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UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 401k Plan overview

Plan NameUNITED COMMUNITY HEALTH CENTER 403(B) PLAN
Plan identification number 001

UNITED COMMUNITY HEALTH CENTER 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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.
  • 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

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

Company Name:UNITED COMMUNITY HEALTH CENTER
Employer identification number (EIN):942905416
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED COMMUNITY HEALTH CENTER 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01BRENDA PARNELL CFO2023-10-13
0012021-01-01RODOLFO JIMENEZ D.O.2022-09-15
0012020-01-01RODOLFO JIMENEZ D.O.2021-08-06
0012019-01-01RODOLFO JIMENEZ D.O.2020-08-27
0012018-01-01RODOLFO JIMENEZ D.O.2019-10-07
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01RODOLFO JIMENEZ D.O.
0012013-01-01THOMAS P. WOODWORTH
0012012-01-01THOMAS P. WOODWORTH
0012011-01-01THOMAS P. WOODWORTH
0012010-01-01DIANNA GONZALES2011-10-05
0012009-01-01DIANNA GONZALES
0012009-01-01DIANNA GONZALES
0012009-01-01DIANNA GONZALES

Plan Statistics for UNITED COMMUNITY HEALTH CENTER 403(B) PLAN

401k plan membership statisitcs for UNITED COMMUNITY HEALTH CENTER 403(B) PLAN

Measure Date Value
2022: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01210
Total number of active participants reported on line 7a of the Form 55002022-01-01149
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0129
Total of all active and inactive participants2022-01-01178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01178
Number of participants with account balances2022-01-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0124
2021: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01172
Total number of active participants reported on line 7a of the Form 55002021-01-01137
Number of retired or separated participants receiving benefits2021-01-0112
Number of other retired or separated participants entitled to future benefits2021-01-0136
Total of all active and inactive participants2021-01-01185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01185
Number of participants with account balances2021-01-01175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0118
2020: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01164
Total number of active participants reported on line 7a of the Form 55002020-01-01129
Number of retired or separated participants receiving benefits2020-01-014
Number of other retired or separated participants entitled to future benefits2020-01-0139
Total of all active and inactive participants2020-01-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01172
Number of participants with account balances2020-01-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0111
2019: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01189
Total number of active participants reported on line 7a of the Form 55002019-01-01128
Number of retired or separated participants receiving benefits2019-01-013
Number of other retired or separated participants entitled to future benefits2019-01-0133
Total of all active and inactive participants2019-01-01164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01164
Number of participants with account balances2019-01-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0120
2018: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01188
Total number of active participants reported on line 7a of the Form 55002018-01-01141
Number of retired or separated participants receiving benefits2018-01-017
Number of other retired or separated participants entitled to future benefits2018-01-0141
Total of all active and inactive participants2018-01-01189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01189
Number of participants with account balances2018-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0114
2017: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01190
Total number of active participants reported on line 7a of the Form 55002017-01-01143
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0145
Total of all active and inactive participants2017-01-01188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01188
Number of participants with account balances2017-01-01135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-014
2016: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01163
Total number of active participants reported on line 7a of the Form 55002016-01-01130
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0160
Total of all active and inactive participants2016-01-01190
Total participants2016-01-01190
Number of participants with account balances2016-01-01122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-018
2015: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01151
Total number of active participants reported on line 7a of the Form 55002015-01-01117
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0146
Total of all active and inactive participants2015-01-01163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01163
Number of participants with account balances2015-01-01100
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0113
2014: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01174
Total number of active participants reported on line 7a of the Form 55002014-01-0188
Number of retired or separated participants receiving benefits2014-01-0116
Number of other retired or separated participants entitled to future benefits2014-01-0147
Total of all active and inactive participants2014-01-01151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01151
Number of participants with account balances2014-01-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-016
2013: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01168
Total number of active participants reported on line 7a of the Form 55002013-01-01117
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0157
Total of all active and inactive participants2013-01-01174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01174
Number of participants with account balances2013-01-01122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0117
2012: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01169
Total number of active participants reported on line 7a of the Form 55002012-01-01121
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0147
Total of all active and inactive participants2012-01-01168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01168
Number of participants with account balances2012-01-01122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-015
2011: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01154
Total number of active participants reported on line 7a of the Form 55002011-01-01123
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0146
Total of all active and inactive participants2011-01-01169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01169
Number of participants with account balances2011-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-014
2009: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0197
Total number of active participants reported on line 7a of the Form 55002009-01-0190
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0127
Total of all active and inactive participants2009-01-01117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01117
Number of participants with account balances2009-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on UNITED COMMUNITY HEALTH CENTER 403(B) PLAN

Measure Date Value
2022 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$237,166
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,228,815
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,186,956
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$973,980
Value of total assets at end of year2022-12-31$3,941,653
Value of total assets at beginning of year2022-12-31$4,933,302
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$41,859
Total interest from all sources2022-12-31$8,172
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$65,722
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$65,722
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$494,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$584,123
Participant contributions at end of year2022-12-31$119,139
Participant contributions at beginning of year2022-12-31$127,142
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$127,966
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-991,649
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,941,653
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,933,302
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$3,653,512
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,766,502
Interest on participant loans2022-12-31$6,035
Interest earned on other investments2022-12-31$2,137
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$22,325
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$22,325
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$166,620
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$18
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-810,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$261,891
Employer contributions (assets) at end of year2022-12-31$2,382
Employer contributions (assets) at beginning of year2022-12-31$17,315
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,186,956
Contract administrator fees2022-12-31$41,859
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FESTER & CHAPMAN PLLC
Accountancy firm EIN2022-12-31821455657
2021 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,423,787
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$427,791
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$401,463
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$869,369
Value of total assets at end of year2021-12-31$4,933,302
Value of total assets at beginning of year2021-12-31$3,937,306
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$26,328
Total interest from all sources2021-12-31$6,033
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$395,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$544,203
Participant contributions at end of year2021-12-31$127,142
Participant contributions at beginning of year2021-12-31$128,660
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$39,996
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$995,996
Value of net assets at end of year (total assets less liabilities)2021-12-31$4,933,302
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$3,937,306
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$26,328
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$4,766,502
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$3,792,466
Interest on participant loans2021-12-31$6,033
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$22,325
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$6,981
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$6,981
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$18
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$2,531
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$548,385
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$285,170
Employer contributions (assets) at end of year2021-12-31$17,315
Employer contributions (assets) at beginning of year2021-12-31$6,668
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$401,463
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FESTER & CHAPMAN PLLC
Accountancy firm EIN2021-12-31821455657
2020 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,287,425
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$199,082
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$181,240
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$775,254
Value of total assets at end of year2020-12-31$3,937,306
Value of total assets at beginning of year2020-12-31$2,848,963
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$17,842
Total interest from all sources2020-12-31$8,510
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$285,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$485,566
Participant contributions at end of year2020-12-31$128,660
Participant contributions at beginning of year2020-12-31$152,166
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$128,670
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,088,343
Value of net assets at end of year (total assets less liabilities)2020-12-31$3,937,306
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,848,963
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$17,842
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$3,792,466
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$2,674,829
Interest on participant loans2020-12-31$8,510
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$6,981
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$16,197
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$16,197
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$2,531
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$503,661
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$161,018
Employer contributions (assets) at end of year2020-12-31$6,668
Employer contributions (assets) at beginning of year2020-12-31$5,771
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$181,240
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31FESTER & CHAPMAN PLLC
Accountancy firm EIN2020-12-31821455657
2019 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,024,114
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$325,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$308,138
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$591,119
Value of total assets at end of year2019-12-31$2,848,963
Value of total assets at beginning of year2019-12-31$2,150,513
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$17,526
Total interest from all sources2019-12-31$9,298
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$220,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$432,416
Participant contributions at end of year2019-12-31$152,166
Participant contributions at beginning of year2019-12-31$104,540
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$10,695
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$698,450
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,848,963
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,150,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$17,526
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,674,829
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,044,517
Interest on participant loans2019-12-31$9,298
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$16,197
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,456
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$423,697
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$148,008
Employer contributions (assets) at end of year2019-12-31$5,771
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$308,138
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31COLLINGS CPA FIRM, PLLC
Accountancy firm EIN2019-12-31823581216
2018 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$11,867
Total income from all sources (including contributions)2018-12-31$408,251
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$173,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$160,693
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$506,849
Value of total assets at end of year2018-12-31$2,150,513
Value of total assets at beginning of year2018-12-31$1,927,896
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$13,074
Total interest from all sources2018-12-31$5,503
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$120,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$389,093
Participant contributions at end of year2018-12-31$104,540
Participant contributions at beginning of year2018-12-31$72,569
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$370
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$11,867
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$234,484
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,150,513
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,916,029
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$13,074
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$2,044,517
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,832,045
Interest on participant loans2018-12-31$5,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,456
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$11,351
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$11,351
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-104,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$117,756
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$11,561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$160,693
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31COLLINGS CPA FIRM, PLLC
Accountancy firm EIN2018-12-31823581216
2017 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$11,867
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$11,949
Total income from all sources (including contributions)2017-12-31$696,386
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$328,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$314,912
Value of total corrective distributions2017-12-31$206
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$451,679
Value of total assets at end of year2017-12-31$1,927,896
Value of total assets at beginning of year2017-12-31$1,560,165
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$13,455
Total interest from all sources2017-12-31$1,885
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$155,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$355,875
Participant contributions at end of year2017-12-31$72,569
Participant contributions at beginning of year2017-12-31$25,646
Participant contributions at end of year2017-12-31$370
Participant contributions at beginning of year2017-12-31$1,111
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$21,014
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$11,867
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$11,949
Other income not declared elsewhere2017-12-31$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$367,813
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,916,029
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,548,216
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$13,455
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,832,045
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,507,082
Interest on participant loans2017-12-31$1,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$11,351
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$25,007
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$25,007
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$242,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$74,790
Employer contributions (assets) at end of year2017-12-31$11,561
Employer contributions (assets) at beginning of year2017-12-31$1,319
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$314,912
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31COLLINGS CPA FIRM, PLLC
Accountancy firm EIN2017-12-31823581216
2016 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$11,949
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$15,317
Total income from all sources (including contributions)2016-12-31$472,632
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$332,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$326,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$384,987
Value of total assets at end of year2016-12-31$1,560,165
Value of total assets at beginning of year2016-12-31$1,423,134
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$6,075
Total interest from all sources2016-12-31$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 year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$155,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$297,471
Participant contributions at end of year2016-12-31$25,646
Participant contributions at beginning of year2016-12-31$28,922
Participant contributions at end of year2016-12-31$1,111
Participant contributions at beginning of year2016-12-31$733
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$22,133
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$11,949
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$15,317
Other income not declared elsewhere2016-12-31$4,758
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$140,399
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,548,216
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,407,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$6,075
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,507,082
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,343,500
Interest on participant loans2016-12-31$909
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$25,007
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$49,895
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$49,895
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$81,978
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$65,383
Employer contributions (assets) at end of year2016-12-31$1,319
Employer contributions (assets) at beginning of year2016-12-31$84
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$326,158
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BITNER & COLLINGS, PLLC
Accountancy firm EIN2016-12-31203463883
2015 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$15,317
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$156,100
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$243,595
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$236,247
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$179,076
Value of total assets at end of year2015-12-31$1,423,134
Value of total assets at beginning of year2015-12-31$1,495,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$7,348
Total interest from all sources2015-12-31$1,193
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 year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$150,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$142,520
Participant contributions at end of year2015-12-31$28,922
Participant contributions at beginning of year2015-12-31$39,664
Participant contributions at end of year2015-12-31$733
Participant contributions at beginning of year2015-12-31$100
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$21,474
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$15,317
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Other income not declared elsewhere2015-12-31$5,436
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-87,495
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,407,817
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,495,312
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$7,348
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,343,500
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,405,985
Interest on participant loans2015-12-31$1,193
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$49,895
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$49,518
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$49,518
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-29,605
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$15,082
Employer contributions (assets) at end of year2015-12-31$84
Employer contributions (assets) at beginning of year2015-12-31$45
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$236,247
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BITNER & COLLINGS, PLLC
Accountancy firm EIN2015-12-31203463883
2014 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$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$270,085
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$158,128
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$149,384
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$204,755
Value of total assets at end of year2014-12-31$1,495,312
Value of total assets at beginning of year2014-12-31$1,383,355
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$8,744
Total interest from all sources2014-12-31$1,164
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 year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$8,744
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$140,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$130,150
Participant contributions at end of year2014-12-31$39,664
Participant contributions at beginning of year2014-12-31$12,696
Participant contributions at end of year2014-12-31$100
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$59,865
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$111,957
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,495,312
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,383,355
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,405,985
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,311,036
Interest on participant loans2014-12-31$1,164
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$49,518
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$59,623
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$59,623
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$64,166
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$14,740
Employer contributions (assets) at end of year2014-12-31$45
Employer contributions (assets) at beginning of year2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$149,384
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BITNER & COLLINGS, PLLC
Accountancy firm EIN2014-12-31203463883
2013 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$379,451
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$66,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$58,426
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$229,850
Value of total assets at end of year2013-12-31$1,383,355
Value of total assets at beginning of year2013-12-31$1,070,190
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$7,860
Total interest from all sources2013-12-31$358
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$120,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$183,030
Participant contributions at end of year2013-12-31$12,696
Participant contributions at beginning of year2013-12-31$10,583
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$4,151
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$22,815
Administrative expenses (other) incurred2013-12-31$7,860
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$313,165
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,383,355
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,070,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,311,036
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,008,311
Interest on participant loans2013-12-31$358
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$59,623
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$46,584
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$46,584
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$149,243
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$24,005
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$58,426
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BITNER & COLLINGS, PLLC
Accountancy firm EIN2013-12-31203463883
2012 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$274,406
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$66,419
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$57,694
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$206,126
Value of total assets at end of year2012-12-31$1,070,190
Value of total assets at beginning of year2012-12-31$862,203
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$8,725
Total interest from all sources2012-12-31$552
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$150,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$139,821
Participant contributions at end of year2012-12-31$10,583
Participant contributions at beginning of year2012-12-31$15,105
Participant contributions at end of year2012-12-31$4,151
Participant contributions at beginning of year2012-12-31$7,547
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$48,475
Administrative expenses (other) incurred2012-12-31$8,725
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$207,987
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,070,190
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$862,203
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,008,311
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$735,904
Income. Interest from loans (other than to participants)2012-12-31$552
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$46,584
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$102,880
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$102,880
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$67,728
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$17,830
Employer contributions (assets) at end of year2012-12-31$561
Employer contributions (assets) at beginning of year2012-12-31$767
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$57,694
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BITNER & COLLINGS, PLLC
Accountancy firm EIN2012-12-31203463883
2011 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$92,808
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$124,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$124,574
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$115,988
Value of total assets at end of year2011-12-31$862,203
Value of total assets at beginning of year2011-12-31$893,969
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total interest from all sources2011-12-31$786
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$100,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$88,360
Participant contributions at end of year2011-12-31$15,105
Participant contributions at beginning of year2011-12-31$24,376
Participant contributions at end of year2011-12-31$7,547
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$18,546
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-31,766
Value of net assets at end of year (total assets less liabilities)2011-12-31$862,203
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$893,969
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$735,904
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$837,253
Interest on participant loans2011-12-31$786
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$102,880
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$32,340
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$32,340
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-23,966
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$9,082
Employer contributions (assets) at end of year2011-12-31$767
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$124,574
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BITNER & COLLINGS, PLLC
Accountancy firm EIN2011-12-31203463883
2009 : UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for UNITED COMMUNITY HEALTH CENTER 403(B) PLAN

2022: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: UNITED COMMUNITY HEALTH CENTER 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-JJ5Y
Policy instance 1
Insurance contract or identification numberGAP-B2-JJ5Y
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-01-03
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered171
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 $21
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees21
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-JJ5Y
Policy instance 1
Insurance contract or identification numberGAP-B2-JJ5Y
Number of Individuals Covered178
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B2-JJ5Y
Policy instance 1
Insurance contract or identification numberGAP-B2-JJ5Y
Number of Individuals Covered148
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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