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OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 401k Plan overview

Plan NameOMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN
Plan identification number 501

OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

OMNIPURE FILTER CO., INC. has sponsored the creation of one or more 401k plans.

Company Name:OMNIPURE FILTER CO., INC.
Employer identification number (EIN):952039378
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01
5012022-06-01ED SWEENEY
5012021-06-01
5012021-06-01BRENT SIMMONS
5012020-06-01
5012019-06-01
5012018-06-01
5012017-06-01BRENT SIMMONS
5012016-06-01BRENT SIMMONS
5012015-06-01ROGER REID
5012014-06-01ROGER REID
5012013-06-01ROGER REID
5012012-06-01ROGER REID
5012011-06-01ROGER REID
5012009-06-01 ROGER REID2010-10-13
5012009-06-01ROGER REID

Financial Data on OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN

Measure Date Value
2018 : OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$24,692
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$65,011
Total income from all sources (including contributions)2018-05-31$1,656,215
Total loss/gain on sale of assets2018-05-31$0
Total of all expenses incurred2018-05-31$1,606,395
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-05-31$1,508,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-05-31$1,656,215
Value of total assets at end of year2018-05-31$139,455
Value of total assets at beginning of year2018-05-31$129,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-05-31$97,434
Total interest from all sources2018-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-05-31No
Was this plan covered by a fidelity bond2018-05-31No
If this is an individual account plan, was there a blackout period2018-05-31No
Were there any nonexempt tranactions with any party-in-interest2018-05-31No
Contributions received from participants2018-05-31$272,206
Income. Received or receivable in cash from other sources (including rollovers)2018-05-31$112,262
Total non interest bearing cash at end of year2018-05-31$139,455
Total non interest bearing cash at beginning of year2018-05-31$129,954
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Value of net income/loss2018-05-31$49,820
Value of net assets at end of year (total assets less liabilities)2018-05-31$114,763
Value of net assets at beginning of year (total assets less liabilities)2018-05-31$64,943
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-05-31No
Were any leases to which the plan was party in default or uncollectible2018-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-05-31$356,275
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-05-31No
Was there a failure to transmit to the plan any participant contributions2018-05-31No
Has the plan failed to provide any benefit when due under the plan2018-05-31No
Contributions received in cash from employer2018-05-31$1,271,747
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-05-31$1,152,686
Contract administrator fees2018-05-31$97,434
Liabilities. Value of benefit claims payable at end of year2018-05-31$24,692
Liabilities. Value of benefit claims payable at beginning of year2018-05-31$65,011
Did the plan have assets held for investment2018-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-05-31No
Opinion of an independent qualified public accountant for this plan2018-05-31Unqualified
Accountancy firm name2018-05-31ROBERTS HART AND COMPANY CPA'S
Accountancy firm EIN2018-05-31371532256
2017 : OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$65,011
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$45,969
Total income from all sources (including contributions)2017-05-31$1,799,448
Total loss/gain on sale of assets2017-05-31$0
Total of all expenses incurred2017-05-31$1,834,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-05-31$1,741,911
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-05-31$1,799,448
Value of total assets at end of year2017-05-31$129,954
Value of total assets at beginning of year2017-05-31$145,969
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-05-31$92,594
Total interest from all sources2017-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-05-31No
Was this plan covered by a fidelity bond2017-05-31No
If this is an individual account plan, was there a blackout period2017-05-31No
Were there any nonexempt tranactions with any party-in-interest2017-05-31No
Contributions received from participants2017-05-31$264,723
Income. Received or receivable in cash from other sources (including rollovers)2017-05-31$15,521
Total non interest bearing cash at end of year2017-05-31$129,954
Total non interest bearing cash at beginning of year2017-05-31$129,832
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Value of net income/loss2017-05-31$-35,057
Value of net assets at end of year (total assets less liabilities)2017-05-31$64,943
Value of net assets at beginning of year (total assets less liabilities)2017-05-31$100,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-05-31No
Were any leases to which the plan was party in default or uncollectible2017-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-05-31$343,127
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-05-31No
Was there a failure to transmit to the plan any participant contributions2017-05-31No
Has the plan failed to provide any benefit when due under the plan2017-05-31No
Contributions received in cash from employer2017-05-31$1,519,204
Employer contributions (assets) at beginning of year2017-05-31$16,137
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-05-31$1,398,784
Contract administrator fees2017-05-31$92,594
Liabilities. Value of benefit claims payable at end of year2017-05-31$65,011
Liabilities. Value of benefit claims payable at beginning of year2017-05-31$45,969
Did the plan have assets held for investment2017-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-05-31No
Opinion of an independent qualified public accountant for this plan2017-05-31Unqualified
Accountancy firm name2017-05-31ROBERTS HART AND COMPANY CPA'S
Accountancy firm EIN2017-05-31371532256
2016 : OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$45,969
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$133,484
Total income from all sources (including contributions)2016-05-31$2,283,355
Total loss/gain on sale of assets2016-05-31$0
Total of all expenses incurred2016-05-31$2,348,355
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$2,257,683
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$2,283,355
Value of total assets at end of year2016-05-31$145,969
Value of total assets at beginning of year2016-05-31$298,484
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$90,672
Total interest from all sources2016-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31No
Administrative expenses professional fees incurred2016-05-31$90,672
Was this plan covered by a fidelity bond2016-05-31No
If this is an individual account plan, was there a blackout period2016-05-31No
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$203,959
Income. Received or receivable in cash from other sources (including rollovers)2016-05-31$465,134
Total non interest bearing cash at end of year2016-05-31$129,832
Total non interest bearing cash at beginning of year2016-05-31$186,180
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Value of net income/loss2016-05-31$-65,000
Value of net assets at end of year (total assets less liabilities)2016-05-31$100,000
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$165,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$282,009
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31No
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Contributions received in cash from employer2016-05-31$1,614,262
Employer contributions (assets) at end of year2016-05-31$16,137
Employer contributions (assets) at beginning of year2016-05-31$112,304
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$1,975,674
Liabilities. Value of benefit claims payable at end of year2016-05-31$45,969
Liabilities. Value of benefit claims payable at beginning of year2016-05-31$133,484
Did the plan have assets held for investment2016-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31No
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
Accountancy firm name2016-05-31ROBERTS HART AND COMPANY CPA'S
Accountancy firm EIN2016-05-31371532256
2015 : OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$133,484
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$35,402
Total income from all sources (including contributions)2015-05-31$1,827,087
Total loss/gain on sale of assets2015-05-31$0
Total of all expenses incurred2015-05-31$1,797,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$1,702,068
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$1,827,087
Value of total assets at end of year2015-05-31$298,484
Value of total assets at beginning of year2015-05-31$170,402
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$95,019
Total interest from all sources2015-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Was this plan covered by a fidelity bond2015-05-31No
If this is an individual account plan, was there a blackout period2015-05-31No
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Contributions received from participants2015-05-31$195,454
Income. Received or receivable in cash from other sources (including rollovers)2015-05-31$187,173
Total non interest bearing cash at end of year2015-05-31$186,180
Total non interest bearing cash at beginning of year2015-05-31$112,336
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$30,000
Value of net assets at end of year (total assets less liabilities)2015-05-31$165,000
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$135,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$284,356
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31No
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Contributions received in cash from employer2015-05-31$1,444,460
Employer contributions (assets) at end of year2015-05-31$112,304
Employer contributions (assets) at beginning of year2015-05-31$58,066
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$1,417,712
Contract administrator fees2015-05-31$95,019
Liabilities. Value of benefit claims payable at end of year2015-05-31$133,484
Liabilities. Value of benefit claims payable at beginning of year2015-05-31$35,402
Did the plan have assets held for investment2015-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
Accountancy firm name2015-05-31ROBERTS HART AND COMPANY CPA'S
Accountancy firm EIN2015-05-31371532256
2014 : OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$35,402
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$17,012
Total income from all sources (including contributions)2014-05-31$2,125,263
Total loss/gain on sale of assets2014-05-31$0
Total of all expenses incurred2014-05-31$2,080,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$2,014,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$2,125,263
Value of total assets at end of year2014-05-31$170,402
Value of total assets at beginning of year2014-05-31$107,012
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$66,171
Total interest from all sources2014-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Was this plan covered by a fidelity bond2014-05-31No
If this is an individual account plan, was there a blackout period2014-05-31No
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Contributions received from participants2014-05-31$201,609
Income. Received or receivable in cash from other sources (including rollovers)2014-05-31$529,511
Administrative expenses (other) incurred2014-05-31$60
Total non interest bearing cash at end of year2014-05-31$112,336
Total non interest bearing cash at beginning of year2014-05-31$106,563
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Value of net income/loss2014-05-31$45,000
Value of net assets at end of year (total assets less liabilities)2014-05-31$135,000
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$90,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2014-05-31$315,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31No
Was there a failure to transmit to the plan any participant contributions2014-05-31No
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Contributions received in cash from employer2014-05-31$1,394,143
Employer contributions (assets) at end of year2014-05-31$58,066
Employer contributions (assets) at beginning of year2014-05-31$449
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-05-31$1,699,024
Contract administrator fees2014-05-31$66,111
Liabilities. Value of benefit claims payable at end of year2014-05-31$35,402
Liabilities. Value of benefit claims payable at beginning of year2014-05-31$17,012
Did the plan have assets held for investment2014-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-05-31No
Opinion of an independent qualified public accountant for this plan2014-05-31Unqualified
Accountancy firm name2014-05-31ROBERTS HART AND COMPANY CPA'S
Accountancy firm EIN2014-05-31371532256
2013 : OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$17,012
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-05-31$68,254
Total income from all sources (including contributions)2013-05-31$1,691,560
Total loss/gain on sale of assets2013-05-31$0
Total of all expenses incurred2013-05-31$1,736,560
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-05-31$1,668,376
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-05-31$1,691,560
Value of total assets at end of year2013-05-31$107,012
Value of total assets at beginning of year2013-05-31$203,254
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-05-31$68,184
Total interest from all sources2013-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-05-31No
Administrative expenses professional fees incurred2013-05-31$67,809
Was this plan covered by a fidelity bond2013-05-31No
If this is an individual account plan, was there a blackout period2013-05-31No
Were there any nonexempt tranactions with any party-in-interest2013-05-31No
Contributions received from participants2013-05-31$177,657
Income. Received or receivable in cash from other sources (including rollovers)2013-05-31$119,969
Administrative expenses (other) incurred2013-05-31$375
Total non interest bearing cash at end of year2013-05-31$106,563
Total non interest bearing cash at beginning of year2013-05-31$108,474
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Value of net income/loss2013-05-31$-45,000
Value of net assets at end of year (total assets less liabilities)2013-05-31$90,000
Value of net assets at beginning of year (total assets less liabilities)2013-05-31$135,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-05-31No
Were any leases to which the plan was party in default or uncollectible2013-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2013-05-31$306,948
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-05-31No
Was there a failure to transmit to the plan any participant contributions2013-05-31No
Has the plan failed to provide any benefit when due under the plan2013-05-31No
Contributions received in cash from employer2013-05-31$1,393,934
Employer contributions (assets) at end of year2013-05-31$449
Employer contributions (assets) at beginning of year2013-05-31$94,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-05-31$1,361,428
Liabilities. Value of benefit claims payable at end of year2013-05-31$17,012
Liabilities. Value of benefit claims payable at beginning of year2013-05-31$68,254
Did the plan have assets held for investment2013-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-05-31No
Opinion of an independent qualified public accountant for this plan2013-05-31Unqualified
Accountancy firm name2013-05-31ROBERTS HART AND COMPANY CPA'S
Accountancy firm EIN2013-05-31371532256
2012 : OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$68,254
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$45,443
Total income from all sources (including contributions)2012-05-31$1,345,692
Total of all expenses incurred2012-05-31$1,285,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-05-31$1,226,413
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-05-31$1,345,692
Value of total assets at end of year2012-05-31$203,254
Value of total assets at beginning of year2012-05-31$120,443
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-05-31$59,279
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-05-31No
Administrative expenses professional fees incurred2012-05-31$58,919
Was this plan covered by a fidelity bond2012-05-31No
If this is an individual account plan, was there a blackout period2012-05-31No
Were there any nonexempt tranactions with any party-in-interest2012-05-31No
Contributions received from participants2012-05-31$177,499
Income. Received or receivable in cash from other sources (including rollovers)2012-05-31$30,498
Administrative expenses (other) incurred2012-05-31$360
Total non interest bearing cash at end of year2012-05-31$108,474
Total non interest bearing cash at beginning of year2012-05-31$85,907
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Income. Non cash contributions2012-05-31$0
Value of net income/loss2012-05-31$60,000
Value of net assets at end of year (total assets less liabilities)2012-05-31$135,000
Value of net assets at beginning of year (total assets less liabilities)2012-05-31$75,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-05-31No
Were any leases to which the plan was party in default or uncollectible2012-05-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-05-31$281,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-05-31No
Was there a failure to transmit to the plan any participant contributions2012-05-31No
Has the plan failed to provide any benefit when due under the plan2012-05-31No
Contributions received in cash from employer2012-05-31$1,137,695
Employer contributions (assets) at end of year2012-05-31$94,780
Employer contributions (assets) at beginning of year2012-05-31$34,536
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-05-31$945,312
Liabilities. Value of benefit claims payable at end of year2012-05-31$68,254
Liabilities. Value of benefit claims payable at beginning of year2012-05-31$45,443
Did the plan have assets held for investment2012-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-05-31No
Opinion of an independent qualified public accountant for this plan2012-05-31Unqualified
Accountancy firm name2012-05-31ROBERTS HART AND COMPANY CPA'S
Accountancy firm EIN2012-05-31371532256
2011 : OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2011-05-31$0
Total unrealized appreciation/depreciation of assets2011-05-31$0
Total transfer of assets to this plan2011-05-31$0
Total transfer of assets from this plan2011-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$45,443
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-05-31$16,463
Expenses. Interest paid2011-05-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022011-05-31$0
Total income from all sources (including contributions)2011-05-31$1,347,311
Total loss/gain on sale of assets2011-05-31$0
Total of all expenses incurred2011-05-31$1,367,311
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-05-31$1,304,735
Expenses. Certain deemed distributions of participant loans2011-05-31$0
Value of total corrective distributions2011-05-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-05-31$1,347,311
Value of total assets at end of year2011-05-31$120,443
Value of total assets at beginning of year2011-05-31$111,463
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-05-31$62,576
Total income from rents2011-05-31$0
Total interest from all sources2011-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-05-31$0
Assets. Real estate other than employer real property at end of year2011-05-31$0
Assets. Real estate other than employer real property at beginning of year2011-05-31$0
Administrative expenses professional fees incurred2011-05-31$61,991
Assets. Corporate prefeered stocks other than exployer securities at end of year2011-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2011-05-31$0
Was this plan covered by a fidelity bond2011-05-31No
If this is an individual account plan, was there a blackout period2011-05-31No
Were there any nonexempt tranactions with any party-in-interest2011-05-31No
Contributions received from participants2011-05-31$181,639
Participant contributions at end of year2011-05-31$0
Participant contributions at beginning of year2011-05-31$0
Participant contributions at end of year2011-05-31$0
Participant contributions at beginning of year2011-05-31$0
Assets. Other investments not covered elsewhere at end of year2011-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2011-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-05-31$14,601
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-05-31$0
Assets. Loans (other than to participants) at end of year2011-05-31$0
Assets. Loans (other than to participants) at beginning of year2011-05-31$0
Other income not declared elsewhere2011-05-31$0
Administrative expenses (other) incurred2011-05-31$585
Total non interest bearing cash at end of year2011-05-31$85,907
Total non interest bearing cash at beginning of year2011-05-31$79,445
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Income. Non cash contributions2011-05-31$0
Value of net income/loss2011-05-31$-20,000
Value of net assets at end of year (total assets less liabilities)2011-05-31$75,000
Value of net assets at beginning of year (total assets less liabilities)2011-05-31$95,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-05-31No
Were any leases to which the plan was party in default or uncollectible2011-05-31No
Assets. partnership/joint venture interests at end of year2011-05-31$0
Assets. partnership/joint venture interests at beginning of year2011-05-31$0
Investment advisory and management fees2011-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-05-31$0
Value of interest in pooled separate accounts at end of year2011-05-31$0
Value of interest in pooled separate accounts at beginning of year2011-05-31$0
Interest on participant loans2011-05-31$0
Income. Interest from loans (other than to participants)2011-05-31$0
Interest earned on other investments2011-05-31$0
Income. Interest from US Government securities2011-05-31$0
Income. Interest from corporate debt instruments2011-05-31$0
Value of interest in master investment trust accounts at end of year2011-05-31$0
Value of interest in master investment trust accounts at beginning of year2011-05-31$0
Value of interest in common/collective trusts at end of year2011-05-31$0
Value of interest in common/collective trusts at beginning of year2011-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2011-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2011-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-05-31$287,374
Asset value of US Government securities at end of year2011-05-31$0
Asset value of US Government securities at beginning of year2011-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-05-31$0
Net investment gain/loss from pooled separate accounts2011-05-31$0
Net investment gain or loss from common/collective trusts2011-05-31$0
Net gain/loss from 103.12 investment entities2011-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-05-31No
Was there a failure to transmit to the plan any participant contributions2011-05-31No
Has the plan failed to provide any benefit when due under the plan2011-05-31No
Contributions received in cash from employer2011-05-31$1,151,071
Employer contributions (assets) at end of year2011-05-31$34,536
Employer contributions (assets) at beginning of year2011-05-31$32,018
Income. Dividends from preferred stock2011-05-31$0
Income. Dividends from common stock2011-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-05-31$1,017,361
Asset. Corporate debt instrument preferred debt at end of year2011-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2011-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2011-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2011-05-31$0
Contract administrator fees2011-05-31$0
Assets. Corporate common stocks other than exployer securities at end of year2011-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2011-05-31$0
Liabilities. Value of benefit claims payable at end of year2011-05-31$45,443
Liabilities. Value of benefit claims payable at beginning of year2011-05-31$16,463
Did the plan have assets held for investment2011-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-05-31No
Aggregate proceeds on sale of assets2011-05-31$0
Aggregate carrying amount (costs) on sale of assets2011-05-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-05-31No
Opinion of an independent qualified public accountant for this plan2011-05-31Unqualified
Accountancy firm name2011-05-31ROBERTS HART AND COMPANY CPA'S
Accountancy firm EIN2011-05-31371532256

Form 5500 Responses for OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN

2022: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-06-01Plan is a collectively bargained planNo
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – General assets of the sponsorYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – General assets of the sponsorYes
2021: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)No
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – General assets of the sponsorYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – General assets of the sponsorYes
2020: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – General assets of the sponsorYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – General assets of the sponsorYes
2019: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingNo
2019-06-01This return/report is a short plan year return/report (less than 12 months)No
2019-06-01Plan is a collectively bargained planNo
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – General assets of the sponsorYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – General assets of the sponsorYes
2018: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingNo
2018-06-01This return/report is a short plan year return/report (less than 12 months)No
2018-06-01Plan is a collectively bargained planNo
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – General assets of the sponsorYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – General assets of the sponsorYes
2017: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Submission has been amendedNo
2017-06-01This submission is the final filingNo
2017-06-01This return/report is a short plan year return/report (less than 12 months)No
2017-06-01Plan is a collectively bargained planNo
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – General assets of the sponsorYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – General assets of the sponsorYes
2016: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – General assets of the sponsorYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – General assets of the sponsorYes
2015: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – General assets of the sponsorYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – General assets of the sponsorYes
2014: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – General assets of the sponsorYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – General assets of the sponsorYes
2013: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – General assets of the sponsorYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – General assets of the sponsorYes
2012: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – General assets of the sponsorYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – General assets of the sponsorYes
2011: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – General assets of the sponsorYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – General assets of the sponsorYes
2009: OMNIPURE FILTER COMPANY, INC. EMPLOYEE HEALTH CARE PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – General assets of the sponsorYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number009946
Policy instance 1
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number009946
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05952662
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5952662
Policy instance 1
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5952662
Policy instance 1
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberG2-2244A
Policy instance 1
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01070-17
Policy instance 2
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGS-2244A
Policy instance 3
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGD-2244
Policy instance 4
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-2244
Policy instance 5
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGD-2244
Policy instance 5
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberG2-2244A
Policy instance 4
QBE INSURANCE (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01070-15
Policy instance 3
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-2244
Policy instance 2
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGS-2244A
Policy instance 1
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGD-2244
Policy instance 5
QBE INSURANCE (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01070-14
Policy instance 4
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGS-2244A
Policy instance 3
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberG2-2244A
Policy instance 2
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-2244
Policy instance 1
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17707
Policy instance 1
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGD2244
Policy instance 5
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGS2244
Policy instance 4
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL224A
Policy instance 3
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL2244
Policy instance 2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17707
Policy instance 1
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL224A
Policy instance 5
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL2244
Policy instance 4
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGD2244
Policy instance 3
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGS2244
Policy instance 2
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGD2244
Policy instance 1
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL224A
Policy instance 6
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL2244
Policy instance 5
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17707
Policy instance 4
WILLAMETTE DENTAL OF IDAHO, INC. (National Association of Insurance Commissioners NAIC id number: 95819 )
Policy contract numberZ1058
Policy instance 3
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGS2244A
Policy instance 2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17707
Policy instance 3
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL2244
Policy instance 4
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGS2244A
Policy instance 5
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGD2244
Policy instance 6
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL224A
Policy instance 2
WILLAMETTE DENTAL OF IDAHO, INC. (National Association of Insurance Commissioners NAIC id number: 95819 )
Policy contract numberZ1058
Policy instance 1

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