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EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF MOLLICA SUBS
Plan identification number 502

EMPLOYEE HEALTH PLAN OF MOLLICA SUBS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

401k Sponsoring company profile

MOLLICA SUBS 27732, INC has sponsored the creation of one or more 401k plans.

Company Name:MOLLICA SUBS 27732, INC
Employer identification number (EIN):200100308
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Additional information about MOLLICA SUBS 27732, INC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2003-05-23
Company Identification Number: P03000057620
Legal Registered Office Address: 1444 US HWY 17 N

WAUCHULA

33873

More information about MOLLICA SUBS 27732, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF MOLLICA SUBS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01
5022020-05-01
5022019-05-01
5022018-05-01
5022017-05-01FRANK MOLLICA
5022016-05-01FRANK MOLLICA
5022015-05-01FRANK MOLLICA
5022014-05-01FRANK MOLLICA
5022013-05-01FRANK MOLLICA
5022012-05-01FRANK MOLLICA
5022011-05-01FRANK MOLLICA
5022010-05-01FRANK MOLLICA

Plan Statistics for EMPLOYEE HEALTH PLAN OF MOLLICA SUBS

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF MOLLICA SUBS

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2022 401k membership
Total participants, beginning-of-year2022-05-013
Total number of active participants reported on line 7a of the Form 55002022-05-013
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-013
2020: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2020 401k membership
Total participants, beginning-of-year2020-05-013
Total number of active participants reported on line 7a of the Form 55002020-05-013
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-013
2019: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2019 401k membership
Total participants, beginning-of-year2019-05-012
Total number of active participants reported on line 7a of the Form 55002019-05-012
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-012
2018: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2018 401k membership
Total participants, beginning-of-year2018-05-012
Total number of active participants reported on line 7a of the Form 55002018-05-012
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-012
2017: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2017 401k membership
Total participants, beginning-of-year2017-05-012
Total number of active participants reported on line 7a of the Form 55002017-05-012
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-012
2016: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2016 401k membership
Total participants, beginning-of-year2016-05-012
Total number of active participants reported on line 7a of the Form 55002016-05-012
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-012
2015: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2015 401k membership
Total participants, beginning-of-year2015-05-014
Total number of active participants reported on line 7a of the Form 55002015-05-012
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-012
2014: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2014 401k membership
Total participants, beginning-of-year2014-05-018
Total number of active participants reported on line 7a of the Form 55002014-05-017
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-017
2013: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2013 401k membership
Total participants, beginning-of-year2013-05-016
Total number of active participants reported on line 7a of the Form 55002013-05-018
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-018
2012: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2012 401k membership
Total participants, beginning-of-year2012-05-015
Total number of active participants reported on line 7a of the Form 55002012-05-016
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-016
2011: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2011 401k membership
Total participants, beginning-of-year2011-05-018
Total number of active participants reported on line 7a of the Form 55002011-05-015
Number of retired or separated participants receiving benefits2011-05-010
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-015
2010: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2010 401k membership
Total participants, beginning-of-year2010-05-016
Total number of active participants reported on line 7a of the Form 55002010-05-018
Number of retired or separated participants receiving benefits2010-05-010
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-018

Financial Data on EMPLOYEE HEALTH PLAN OF MOLLICA SUBS

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2023 401k financial data
Total income from all sources2023-04-30$0
Expenses. Total of all expenses incurred2023-04-30$0
Value of fidelity bond covering the plan2023-04-30$5,000
Net income (gross income less expenses)2023-04-30$0
Net plan assets at end of year (total assets less liabilities)2023-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$0
2021 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2021 401k financial data
Total plan liabilities at beginning of year2021-04-30$0
Total income from all sources2021-04-30$1,289
Expenses. Total of all expenses incurred2021-04-30$896
Benefits paid (including direct rollovers)2021-04-30$343
Total plan assets at end of year2021-04-30$2,674
Total plan assets at beginning of year2021-04-30$2,281
Value of fidelity bond covering the plan2021-04-30$5,000
Expenses. Other expenses not covered elsewhere2021-04-30$553
Net income (gross income less expenses)2021-04-30$393
Net plan assets at end of year (total assets less liabilities)2021-04-30$2,674
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$2,281
Total contributions received or receivable from employer(s)2021-04-30$1,289
2020 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2020 401k financial data
Total plan liabilities at end of year2020-04-30$0
Total plan liabilities at beginning of year2020-04-30$0
Total income from all sources2020-04-30$1,443
Expenses. Total of all expenses incurred2020-04-30$1,001
Benefits paid (including direct rollovers)2020-04-30$436
Total plan assets at end of year2020-04-30$2,281
Total plan assets at beginning of year2020-04-30$1,839
Value of fidelity bond covering the plan2020-04-30$5,000
Expenses. Other expenses not covered elsewhere2020-04-30$565
Net income (gross income less expenses)2020-04-30$442
Net plan assets at end of year (total assets less liabilities)2020-04-30$2,281
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$1,839
Total contributions received or receivable from employer(s)2020-04-30$1,443
2019 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2019 401k financial data
Total plan liabilities at end of year2019-04-30$0
Total plan liabilities at beginning of year2019-04-30$0
Total income from all sources2019-04-30$1,924
Expenses. Total of all expenses incurred2019-04-30$1,107
Benefits paid (including direct rollovers)2019-04-30$324
Total plan assets at end of year2019-04-30$1,839
Total plan assets at beginning of year2019-04-30$1,022
Value of fidelity bond covering the plan2019-04-30$5,000
Expenses. Other expenses not covered elsewhere2019-04-30$783
Net income (gross income less expenses)2019-04-30$817
Net plan assets at end of year (total assets less liabilities)2019-04-30$1,839
Net plan assets at beginning of year (total assets less liabilities)2019-04-30$1,022
Total contributions received or receivable from employer(s)2019-04-30$1,924
2018 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$1,924
Expenses. Total of all expenses incurred2018-04-30$1,870
Benefits paid (including direct rollovers)2018-04-30$1,091
Total plan assets at end of year2018-04-30$1,022
Total plan assets at beginning of year2018-04-30$968
Value of fidelity bond covering the plan2018-04-30$1,000
Expenses. Other expenses not covered elsewhere2018-04-30$779
Net income (gross income less expenses)2018-04-30$54
Net plan assets at end of year (total assets less liabilities)2018-04-30$1,022
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$968
Total contributions received or receivable from employer(s)2018-04-30$1,924
2017 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$1,924
Expenses. Total of all expenses incurred2017-04-30$3,611
Benefits paid (including direct rollovers)2017-04-30$2,762
Total plan assets at end of year2017-04-30$968
Total plan assets at beginning of year2017-04-30$2,655
Value of fidelity bond covering the plan2017-04-30$1,000
Expenses. Other expenses not covered elsewhere2017-04-30$849
Net income (gross income less expenses)2017-04-30$-1,687
Net plan assets at end of year (total assets less liabilities)2017-04-30$968
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$2,655
Total contributions received or receivable from employer(s)2017-04-30$1,924
2016 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$0
Total income from all sources2016-04-30$2,605
Expenses. Total of all expenses incurred2016-04-30$1,985
Benefits paid (including direct rollovers)2016-04-30$948
Total plan assets at end of year2016-04-30$2,655
Total plan assets at beginning of year2016-04-30$2,035
Value of fidelity bond covering the plan2016-04-30$5,000
Expenses. Other expenses not covered elsewhere2016-04-30$1,037
Net income (gross income less expenses)2016-04-30$620
Net plan assets at end of year (total assets less liabilities)2016-04-30$2,655
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$2,035
Total contributions received or receivable from employer(s)2016-04-30$2,605
2015 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2015 401k financial data
Total plan liabilities at end of year2015-04-30$0
Total plan liabilities at beginning of year2015-04-30$84
Total income from all sources2015-04-30$5,367
Expenses. Total of all expenses incurred2015-04-30$3,332
Benefits paid (including direct rollovers)2015-04-30$1,304
Total plan assets at end of year2015-04-30$2,035
Total plan assets at beginning of year2015-04-30$84
Value of fidelity bond covering the plan2015-04-30$1,000
Expenses. Other expenses not covered elsewhere2015-04-30$2,028
Net income (gross income less expenses)2015-04-30$2,035
Net plan assets at end of year (total assets less liabilities)2015-04-30$2,035
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$0
Total contributions received or receivable from employer(s)2015-04-30$5,367
2014 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2014 401k financial data
Total plan liabilities at end of year2014-04-30$84
Total plan liabilities at beginning of year2014-04-30$196
Total income from all sources2014-04-30$5,319
Expenses. Total of all expenses incurred2014-04-30$5,716
Benefits paid (including direct rollovers)2014-04-30$3,648
Total plan assets at end of year2014-04-30$84
Total plan assets at beginning of year2014-04-30$593
Value of fidelity bond covering the plan2014-04-30$1,000
Expenses. Other expenses not covered elsewhere2014-04-30$2,068
Net income (gross income less expenses)2014-04-30$-397
Net plan assets at end of year (total assets less liabilities)2014-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$397
Total contributions received or receivable from employer(s)2014-04-30$5,319
2013 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2013 401k financial data
Total plan liabilities at end of year2013-04-30$196
Total plan liabilities at beginning of year2013-04-30$152
Total income from all sources2013-04-30$5,329
Expenses. Total of all expenses incurred2013-04-30$5,272
Benefits paid (including direct rollovers)2013-04-30$3,524
Total plan assets at end of year2013-04-30$593
Total plan assets at beginning of year2013-04-30$492
Expenses. Other expenses not covered elsewhere2013-04-30$1,748
Net income (gross income less expenses)2013-04-30$57
Net plan assets at end of year (total assets less liabilities)2013-04-30$397
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$340
Total contributions received or receivable from employer(s)2013-04-30$5,329
2012 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2012 401k financial data
Total plan liabilities at end of year2012-04-30$152
Total plan liabilities at beginning of year2012-04-30$67
Total income from all sources2012-04-30$3,881
Expenses. Total of all expenses incurred2012-04-30$4,429
Benefits paid (including direct rollovers)2012-04-30$3,106
Total plan assets at end of year2012-04-30$492
Total plan assets at beginning of year2012-04-30$955
Expenses. Other expenses not covered elsewhere2012-04-30$1,323
Net income (gross income less expenses)2012-04-30$-548
Net plan assets at end of year (total assets less liabilities)2012-04-30$340
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$888
Total contributions received or receivable from employer(s)2012-04-30$3,881
2011 : EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2011 401k financial data
Total plan liabilities at end of year2011-04-30$67
Total plan liabilities at beginning of year2011-04-30$0
Total income from all sources2011-04-30$3,863
Expenses. Total of all expenses incurred2011-04-30$2,975
Benefits paid (including direct rollovers)2011-04-30$1,521
Total plan assets at end of year2011-04-30$955
Total plan assets at beginning of year2011-04-30$0
Expenses. Other expenses not covered elsewhere2011-04-30$1,454
Net income (gross income less expenses)2011-04-30$888
Net plan assets at end of year (total assets less liabilities)2011-04-30$888
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$0
Total contributions received or receivable from employer(s)2011-04-30$3,863

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF MOLLICA SUBS

2022: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2020: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: EMPLOYEE HEALTH PLAN OF MOLLICA SUBS 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01First time form 5500 has been submittedYes
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered3
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered6
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $363
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered5
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered5
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered5
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
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?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
Welfare Benefit Premiums Paid to CarrierUSD $570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered6
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?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
Welfare Benefit Premiums Paid to CarrierUSD $769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered13
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?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
Welfare Benefit Premiums Paid to CarrierUSD $1,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered14
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?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
Welfare Benefit Premiums Paid to CarrierUSD $1,589
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered11
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?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
Welfare Benefit Premiums Paid to CarrierUSD $1,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered10
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?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
Welfare Benefit Premiums Paid to CarrierUSD $974
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31001 NFA 0329
Policy instance 1
Insurance contract or identification number31001 NFA 0329
Number of Individuals Covered13
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?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
Welfare Benefit Premiums Paid to CarrierUSD $1,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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