Plan Name | EMPLOYEE HEALTH PLAN OF TRI COUNTY INTERNAL MEDICINE, PC |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | TRI COUNTY INTERNAL MEDICINE P |
Employer identification number (EIN): | 582635783 |
NAIC Classification: | 339900 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2022-05-01 | ||||
502 | 2021-08-01 |
Measure | Date | Value |
---|---|---|
2022: EMPLOYEE HEALTH PLAN OF TRI COUNTY INTERNAL MEDICINE, PC 2022 401k membership | ||
Total participants, beginning-of-year | 2022-05-01 | 14 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 14 |
Number of retired or separated participants receiving benefits | 2022-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-05-01 | 0 |
Total of all active and inactive participants | 2022-05-01 | 14 |
2021: EMPLOYEE HEALTH PLAN OF TRI COUNTY INTERNAL MEDICINE, PC 2021 401k membership | ||
Total participants, beginning-of-year | 2021-08-01 | 12 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-08-01 | 10 |
Number of retired or separated participants receiving benefits | 2021-08-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-08-01 | 0 |
Total of all active and inactive participants | 2021-08-01 | 10 |
Measure | Date | Value |
---|---|---|
2023 : EMPLOYEE HEALTH PLAN OF TRI COUNTY INTERNAL MEDICINE, PC 2023 401k financial data | ||
Total income from all sources | 2023-04-30 | $143,653 |
Expenses. Total of all expenses incurred | 2023-04-30 | $146,117 |
Benefits paid (including direct rollovers) | 2023-04-30 | $65,895 |
Total plan assets at beginning of year | 2023-04-30 | $2,464 |
Value of fidelity bond covering the plan | 2023-04-30 | $10,000 |
Expenses. Other expenses not covered elsewhere | 2023-04-30 | $80,222 |
Net income (gross income less expenses) | 2023-04-30 | $-2,464 |
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 | $2,464 |
Total contributions received or receivable from employer(s) | 2023-04-30 | $143,653 |
2022 : EMPLOYEE HEALTH PLAN OF TRI COUNTY INTERNAL MEDICINE, PC 2022 401k financial data | ||
Total income from all sources | 2022-04-30 | $88,941 |
Expenses. Total of all expenses incurred | 2022-04-30 | $88,941 |
Benefits paid (including direct rollovers) | 2022-04-30 | $45,030 |
Total plan assets at end of year | 2022-04-30 | $0 |
Value of fidelity bond covering the plan | 2022-04-30 | $5,000 |
Expenses. Other expenses not covered elsewhere | 2022-04-30 | $43,911 |
Net income (gross income less expenses) | 2022-04-30 | $0 |
Net plan assets at end of year (total assets less liabilities) | 2022-04-30 | $0 |
Net plan assets at beginning of year (total assets less liabilities) | 2022-04-30 | $0 |
Total contributions received or receivable from employer(s) | 2022-04-30 | $88,941 |
2022: EMPLOYEE HEALTH PLAN OF TRI COUNTY INTERNAL MEDICINE, PC 2022 form 5500 responses | ||
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2022-05-01 | Type of plan entity | Single employer plan |
2022-05-01 | Submission has been amended | No |
2022-05-01 | This submission is the final filing | No |
2022-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2022-05-01 | Plan is a collectively bargained plan | No |
2022-05-01 | Plan funding arrangement – Insurance | Yes |
2022-05-01 | Plan funding arrangement – Trust | Yes |
2022-05-01 | Plan benefit arrangement – Insurance | Yes |
2022-05-01 | Plan benefit arrangement - Trust | Yes |
2021: EMPLOYEE HEALTH PLAN OF TRI COUNTY INTERNAL MEDICINE, PC 2021 form 5500 responses | ||
2021-08-01 | Type of plan entity | Single employer plan |
2021-08-01 | First time form 5500 has been submitted | Yes |
2021-08-01 | Submission has been amended | No |
2021-08-01 | This submission is the final filing | No |
2021-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
2021-08-01 | Plan is a collectively bargained plan | No |
2021-08-01 | Plan funding arrangement – Insurance | Yes |
2021-08-01 | Plan funding arrangement – Trust | Yes |
2021-08-01 | Plan benefit arrangement – Insurance | Yes |
2021-08-01 | Plan benefit arrangement - Trust | Yes |
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 75030 NFA 0855 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 ) | |||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 75030 NFA 0855 | ||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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