROD COOK
5012007-05-01ROD COOK

Plan Statistics for NASOMAH HEALTH GROUP

401k plan membership statisitcs for NASOMAH HEALTH GROUP

Measure Date Value
2022: NASOMAH HEALTH GROUP 2022 401k membership
Total participants, beginning-of-year2022-05-01546
Total number of active participants reported on line 7a of the Form 55002022-05-01631
Number of retired or separated participants receiving benefits2022-05-012
Total of all active and inactive participants2022-05-01633
Total participants2022-05-01633
2021: NASOMAH HEALTH GROUP 2021 401k membership
Total participants, beginning-of-year2021-05-01500
Total number of active participants reported on line 7a of the Form 55002021-05-01528
Number of retired or separated participants receiving benefits2021-05-013
Total of all active and inactive participants2021-05-01531
Total participants2021-05-01531
2020: NASOMAH HEALTH GROUP 2020 401k membership
Total participants, beginning-of-year2020-05-01506
Total number of active participants reported on line 7a of the Form 55002020-05-01494
Number of retired or separated participants receiving benefits2020-05-013
Total of all active and inactive participants2020-05-01497
Total participants2020-05-01497
2019: NASOMAH HEALTH GROUP 2019 401k membership
Total participants, beginning-of-year2019-05-01595
Total number of active participants reported on line 7a of the Form 55002019-05-01582
Number of retired or separated participants receiving benefits2019-05-012
Total of all active and inactive participants2019-05-01584
Total participants2019-05-01584
2017: NASOMAH HEALTH GROUP 2017 401k membership
Total participants, beginning-of-year2017-05-01537
Total number of active participants reported on line 7a of the Form 55002017-05-01571
Number of retired or separated participants receiving benefits2017-05-012
Total of all active and inactive participants2017-05-01573
Total participants2017-05-01573
2016: NASOMAH HEALTH GROUP 2016 401k membership
Total participants, beginning-of-year2016-05-01369
Total number of active participants reported on line 7a of the Form 55002016-05-01537
Total of all active and inactive participants2016-05-01537
Total participants2016-05-01537
2015: NASOMAH HEALTH GROUP 2015 401k membership
Total participants, beginning-of-year2015-05-01437
Total number of active participants reported on line 7a of the Form 55002015-05-01476
Total of all active and inactive participants2015-05-01476
Total participants2015-05-010
2014: NASOMAH HEALTH GROUP 2014 401k membership
Total participants, beginning-of-year2014-05-01476
Total number of active participants reported on line 7a of the Form 55002014-05-01436
Number of retired or separated participants receiving benefits2014-05-011
Total of all active and inactive participants2014-05-01437
Total participants2014-05-010
2013: NASOMAH HEALTH GROUP 2013 401k membership
Total participants, beginning-of-year2013-05-01396
Total number of active participants reported on line 7a of the Form 55002013-05-01366
Total of all active and inactive participants2013-05-01366
Total participants2013-05-01366
2012: NASOMAH HEALTH GROUP 2012 401k membership
Total participants, beginning-of-year2012-05-01398
Total number of active participants reported on line 7a of the Form 55002012-05-01396
Total of all active and inactive participants2012-05-01396
Total participants2012-05-01396
2011: NASOMAH HEALTH GROUP 2011 401k membership
Total participants, beginning-of-year2011-05-01473
Total number of active participants reported on line 7a of the Form 55002011-05-01398
Total of all active and inactive participants2011-05-01398
Total participants2011-05-01398
2010: NASOMAH HEALTH GROUP 2010 401k membership
Total participants, beginning-of-year2010-05-01479
Total number of active participants reported on line 7a of the Form 55002010-05-01473
Total of all active and inactive participants2010-05-01473
Total participants2010-05-01473
2009: NASOMAH HEALTH GROUP 2009 401k membership
Total participants, beginning-of-year2009-05-01615
Total number of active participants reported on line 7a of the Form 55002009-05-01588
Total of all active and inactive participants2009-05-01588
Total participants2009-05-01588
2008: NASOMAH HEALTH GROUP 2008 401k membership
Total participants, beginning-of-year2008-05-01569
Total number of active participants reported on line 7a of the Form 55002008-05-01510
Total of all active and inactive participants2008-05-01510
Total participants2008-05-01510
2007: NASOMAH HEALTH GROUP 2007 401k membership
Total participants, beginning-of-year2007-05-01544
Total number of active participants reported on line 7a of the Form 55002007-05-01569
Total of all active and inactive participants2007-05-01569
Total participants2007-05-01569

Financial Data on NASOMAH HEALTH GROUP

Measure Date Value
2016 : NASOMAH HEALTH GROUP 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$584,073
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$427,552
Total income from all sources (including contributions)2016-04-30$5,280,700
Total of all expenses incurred2016-04-30$5,078,169
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$4,550,760
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$5,280,133
Value of total assets at end of year2016-04-30$2,910,706
Value of total assets at beginning of year2016-04-30$2,551,654
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$527,409
Total interest from all sources2016-04-30$567
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Administrative expenses professional fees incurred2016-04-30$18,633
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$150,000
If this is an individual account plan, was there a blackout period2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$765,278
Participant contributions at end of year2016-04-30$703
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-04-30$139,831
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-04-30$137,190
Administrative expenses (other) incurred2016-04-30$370,612
Liabilities. Value of operating payables at end of year2016-04-30$4,328
Liabilities. Value of operating payables at beginning of year2016-04-30$11,493
Total non interest bearing cash at end of year2016-04-30$2,770,172
Total non interest bearing cash at beginning of year2016-04-30$2,414,464
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$202,531
Value of net assets at end of year (total assets less liabilities)2016-04-30$2,326,633
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$2,124,102
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Value of interest in common/collective trusts at end of year2016-04-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$567
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$432,247
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30No
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$4,514,855
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$4,118,513
Contract administrator fees2016-04-30$138,164
Liabilities. Value of benefit claims payable at end of year2016-04-30$579,745
Liabilities. Value of benefit claims payable at beginning of year2016-04-30$416,059
Did the plan have assets held for investment2016-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30KERN & THOMPSON, LLC
Accountancy firm EIN2016-04-30931157146
2015 : NASOMAH HEALTH GROUP 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$427,552
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$686,493
Total income from all sources (including contributions)2015-04-30$5,222,762
Total of all expenses incurred2015-04-30$5,257,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$4,724,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$5,222,263
Value of total assets at end of year2015-04-30$2,551,654
Value of total assets at beginning of year2015-04-30$2,845,103
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$532,320
Total interest from all sources2015-04-30$499
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Administrative expenses professional fees incurred2015-04-30$12,898
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$150,000
If this is an individual account plan, was there a blackout period2015-04-30No
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$776,805
Participant contributions at beginning of year2015-04-30$11,865
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-04-30$137,190
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-04-30$374,959
Administrative expenses (other) incurred2015-04-30$371,783
Liabilities. Value of operating payables at end of year2015-04-30$11,493
Liabilities. Value of operating payables at beginning of year2015-04-30$11,631
Total non interest bearing cash at end of year2015-04-30$2,414,464
Total non interest bearing cash at beginning of year2015-04-30$2,458,279
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-34,508
Value of net assets at end of year (total assets less liabilities)2015-04-30$2,124,102
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$2,158,610
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Value of interest in common/collective trusts at end of year2015-04-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$499
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$351,625
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30No
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$4,445,458
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$4,373,325
Contract administrator fees2015-04-30$147,639
Liabilities. Value of benefit claims payable at end of year2015-04-30$416,059
Liabilities. Value of benefit claims payable at beginning of year2015-04-30$674,862
Did the plan have assets held for investment2015-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30KERN & THOMPSON, LLC
Accountancy firm EIN2015-04-30931157146
2014 : NASOMAH HEALTH GROUP 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$686,493
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$512,081
Total income from all sources (including contributions)2014-04-30$5,244,316
Total of all expenses incurred2014-04-30$4,677,412
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$4,238,782
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$5,243,797
Value of total assets at end of year2014-04-30$2,845,103
Value of total assets at beginning of year2014-04-30$2,103,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$438,630
Total interest from all sources2014-04-30$519
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Administrative expenses professional fees incurred2014-04-30$10,992
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$150,000
If this is an individual account plan, was there a blackout period2014-04-30No
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Contributions received from participants2014-04-30$759,498
Participant contributions at end of year2014-04-30$11,865
Participant contributions at beginning of year2014-04-30$13,635
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-04-30$374,959
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-04-30$673,374
Administrative expenses (other) incurred2014-04-30$304,681
Liabilities. Value of operating payables at end of year2014-04-30$11,631
Liabilities. Value of operating payables at beginning of year2014-04-30$11,988
Total non interest bearing cash at end of year2014-04-30$2,458,279
Total non interest bearing cash at beginning of year2014-04-30$1,416,778
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$566,904
Value of net assets at end of year (total assets less liabilities)2014-04-30$2,158,610
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$1,591,706
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Value of interest in common/collective trusts at end of year2014-04-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$519
Expenses. Payments to insurance carriers foe the provision of benefits2014-04-30$251,704
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30No
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$4,484,299
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$3,987,078
Contract administrator fees2014-04-30$122,957
Liabilities. Value of benefit claims payable at end of year2014-04-30$674,862
Liabilities. Value of benefit claims payable at beginning of year2014-04-30$500,093
Did the plan have assets held for investment2014-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30KERN & THOMPSON, LLC
Accountancy firm EIN2014-04-30931157146
2013 : NASOMAH HEALTH GROUP 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$512,081
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$747,710
Total income from all sources (including contributions)2013-04-30$5,306,963
Total of all expenses incurred2013-04-30$4,982,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$4,517,696
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$5,305,433
Value of total assets at end of year2013-04-30$2,103,787
Value of total assets at beginning of year2013-04-30$2,015,269
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$465,120
Total interest from all sources2013-04-30$1,530
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Administrative expenses professional fees incurred2013-04-30$10,994
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$150,000
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$797,845
Participant contributions at end of year2013-04-30$13,635
Participant contributions at beginning of year2013-04-30$8,695
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-04-30$673,374
Administrative expenses (other) incurred2013-04-30$309,914
Liabilities. Value of operating payables at end of year2013-04-30$11,988
Liabilities. Value of operating payables at beginning of year2013-04-30$11,231
Total non interest bearing cash at end of year2013-04-30$1,416,778
Total non interest bearing cash at beginning of year2013-04-30$2,006,574
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$324,147
Value of net assets at end of year (total assets less liabilities)2013-04-30$1,591,706
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$1,267,559
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Value of interest in common/collective trusts at end of year2013-04-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$1,530
Expenses. Payments to insurance carriers foe the provision of benefits2013-04-30$239,226
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30No
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$4,507,588
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$4,278,470
Contract administrator fees2013-04-30$144,212
Liabilities. Value of benefit claims payable at end of year2013-04-30$500,093
Liabilities. Value of benefit claims payable at beginning of year2013-04-30$736,479
Did the plan have assets held for investment2013-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30KERN & THOMPSON, LLC
Accountancy firm EIN2013-04-30931157146
2012 : NASOMAH HEALTH GROUP 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$747,710
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$473,334
Total income from all sources (including contributions)2012-04-30$5,564,127
Total of all expenses incurred2012-04-30$5,190,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$4,673,024
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$5,559,672
Value of total assets at end of year2012-04-30$2,015,269
Value of total assets at beginning of year2012-04-30$1,366,839
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$517,049
Total interest from all sources2012-04-30$4,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Administrative expenses professional fees incurred2012-04-30$11,032
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$150,000
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$857,456
Participant contributions at end of year2012-04-30$8,695
Participant contributions at beginning of year2012-04-30$9,077
Assets. Other investments not covered elsewhere at beginning of year2012-04-30$5,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-04-30$28,628
Administrative expenses (other) incurred2012-04-30$339,617
Liabilities. Value of operating payables at end of year2012-04-30$11,231
Liabilities. Value of operating payables at beginning of year2012-04-30$17,921
Total non interest bearing cash at end of year2012-04-30$2,006,574
Total non interest bearing cash at beginning of year2012-04-30$1,324,134
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$374,054
Value of net assets at end of year (total assets less liabilities)2012-04-30$1,267,559
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$893,505
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$4,455
Expenses. Payments to insurance carriers foe the provision of benefits2012-04-30$230,539
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30No
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$4,702,216
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$4,442,485
Contract administrator fees2012-04-30$166,400
Liabilities. Value of benefit claims payable at end of year2012-04-30$736,479
Liabilities. Value of benefit claims payable at beginning of year2012-04-30$455,413
Did the plan have assets held for investment2012-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30KERN & THOMPSON, LLC
Accountancy firm EIN2012-04-30931157146

Form 5500 Responses for NASOMAH HEALTH GROUP

2022: NASOMAH HEALTH GROUP 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – General assets of the sponsorYes
2022-05-01Plan benefit arrangement – General assets of the sponsorYes
2021: NASOMAH HEALTH GROUP 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – General assets of the sponsorYes
2021-05-01Plan benefit arrangement – General assets of the sponsorYes
2020: NASOMAH HEALTH GROUP 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – General assets of the sponsorYes
2020-05-01Plan benefit arrangement – General assets of the sponsorYes
2019: NASOMAH HEALTH GROUP 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – General assets of the sponsorYes
2019-05-01Plan benefit arrangement – General assets of the sponsorYes
2017: NASOMAH HEALTH GROUP 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – General assets of the sponsorYes
2017-05-01Plan benefit arrangement – General assets of the sponsorYes
2016: NASOMAH HEALTH GROUP 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – General assets of the sponsorYes
2016-05-01Plan benefit arrangement – General assets of the sponsorYes
2015: NASOMAH HEALTH GROUP 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedYes
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan funding arrangement – General assets of the sponsorYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2015-05-01Plan benefit arrangement – General assets of the sponsorYes
2014: NASOMAH HEALTH GROUP 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedYes
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan funding arrangement – General assets of the sponsorYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2014-05-01Plan benefit arrangement – General assets of the sponsorYes
2013: NASOMAH HEALTH GROUP 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedYes
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – General assets of the sponsorYes
2013-05-01Plan benefit arrangement – General assets of the sponsorYes
2012: NASOMAH HEALTH GROUP 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedYes
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – General assets of the sponsorYes
2012-05-01Plan benefit arrangement – General assets of the sponsorYes
2011: NASOMAH HEALTH GROUP 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedYes
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – General assets of the sponsorYes
2011-05-01Plan benefit arrangement – General assets of the sponsorYes
2010: NASOMAH HEALTH GROUP 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01Submission has been amendedYes
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – General assets of the sponsorYes
2010-05-01Plan benefit arrangement – General assets of the sponsorYes
2009: NASOMAH HEALTH GROUP 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedYes
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan funding arrangement – General assets of the sponsorYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes
2009-05-01Plan benefit arrangement – General assets of the sponsorYes
2008: NASOMAH HEALTH GROUP 2008 form 5500 responses
2008-05-01Type of plan entitySingle employer plan
2008-05-01Submission has been amendedYes
2008-05-01This submission is the final filingNo
2008-05-01This return/report is a short plan year return/report (less than 12 months)No
2008-05-01Plan is a collectively bargained planNo
2008-05-01Plan funding arrangement – General assets of the sponsorYes
2008-05-01Plan benefit arrangement – General assets of the sponsorYes
2007: NASOMAH HEALTH GROUP 2007 form 5500 responses
2007-05-01Type of plan entitySingle employer plan
2007-05-01Submission has been amendedYes
2007-05-01This submission is the final filingNo
2007-05-01This return/report is a short plan year return/report (less than 12 months)No
2007-05-01Plan is a collectively bargained planNo
2007-05-01Plan funding arrangement – General assets of the sponsorYes
2007-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0478108
Policy instance 2
Insurance contract or identification number0478108
Number of Individuals Covered400
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Welfare Benefit Premiums Paid to CarrierUSD $33,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01207-22
Policy instance 1
Insurance contract or identification numberLGS01207-22
Number of Individuals Covered525
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of fees paid to insurance companyUSD $39,812
Welfare Benefit Premiums Paid to CarrierUSD $568,745
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees39812
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0478108
Policy instance 2
Insurance contract or identification number0478108
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Welfare Benefit Premiums Paid to CarrierUSD $28,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01207-21
Policy instance 1
Insurance contract or identification numberLGS01207-21
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Welfare Benefit Premiums Paid to CarrierUSD $505,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0478108
Policy instance 2
Insurance contract or identification number0478108
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Welfare Benefit Premiums Paid to CarrierUSD $27,371
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01207-20
Policy instance 1
Insurance contract or identification numberLGS01207-20
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Welfare Benefit Premiums Paid to CarrierUSD $440,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0478108
Policy instance 2
Insurance contract or identification number0478108
Number of Individuals Covered374
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Welfare Benefit Premiums Paid to CarrierUSD $35,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01207-19
Policy instance 1
Insurance contract or identification numberLGS01207-19
Number of Individuals Covered519
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Welfare Benefit Premiums Paid to CarrierUSD $480,239
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0478108
Policy instance 2
Insurance contract or identification number0478108
Number of Individuals Covered377
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Welfare Benefit Premiums Paid to CarrierUSD $28,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01207-17
Policy instance 1
Insurance contract or identification numberLGS01207-17
Number of Individuals Covered503
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Welfare Benefit Premiums Paid to CarrierUSD $431,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameCONOVER INSURANCE YAKIMA, WA
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01207-15
Policy instance 1
Insurance contract or identification numberLGS01207-15
Number of Individuals Covered476
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Welfare Benefit Premiums Paid to CarrierUSD $390,367
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS000314
Policy instance 1
Insurance contract or identification numberUS000314
Number of Individuals Covered437
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Welfare Benefit Premiums Paid to CarrierUSD $296,771
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS000314
Policy instance 1
Insurance contract or identification numberUS000314
Number of Individuals Covered476
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Welfare Benefit Premiums Paid to CarrierUSD $244,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS000269
Policy instance 1
Insurance contract or identification numberUS000269
Number of Individuals Covered497
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Welfare Benefit Premiums Paid to CarrierUSD $233,268
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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