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ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 401k Plan overview

Plan NameALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN
Plan identification number 018

ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SUTTER BAY HOSPITALS has sponsored the creation of one or more 401k plans.

Company Name:SUTTER BAY HOSPITALS
Employer identification number (EIN):940562680
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about SUTTER BAY HOSPITALS

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0015273

More information about SUTTER BAY HOSPITALS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0182022-01-01
0182021-01-01
0182020-01-01
0182019-01-01
0182018-01-01

Plan Statistics for ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN

401k plan membership statisitcs for ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN

Measure Date Value
2022: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01468
Total number of active participants reported on line 7a of the Form 55002022-01-01130
Number of retired or separated participants receiving benefits2022-01-0150
Number of other retired or separated participants entitled to future benefits2022-01-01246
Total of all active and inactive participants2022-01-01426
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0120
Total participants2022-01-01446
Number of participants with account balances2022-01-01446
2021: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01499
Total number of active participants reported on line 7a of the Form 55002021-01-01149
Number of retired or separated participants receiving benefits2021-01-0146
Number of other retired or separated participants entitled to future benefits2021-01-01261
Total of all active and inactive participants2021-01-01456
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-0112
Total participants2021-01-01468
Number of participants with account balances2021-01-01468
2020: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01537
Total number of active participants reported on line 7a of the Form 55002020-01-01189
Number of retired or separated participants receiving benefits2020-01-0124
Number of other retired or separated participants entitled to future benefits2020-01-01277
Total of all active and inactive participants2020-01-01490
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-019
Total participants2020-01-01499
Number of participants with account balances2020-01-01499
2019: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01561
Total number of active participants reported on line 7a of the Form 55002019-01-01226
Number of retired or separated participants receiving benefits2019-01-0143
Number of other retired or separated participants entitled to future benefits2019-01-01261
Total of all active and inactive participants2019-01-01530
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-017
Total participants2019-01-01537
Number of participants with account balances2019-01-01537
2018: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01605
Total number of active participants reported on line 7a of the Form 55002018-01-01243
Number of retired or separated participants receiving benefits2018-01-0136
Number of other retired or separated participants entitled to future benefits2018-01-01275
Total of all active and inactive participants2018-01-01554
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-017
Total participants2018-01-01561
Number of participants with account balances2018-01-01561

Financial Data on ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN

Measure Date Value
2022 : ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-2,175,024
Total of all expenses incurred2022-12-31$1,652,390
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,651,305
Value of total assets at end of year2022-12-31$17,028,184
Value of total assets at beginning of year2022-12-31$20,855,598
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,085
Total interest from all sources2022-12-31$272,642
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$300,748
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$300,748
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$10,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Administrative expenses (other) incurred2022-12-31$1,085
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,827,414
Value of net assets at end of year (total assets less liabilities)2022-12-31$17,028,184
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$20,855,598
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,519,406
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$6,271,479
Value of interest in pooled separate accounts at end of year2022-12-31$4,135,947
Value of interest in pooled separate accounts at beginning of year2022-12-31$5,919,286
Interest earned on other investments2022-12-31$272,642
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$8,372,831
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$8,664,833
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,748,414
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,651,305
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31MOSS ADAMS LLP
Accountancy firm EIN2022-12-31910189318
2021 : ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$2,241,491
Total of all expenses incurred2021-12-31$1,892,677
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,891,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,310
Value of total assets at end of year2021-12-31$20,855,598
Value of total assets at beginning of year2021-12-31$20,506,784
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,285
Total interest from all sources2021-12-31$297,410
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$767,017
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$767,017
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$2,310
Administrative expenses (other) incurred2021-12-31$1,285
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$348,814
Value of net assets at end of year (total assets less liabilities)2021-12-31$20,855,598
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$20,506,784
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$6,271,479
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$5,635,347
Value of interest in pooled separate accounts at end of year2021-12-31$5,919,286
Value of interest in pooled separate accounts at beginning of year2021-12-31$5,467,822
Interest on participant loans2021-12-31$625
Interest earned on other investments2021-12-31$296,785
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$8,664,833
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$9,403,615
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,174,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,891,392
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31MOSS ADAMS LLP
Accountancy firm EIN2021-12-31910189318
2020 : ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$62,309
Total income from all sources (including contributions)2020-12-31$2,155,070
Total of all expenses incurred2020-12-31$2,010,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,992,813
Expenses. Certain deemed distributions of participant loans2020-12-31$14,911
Value of total assets at end of year2020-12-31$20,506,784
Value of total assets at beginning of year2020-12-31$20,424,319
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,572
Total interest from all sources2020-12-31$310,616
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$555,573
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$555,573
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$27,763
Administrative expenses (other) incurred2020-12-31$2,572
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$144,774
Value of net assets at end of year (total assets less liabilities)2020-12-31$20,506,784
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$20,362,010
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$5,635,347
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$5,102,758
Value of interest in pooled separate accounts at end of year2020-12-31$5,467,822
Value of interest in pooled separate accounts at beginning of year2020-12-31$5,728,694
Interest on participant loans2020-12-31$591
Interest earned on other investments2020-12-31$310,025
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$9,403,615
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$9,565,104
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,288,881
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,992,813
Liabilities. Value of benefit claims payable at end of year2020-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$62,309
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MOSS ADAMS LLP
Accountancy firm EIN2020-12-31910189318
2019 : ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$62,309
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$40,137
Total income from all sources (including contributions)2019-12-31$2,561,912
Total of all expenses incurred2019-12-31$1,472,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,471,311
Value of total assets at end of year2019-12-31$20,424,319
Value of total assets at beginning of year2019-12-31$19,313,028
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,482
Total interest from all sources2019-12-31$315,896
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$448,831
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$448,831
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Participant contributions at end of year2019-12-31$27,763
Participant contributions at beginning of year2019-12-31$43,087
Administrative expenses (other) incurred2019-12-31$1,482
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,089,119
Value of net assets at end of year (total assets less liabilities)2019-12-31$20,362,010
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$19,272,891
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$5,102,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,302,092
Value of interest in pooled separate accounts at end of year2019-12-31$5,728,694
Value of interest in pooled separate accounts at beginning of year2019-12-31$5,190,988
Interest on participant loans2019-12-31$1,268
Interest earned on other investments2019-12-31$314,628
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$9,565,104
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$9,776,861
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,797,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,471,311
Liabilities. Value of benefit claims payable at end of year2019-12-31$62,309
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$40,137
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MOSS ADAMS LLP
Accountancy firm EIN2019-12-31910189318
2018 : ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2018 401k financial data
Total transfer of assets from this plan2018-12-31$18,398
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$40,137
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$651
Total income from all sources (including contributions)2018-12-31$-297,528
Total of all expenses incurred2018-12-31$1,885,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,884,014
Value of total assets at end of year2018-12-31$19,313,028
Value of total assets at beginning of year2018-12-31$21,475,294
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,812
Total interest from all sources2018-12-31$334,657
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$476,598
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$476,598
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Participant contributions at end of year2018-12-31$43,087
Participant contributions at beginning of year2018-12-31$85,510
Administrative expenses (other) incurred2018-12-31$1,812
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-2,183,354
Value of net assets at end of year (total assets less liabilities)2018-12-31$19,272,891
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$21,474,643
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$4,302,092
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,921,790
Value of interest in pooled separate accounts at end of year2018-12-31$5,190,988
Value of interest in pooled separate accounts at beginning of year2018-12-31$5,829,786
Interest on participant loans2018-12-31$2,672
Interest earned on other investments2018-12-31$331,985
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$9,776,861
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$10,638,208
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,108,783
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,884,014
Liabilities. Value of benefit claims payable at end of year2018-12-31$40,137
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$651
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MOSS ADAMS LLP
Accountancy firm EIN2018-12-31910189318

Form 5500 Responses for ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN

2022: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ALTA BATES SUMMIT 403(B) TDA RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE0771
Policy instance 2
Insurance contract or identification numberVE0771
Number of Individuals Covered71
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,149
Total amount of fees paid to insurance companyUSD $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 BrokerUSD $3,149
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number004633
Policy instance 1
Insurance contract or identification number004633
Number of Individuals Covered381
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,022
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1022
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE0771
Policy instance 2
Insurance contract or identification numberVE0771
Number of Individuals Covered77
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,660
Total amount of fees paid to insurance companyUSD $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 BrokerUSD $3,660
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number004633
Policy instance 1
Insurance contract or identification number004633
Number of Individuals Covered397
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,125
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1125
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE0771
Policy instance 2
Insurance contract or identification numberVE0771
Number of Individuals Covered87
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,860
Total amount of fees paid to insurance companyUSD $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 BrokerUSD $3,860
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number004633
Policy instance 1
Insurance contract or identification number004633
Number of Individuals Covered420
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,095
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1095
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE0771
Policy instance 2
Insurance contract or identification numberVE0771
Number of Individuals Covered95
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,041
Total amount of fees paid to insurance companyUSD $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 BrokerUSD $2,334
Additional information about fees paid to insurance brokerALLOCATED NON-CASH COMP
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number004633
Policy instance 1
Insurance contract or identification number004633
Number of Individuals Covered451
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,116
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1116
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number004633
Policy instance 1
Insurance contract or identification number004633
Number of Individuals Covered476
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,156
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1156
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE0771
Policy instance 2
Insurance contract or identification numberVE0771
Number of Individuals Covered99
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,461
Total amount of fees paid to insurance companyUSD $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 BrokerUSD $4,461
Insurance broker organization code?3

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