ST. JOSEPH HOLDINGS, LLC has sponsored the creation of one or more 401k plans.
Additional information about ST. JOSEPH HOLDINGS, LLC
Submission information for form 5500 for 401k plan ST. JOSEPH HOLDINGS LLC EMPLOYEE BENEFIT PLAN & TRUST
401k plan membership statisitcs for ST. JOSEPH HOLDINGS LLC EMPLOYEE BENEFIT PLAN & TRUST
| Measure | Date | Value |
|---|
| 2017 : ST. JOSEPH HOLDINGS LLC EMPLOYEE BENEFIT PLAN & TRUST 2017 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $718,906 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $447,807 |
| Total income from all sources (including contributions) | 2017-12-31 | $6,701,707 |
| Total of all expenses incurred | 2017-12-31 | $6,946,422 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $6,448,904 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $6,701,707 |
| Value of total assets at end of year | 2017-12-31 | $388,854 |
| Value of total assets at beginning of year | 2017-12-31 | $362,470 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $497,518 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Administrative expenses professional fees incurred | 2017-12-31 | $20,000 |
| Was this plan covered by a fidelity bond | 2017-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $2,304,213 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-12-31 | $314,899 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-12-31 | $98,419 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-12-31 | $80,222 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $20,000 |
| Administrative expenses (other) incurred | 2017-12-31 | $477,518 |
| Total non interest bearing cash at end of year | 2017-12-31 | $73,955 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $264,051 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-244,715 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $-330,052 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $-85,337 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $825,909 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $4,397,494 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $5,622,995 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $638,684 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $427,807 |
| Did the plan have assets held for investment | 2017-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | CARR. RIGGS & INGRAM LLC |
| Accountancy firm EIN | 2017-12-31 | 721396621 |
| 2016 : ST. JOSEPH HOLDINGS LLC EMPLOYEE BENEFIT PLAN & TRUST 2016 401k financial data |
|---|
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Was this plan covered by a fidelity bond | 2016-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Did the plan have assets held for investment | 2016-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-10-31 | $447,807 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-10-31 | $933,044 |
| Total income from all sources (including contributions) | 2016-10-31 | $6,381,260 |
| Total of all expenses incurred | 2016-10-31 | $5,550,984 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-10-31 | $4,936,468 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-10-31 | $6,381,260 |
| Value of total assets at end of year | 2016-10-31 | $362,470 |
| Value of total assets at beginning of year | 2016-10-31 | $17,431 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-10-31 | $614,516 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-10-31 | No |
| Administrative expenses professional fees incurred | 2016-10-31 | $20,000 |
| Was this plan covered by a fidelity bond | 2016-10-31 | No |
| If this is an individual account plan, was there a blackout period | 2016-10-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-10-31 | No |
| Contributions received from participants | 2016-10-31 | $2,058,394 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-10-31 | $98,419 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-10-31 | $20,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-10-31 | $20,000 |
| Administrative expenses (other) incurred | 2016-10-31 | $594,516 |
| Total non interest bearing cash at end of year | 2016-10-31 | $264,051 |
| Total non interest bearing cash at beginning of year | 2016-10-31 | $17,431 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-10-31 | No |
| Value of net income/loss | 2016-10-31 | $830,276 |
| Value of net assets at end of year (total assets less liabilities) | 2016-10-31 | $-85,337 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-10-31 | $-915,613 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-10-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-10-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-10-31 | $649,371 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-10-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-10-31 | No |
| Contributions received in cash from employer | 2016-10-31 | $4,322,866 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-10-31 | $4,287,097 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-10-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2016-10-31 | $427,807 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-10-31 | $913,044 |
| Did the plan have assets held for investment | 2016-10-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-10-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-10-31 | Unqualified |
| Accountancy firm name | 2016-10-31 | CARR, RIGGS & INGRAM LLC |
| Accountancy firm EIN | 2016-10-31 | 721396621 |
| 2015 : ST. JOSEPH HOLDINGS LLC EMPLOYEE BENEFIT PLAN & TRUST 2015 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-10-31 | $933,044 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-10-31 | $516,939 |
| Total income from all sources (including contributions) | 2015-10-31 | $5,293,465 |
| Total of all expenses incurred | 2015-10-31 | $6,027,881 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-10-31 | $5,383,662 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-10-31 | $5,293,465 |
| Value of total assets at end of year | 2015-10-31 | $17,431 |
| Value of total assets at beginning of year | 2015-10-31 | $335,742 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-10-31 | $644,219 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-10-31 | No |
| Administrative expenses professional fees incurred | 2015-10-31 | $20,000 |
| Was this plan covered by a fidelity bond | 2015-10-31 | No |
| If this is an individual account plan, was there a blackout period | 2015-10-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-10-31 | No |
| Contributions received from participants | 2015-10-31 | $1,923,165 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-10-31 | $248,513 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-10-31 | $20,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-10-31 | $20,000 |
| Administrative expenses (other) incurred | 2015-10-31 | $624,219 |
| Total non interest bearing cash at end of year | 2015-10-31 | $17,431 |
| Total non interest bearing cash at beginning of year | 2015-10-31 | $87,229 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-10-31 | No |
| Value of net income/loss | 2015-10-31 | $-734,416 |
| Value of net assets at end of year (total assets less liabilities) | 2015-10-31 | $-915,613 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-10-31 | $-181,197 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-10-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-10-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-10-31 | $589,349 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-10-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-10-31 | No |
| Contributions received in cash from employer | 2015-10-31 | $3,370,300 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-10-31 | $4,794,313 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-10-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-10-31 | $913,044 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-10-31 | $496,939 |
| Did the plan have assets held for investment | 2015-10-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-10-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-10-31 | Unqualified |
| Accountancy firm name | 2015-10-31 | CARR, RIGGS & INGRAM LLC |
| Accountancy firm EIN | 2015-10-31 | 721396621 |
| 2014 : ST. JOSEPH HOLDINGS LLC EMPLOYEE BENEFIT PLAN & TRUST 2014 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-10-31 | $516,939 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-10-31 | $330,832 |
| Total income from all sources (including contributions) | 2014-10-31 | $4,571,946 |
| Total of all expenses incurred | 2014-10-31 | $4,685,688 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-10-31 | $4,135,418 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-10-31 | $4,571,946 |
| Value of total assets at end of year | 2014-10-31 | $335,742 |
| Value of total assets at beginning of year | 2014-10-31 | $263,377 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-10-31 | $550,270 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-10-31 | No |
| Administrative expenses professional fees incurred | 2014-10-31 | $20,000 |
| Was this plan covered by a fidelity bond | 2014-10-31 | No |
| If this is an individual account plan, was there a blackout period | 2014-10-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-10-31 | No |
| Contributions received from participants | 2014-10-31 | $1,668,920 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-10-31 | $248,513 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-10-31 | $161,942 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-10-31 | $20,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-10-31 | $20,000 |
| Administrative expenses (other) incurred | 2014-10-31 | $530,270 |
| Total non interest bearing cash at end of year | 2014-10-31 | $87,229 |
| Total non interest bearing cash at beginning of year | 2014-10-31 | $101,435 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-10-31 | No |
| Value of net income/loss | 2014-10-31 | $-113,742 |
| Value of net assets at end of year (total assets less liabilities) | 2014-10-31 | $-181,197 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-10-31 | $-67,455 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-10-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-10-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-10-31 | $527,839 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-10-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-10-31 | No |
| Contributions received in cash from employer | 2014-10-31 | $2,903,026 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-10-31 | $3,607,579 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-10-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2014-10-31 | $496,939 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-10-31 | $310,832 |
| Did the plan have assets held for investment | 2014-10-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-10-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-10-31 | Unqualified |
| Accountancy firm name | 2014-10-31 | CARR, RIGGS & INGRAM LLC |
| Accountancy firm EIN | 2014-10-31 | 721396621 |
| 2013 : ST. JOSEPH HOLDINGS LLC EMPLOYEE BENEFIT PLAN & TRUST 2013 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-10-31 | $330,832 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-10-31 | $607,665 |
| Total income from all sources (including contributions) | 2013-10-31 | $4,541,906 |
| Total of all expenses incurred | 2013-10-31 | $4,383,313 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-10-31 | $3,996,028 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-10-31 | $4,541,906 |
| Value of total assets at end of year | 2013-10-31 | $263,377 |
| Value of total assets at beginning of year | 2013-10-31 | $381,617 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-10-31 | $387,285 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-10-31 | No |
| Administrative expenses professional fees incurred | 2013-10-31 | $20,000 |
| Was this plan covered by a fidelity bond | 2013-10-31 | No |
| If this is an individual account plan, was there a blackout period | 2013-10-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-10-31 | No |
| Contributions received from participants | 2013-10-31 | $1,515,643 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-10-31 | $161,942 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-10-31 | $168 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-10-31 | $20,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-10-31 | $12,000 |
| Administrative expenses (other) incurred | 2013-10-31 | $367,285 |
| Total non interest bearing cash at end of year | 2013-10-31 | $101,435 |
| Total non interest bearing cash at beginning of year | 2013-10-31 | $381,449 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-10-31 | No |
| Value of net income/loss | 2013-10-31 | $158,593 |
| Value of net assets at end of year (total assets less liabilities) | 2013-10-31 | $-67,455 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-10-31 | $-226,048 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-10-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-10-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-10-31 | $466,794 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-10-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-10-31 | No |
| Contributions received in cash from employer | 2013-10-31 | $3,026,263 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-10-31 | $3,529,234 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-10-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2013-10-31 | $310,832 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-10-31 | $595,665 |
| Did the plan have assets held for investment | 2013-10-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-10-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-10-31 | Unqualified |
| Accountancy firm name | 2013-10-31 | CARR, RIGGS & INGRAM, LLC |
| Accountancy firm EIN | 2013-10-31 | 721396621 |
| 2012 : ST. JOSEPH HOLDINGS LLC EMPLOYEE BENEFIT PLAN & TRUST 2012 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-10-31 | $607,665 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-10-31 | $250,617 |
| Total income from all sources (including contributions) | 2012-10-31 | $3,908,243 |
| Total of all expenses incurred | 2012-10-31 | $4,147,571 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-10-31 | $3,832,642 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-10-31 | $3,908,243 |
| Value of total assets at end of year | 2012-10-31 | $381,617 |
| Value of total assets at beginning of year | 2012-10-31 | $263,897 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-10-31 | $314,929 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-10-31 | No |
| Administrative expenses professional fees incurred | 2012-10-31 | $12,000 |
| Was this plan covered by a fidelity bond | 2012-10-31 | No |
| If this is an individual account plan, was there a blackout period | 2012-10-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-10-31 | No |
| Contributions received from participants | 2012-10-31 | $1,269,751 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-10-31 | $168 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-10-31 | $173,893 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-10-31 | $12,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-10-31 | $6,000 |
| Administrative expenses (other) incurred | 2012-10-31 | $302,929 |
| Total non interest bearing cash at end of year | 2012-10-31 | $381,449 |
| Total non interest bearing cash at beginning of year | 2012-10-31 | $90,004 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-10-31 | No |
| Value of net income/loss | 2012-10-31 | $-239,328 |
| Value of net assets at end of year (total assets less liabilities) | 2012-10-31 | $-226,048 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-10-31 | $13,280 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-10-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-10-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-10-31 | $515,262 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-10-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-10-31 | No |
| Contributions received in cash from employer | 2012-10-31 | $2,638,492 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-10-31 | $3,317,380 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-10-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2012-10-31 | $595,665 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-10-31 | $244,617 |
| Did the plan have assets held for investment | 2012-10-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-10-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-10-31 | Unqualified |
| Accountancy firm name | 2012-10-31 | CARR, RIGGS & INGRAM, LLC |
| Accountancy firm EIN | 2012-10-31 | 721396621 |
| 2011 : ST. JOSEPH HOLDINGS LLC EMPLOYEE BENEFIT PLAN & TRUST 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-10-31 | $250,617 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-10-31 | $574,823 |
| Total income from all sources (including contributions) | 2011-10-31 | $2,939,807 |
| Total of all expenses incurred | 2011-10-31 | $2,784,364 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-10-31 | $2,562,266 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-10-31 | $2,939,807 |
| Value of total assets at end of year | 2011-10-31 | $263,897 |
| Value of total assets at beginning of year | 2011-10-31 | $432,660 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-10-31 | $222,098 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-10-31 | No |
| Administrative expenses professional fees incurred | 2011-10-31 | $6,000 |
| Was this plan covered by a fidelity bond | 2011-10-31 | No |
| If this is an individual account plan, was there a blackout period | 2011-10-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-10-31 | Yes |
| Amount of non-exempt transactions with any party-in-interest | 2011-10-31 | $306,000 |
| Contributions received from participants | 2011-10-31 | $937,343 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-10-31 | $173,893 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-10-31 | $432,660 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-10-31 | $6,000 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-10-31 | $394,992 |
| Administrative expenses (other) incurred | 2011-10-31 | $216,098 |
| Total non interest bearing cash at end of year | 2011-10-31 | $90,004 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-10-31 | No |
| Value of net income/loss | 2011-10-31 | $155,443 |
| Value of net assets at end of year (total assets less liabilities) | 2011-10-31 | $13,280 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-10-31 | $-142,163 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-10-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-10-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-10-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-10-31 | $350,290 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-10-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-10-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-10-31 | No |
| Contributions received in cash from employer | 2011-10-31 | $2,002,464 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-10-31 | $2,211,976 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-10-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2011-10-31 | $244,617 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-10-31 | $179,831 |
| Did the plan have assets held for investment | 2011-10-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-10-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-10-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-10-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-10-31 | Unqualified |
| Accountancy firm name | 2011-10-31 | ROBERTS, CHERRY AND COMPANY |
| Accountancy firm EIN | 2011-10-31 | 720938924 |
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | GER-P09-413R |
| Policy instance | 14 |
| Insurance contract or identification number | GER-P09-413R | | Number of Individuals Covered | 554 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $98,181 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $598,230 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $98,181 | | Insurance broker organization code? | 3 | | Insurance broker name | DONALD R MASSAD APC |
|
| STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 ) |
| Policy contract number | JH605 |
| Policy instance | 13 |
| Insurance contract or identification number | JH605 | | Number of Individuals Covered | 508 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $35,844 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $357,582 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $35,844 | | Insurance broker organization code? | 3 | | Insurance broker name | DONALD R MASSAD APC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPS 677748 |
| Policy instance | 12 |
| Insurance contract or identification number | VPS 677748 | | Number of Individuals Covered | 147 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $30,482 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $87,090 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,064 | | Insurance broker organization code? | 3 | | Insurance broker name | FORESTER BENEFITS MANAGEMENT LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL 677536 |
| Policy instance | 11 |
| Insurance contract or identification number | VPL 677536 | | Number of Individuals Covered | 131 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $20,926 | | Total amount of fees paid to insurance company | USD $1,766 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $59,790 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,958 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1766 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | | Insurance broker name | FORESTER BENEFITS MANAGEMENT LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VG 677325 |
| Policy instance | 10 |
| Insurance contract or identification number | VG 677325 | | Number of Individuals Covered | 143 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $13,996 | | Total amount of fees paid to insurance company | USD $1,094 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $34,988 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,998 | | Amount paid for insurance broker fees | 1094 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | DONALD R MASSAD APC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPS 677780 |
| Policy instance | 9 |
| Insurance contract or identification number | VPS 677780 | | Number of Individuals Covered | 26 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $4,137 | | Total amount of fees paid to insurance company | USD $756 | | Other welfare benefits provided | SHORT TERM DISABILITY | | Welfare Benefit Premiums Paid to Carrier | USD $11,819 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,182 | | Amount paid for insurance broker fees | 756 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | DONALD R MASSAD APC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL 302006 |
| Policy instance | 8 |
| Insurance contract or identification number | VPL 302006 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $735 | | Total amount of fees paid to insurance company | USD $114 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,098 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $315 | | Amount paid for insurance broker fees | 114 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | DONALD R MASSAD APC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VG 185446 |
| Policy instance | 7 |
| Insurance contract or identification number | VG 185446 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $3,160 | | Total amount of fees paid to insurance company | USD $434 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $9,061 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,806 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 434 | | Additional information about fees paid to insurance broker | ADMINSTRATIVE AND OTHER FEES | | Insurance broker name | FORESTER BENEFITS MANAGEMENT LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPS 677747 |
| Policy instance | 6 |
| Insurance contract or identification number | VPS 677747 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $23,640 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | VOLUNTARY SHORT TERM DISABLILITY | | Welfare Benefit Premiums Paid to Carrier | USD $67,544 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,132 | | Insurance broker organization code? | 3 | | Insurance broker name | FORESTER BENEFITS MANAGEMENT LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL 677537 |
| Policy instance | 5 |
| Insurance contract or identification number | VPL 677537 | | Number of Individuals Covered | 117 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $13,001 | | Total amount of fees paid to insurance company | USD $1,241 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $43,337 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,667 | | Amount paid for insurance broker fees | 1241 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | FORESTER BENEFITS MANAGEMENT LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VG 677326 |
| Policy instance | 4 |
| Insurance contract or identification number | VG 677326 | | Number of Individuals Covered | 181 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $18,952 | | Total amount of fees paid to insurance company | USD $1,306 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $54,148 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,830 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1306 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | | Insurance broker name | FORESTER BENEFITS MANAGEMENT LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPS 677746 |
| Policy instance | 3 |
| Insurance contract or identification number | VPS 677746 | | Number of Individuals Covered | 48 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $6,089 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | VOLUNTARY SHORT TERM DISABLILITY | | Welfare Benefit Premiums Paid to Carrier | USD $17,396 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,609 | | Insurance broker organization code? | 3 | | Insurance broker name | FORESTER BENEFITS MANAGEMENT LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL 677535 |
| Policy instance | 2 |
| Insurance contract or identification number | VPL 677535 | | Number of Individuals Covered | 41 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $3,919 | | Total amount of fees paid to insurance company | USD $376 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,064 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,613 | | Amount paid for insurance broker fees | 376 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | | Insurance broker organization code? | 4 | | Insurance broker name | FORESTER BENEFITS MANAGEMENT LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VG 677324 |
| Policy instance | 1 |
| Insurance contract or identification number | VG 677324 | | Number of Individuals Covered | 48 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $3,597 | | Total amount of fees paid to insurance company | USD $337 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,276 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,055 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 337 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER | | Insurance broker name | FORESTER BENEFITS MANAGEMENT LLC |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | GER-P09-413R |
| Policy instance | 1 |
| Insurance contract or identification number | GER-P09-413R | | Number of Individuals Covered | 576 | | Insurance policy start date | 2014-11-01 | | Insurance policy end date | 2015-10-31 | | Total amount of commissions paid to insurance broker | USD $116,944 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $500,960 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $116,944 | | Insurance broker organization code? | 3 | | Insurance broker name | DONALD R. MASSAD APC |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | GER-P09-413R |
| Policy instance | 1 |
| Insurance contract or identification number | GER-P09-413R | | Number of Individuals Covered | 506 | | Insurance policy start date | 2013-11-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $103,306 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $448,668 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $103,306 | | Insurance broker organization code? | 3 | | Insurance broker name | DONALD R. MASSAD APC |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | GER-P09-413R |
| Policy instance | 1 |
| Insurance contract or identification number | GER-P09-413R | | Number of Individuals Covered | 480 | | Insurance policy start date | 2012-11-01 | | Insurance policy end date | 2013-10-31 | | Total amount of commissions paid to insurance broker | USD $82,726 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $396,733 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $82,726 | | Insurance broker organization code? | 3 | | Insurance broker name | DONALD R. MASSAD APC |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | GER-P09-413R |
| Policy instance | 1 |
| Insurance contract or identification number | GER-P09-413R | | Number of Individuals Covered | 482 | | Insurance policy start date | 2011-11-01 | | Insurance policy end date | 2012-10-31 | | Total amount of commissions paid to insurance broker | USD $77,514 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $463,727 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PHOENIX EXCESS RISK (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | GER-P09-413R |
| Policy instance | 1 |
| Insurance contract or identification number | GER-P09-413R | | Number of Individuals Covered | 380 | | Insurance policy start date | 2010-11-01 | | Insurance policy end date | 2011-10-31 | | Total amount of commissions paid to insurance broker | USD $57,717 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $315,280 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
