AMITA RESTAURANTS has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS
| Measure | Date | Value |
|---|
| 2023: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-05-01 | 11 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-05-01 | 11 |
| Number of retired or separated participants receiving benefits | 2023-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-05-01 | 0 |
| Total of all active and inactive participants | 2023-05-01 | 11 |
| 2022: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-05-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 6 |
| 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 | 6 |
| 2021: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-05-01 | 11 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 8 |
| Number of retired or separated participants receiving benefits | 2021-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-05-01 | 0 |
| Total of all active and inactive participants | 2021-05-01 | 8 |
| 2020: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 9 |
| Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
| Total of all active and inactive participants | 2020-05-01 | 9 |
| 2019: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-05-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-05-01 | 0 |
| Total of all active and inactive participants | 2019-05-01 | 0 |
| 2018: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-05-01 | 24 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 22 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 22 |
| 2017: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 26 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 19 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 19 |
| 2016: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 29 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 26 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 26 |
| 2015: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 12 |
| Number of retired or separated participants receiving benefits | 2015-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-05-01 | 0 |
| Total of all active and inactive participants | 2015-05-01 | 12 |
| 2014: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 37 |
| Number of retired or separated participants receiving benefits | 2014-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-05-01 | 0 |
| Total of all active and inactive participants | 2014-05-01 | 37 |
| 2013: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 6 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 6 |
| Number of retired or separated participants receiving benefits | 2013-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-05-01 | 0 |
| Total of all active and inactive participants | 2013-05-01 | 6 |
| 2012: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 6 |
| Number of retired or separated participants receiving benefits | 2012-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-05-01 | 0 |
| Total of all active and inactive participants | 2012-05-01 | 6 |
| 2011: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 9 |
| Number of retired or separated participants receiving benefits | 2011-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-05-01 | 0 |
| Total of all active and inactive participants | 2011-05-01 | 9 |
| Measure | Date | Value |
|---|
| 2024 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2024 401k financial data |
|---|
| Total income from all sources | 2024-04-30 | $46,492 |
| Expenses. Total of all expenses incurred | 2024-04-30 | $64,546 |
| Benefits paid (including direct rollovers) | 2024-04-30 | $36,981 |
| Total plan assets at beginning of year | 2024-04-30 | $18,054 |
| Value of fidelity bond covering the plan | 2024-04-30 | $5,000 |
| Expenses. Other expenses not covered elsewhere | 2024-04-30 | $27,565 |
| Net income (gross income less expenses) | 2024-04-30 | $-18,054 |
| Net plan assets at end of year (total assets less liabilities) | 2024-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2024-04-30 | $18,054 |
| Total contributions received or receivable from employer(s) | 2024-04-30 | $46,492 |
| 2023 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2023 401k financial data |
|---|
| Total income from all sources | 2023-04-30 | $43,821 |
| Expenses. Total of all expenses incurred | 2023-04-30 | $41,421 |
| Benefits paid (including direct rollovers) | 2023-04-30 | $16,773 |
| Total plan assets at end of year | 2023-04-30 | $18,054 |
| Total plan assets at beginning of year | 2023-04-30 | $15,654 |
| Value of fidelity bond covering the plan | 2023-04-30 | $4,000 |
| Expenses. Other expenses not covered elsewhere | 2023-04-30 | $24,648 |
| Net income (gross income less expenses) | 2023-04-30 | $2,400 |
| Net plan assets at end of year (total assets less liabilities) | 2023-04-30 | $18,054 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-04-30 | $15,654 |
| Total contributions received or receivable from employer(s) | 2023-04-30 | $43,821 |
| 2022 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2022 401k financial data |
|---|
| Total income from all sources | 2022-04-30 | $34,186 |
| Expenses. Total of all expenses incurred | 2022-04-30 | $29,216 |
| Benefits paid (including direct rollovers) | 2022-04-30 | $10,286 |
| Total plan assets at end of year | 2022-04-30 | $15,654 |
| Total plan assets at beginning of year | 2022-04-30 | $10,684 |
| Value of fidelity bond covering the plan | 2022-04-30 | $2,000 |
| Expenses. Other expenses not covered elsewhere | 2022-04-30 | $18,930 |
| Net income (gross income less expenses) | 2022-04-30 | $4,970 |
| Net plan assets at end of year (total assets less liabilities) | 2022-04-30 | $15,654 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-04-30 | $10,684 |
| Total contributions received or receivable from employer(s) | 2022-04-30 | $34,186 |
| 2021 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2021 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2021-04-30 | $0 |
| Total income from all sources | 2021-04-30 | $25,973 |
| Expenses. Total of all expenses incurred | 2021-04-30 | $23,135 |
| Benefits paid (including direct rollovers) | 2021-04-30 | $8,349 |
| Total plan assets at end of year | 2021-04-30 | $10,684 |
| Total plan assets at beginning of year | 2021-04-30 | $7,846 |
| Value of fidelity bond covering the plan | 2021-04-30 | $65,000 |
| Expenses. Other expenses not covered elsewhere | 2021-04-30 | $14,786 |
| Net income (gross income less expenses) | 2021-04-30 | $2,838 |
| Net plan assets at end of year (total assets less liabilities) | 2021-04-30 | $10,684 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-04-30 | $7,846 |
| Total contributions received or receivable from employer(s) | 2021-04-30 | $25,973 |
| 2020 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-04-30 | $0 |
| Total plan liabilities at beginning of year | 2020-04-30 | $0 |
| Total income from all sources | 2020-04-30 | $41,257 |
| Expenses. Total of all expenses incurred | 2020-04-30 | $97,498 |
| Benefits paid (including direct rollovers) | 2020-04-30 | $74,122 |
| Total plan assets at end of year | 2020-04-30 | $7,846 |
| Total plan assets at beginning of year | 2020-04-30 | $64,087 |
| Value of fidelity bond covering the plan | 2020-04-30 | $65,000 |
| Expenses. Other expenses not covered elsewhere | 2020-04-30 | $23,376 |
| Net income (gross income less expenses) | 2020-04-30 | $-56,241 |
| Net plan assets at end of year (total assets less liabilities) | 2020-04-30 | $7,846 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-04-30 | $64,087 |
| Total contributions received or receivable from employer(s) | 2020-04-30 | $41,257 |
| 2019 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2019 401k financial data |
|---|
| Total plan liabilities at end of year | 2019-04-30 | $0 |
| Total plan liabilities at beginning of year | 2019-04-30 | $0 |
| Total income from all sources | 2019-04-30 | $46,284 |
| Expenses. Total of all expenses incurred | 2019-04-30 | $33,935 |
| Benefits paid (including direct rollovers) | 2019-04-30 | $6,559 |
| Total plan assets at end of year | 2019-04-30 | $64,087 |
| Total plan assets at beginning of year | 2019-04-30 | $51,738 |
| Value of fidelity bond covering the plan | 2019-04-30 | $65,000 |
| Expenses. Other expenses not covered elsewhere | 2019-04-30 | $27,376 |
| Net income (gross income less expenses) | 2019-04-30 | $12,349 |
| Net plan assets at end of year (total assets less liabilities) | 2019-04-30 | $64,087 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-04-30 | $51,738 |
| Total contributions received or receivable from employer(s) | 2019-04-30 | $46,284 |
| 2018 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2018 401k financial data |
|---|
| Total plan liabilities at end of year | 2018-04-30 | $0 |
| Total plan liabilities at beginning of year | 2018-04-30 | $0 |
| Total income from all sources | 2018-04-30 | $45,858 |
| Expenses. Total of all expenses incurred | 2018-04-30 | $35,487 |
| Benefits paid (including direct rollovers) | 2018-04-30 | $7,891 |
| Total plan assets at end of year | 2018-04-30 | $51,738 |
| Total plan assets at beginning of year | 2018-04-30 | $41,367 |
| Value of fidelity bond covering the plan | 2018-04-30 | $45,000 |
| Expenses. Other expenses not covered elsewhere | 2018-04-30 | $27,596 |
| Net income (gross income less expenses) | 2018-04-30 | $10,371 |
| Net plan assets at end of year (total assets less liabilities) | 2018-04-30 | $51,738 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-04-30 | $41,367 |
| Total contributions received or receivable from employer(s) | 2018-04-30 | $45,858 |
| 2017 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2017 401k financial data |
|---|
| Total plan liabilities at end of year | 2017-04-30 | $0 |
| Total plan liabilities at beginning of year | 2017-04-30 | $0 |
| Total income from all sources | 2017-04-30 | $49,735 |
| Expenses. Total of all expenses incurred | 2017-04-30 | $38,909 |
| Benefits paid (including direct rollovers) | 2017-04-30 | $8,834 |
| Total plan assets at end of year | 2017-04-30 | $41,367 |
| Total plan assets at beginning of year | 2017-04-30 | $30,541 |
| Value of fidelity bond covering the plan | 2017-04-30 | $45,000 |
| Expenses. Other expenses not covered elsewhere | 2017-04-30 | $30,075 |
| Net income (gross income less expenses) | 2017-04-30 | $10,826 |
| Net plan assets at end of year (total assets less liabilities) | 2017-04-30 | $41,367 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-04-30 | $30,541 |
| Total contributions received or receivable from employer(s) | 2017-04-30 | $49,735 |
| 2016 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-04-30 | $0 |
| Total plan liabilities at beginning of year | 2016-04-30 | $443 |
| Total income from all sources | 2016-04-30 | $56,271 |
| Expenses. Total of all expenses incurred | 2016-04-30 | $46,102 |
| Benefits paid (including direct rollovers) | 2016-04-30 | $10,346 |
| Total plan assets at end of year | 2016-04-30 | $30,541 |
| Total plan assets at beginning of year | 2016-04-30 | $20,815 |
| Value of fidelity bond covering the plan | 2016-04-30 | $35,000 |
| Expenses. Other expenses not covered elsewhere | 2016-04-30 | $35,756 |
| Net income (gross income less expenses) | 2016-04-30 | $10,169 |
| Net plan assets at end of year (total assets less liabilities) | 2016-04-30 | $30,541 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-04-30 | $20,372 |
| Total contributions received or receivable from employer(s) | 2016-04-30 | $56,271 |
| 2015 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-04-30 | $443 |
| Total plan liabilities at beginning of year | 2015-04-30 | $935 |
| Total income from all sources | 2015-04-30 | $42,638 |
| Expenses. Total of all expenses incurred | 2015-04-30 | $33,167 |
| Benefits paid (including direct rollovers) | 2015-04-30 | $8,317 |
| Total plan assets at end of year | 2015-04-30 | $20,815 |
| Total plan assets at beginning of year | 2015-04-30 | $11,836 |
| Value of fidelity bond covering the plan | 2015-04-30 | $10,000 |
| Expenses. Other expenses not covered elsewhere | 2015-04-30 | $24,850 |
| Net income (gross income less expenses) | 2015-04-30 | $9,471 |
| Net plan assets at end of year (total assets less liabilities) | 2015-04-30 | $20,372 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-04-30 | $10,901 |
| Total contributions received or receivable from employer(s) | 2015-04-30 | $42,638 |
| 2014 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2014 401k financial data |
|---|
| Total plan liabilities at end of year | 2014-04-30 | $935 |
| Total plan liabilities at beginning of year | 2014-04-30 | $638 |
| Total income from all sources | 2014-04-30 | $29,970 |
| Expenses. Total of all expenses incurred | 2014-04-30 | $22,675 |
| Benefits paid (including direct rollovers) | 2014-04-30 | $5,099 |
| Total plan assets at end of year | 2014-04-30 | $11,836 |
| Total plan assets at beginning of year | 2014-04-30 | $4,244 |
| Value of fidelity bond covering the plan | 2014-04-30 | $10,000 |
| Expenses. Other expenses not covered elsewhere | 2014-04-30 | $17,576 |
| Net income (gross income less expenses) | 2014-04-30 | $7,295 |
| Net plan assets at end of year (total assets less liabilities) | 2014-04-30 | $10,901 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-04-30 | $3,606 |
| Total contributions received or receivable from employer(s) | 2014-04-30 | $29,970 |
| 2013 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2013 401k financial data |
|---|
| Total plan liabilities at end of year | 2013-04-30 | $638 |
| Total plan liabilities at beginning of year | 2013-04-30 | $848 |
| Total income from all sources | 2013-04-30 | $37,576 |
| Expenses. Total of all expenses incurred | 2013-04-30 | $33,970 |
| Benefits paid (including direct rollovers) | 2013-04-30 | $14,897 |
| Total plan assets at end of year | 2013-04-30 | $4,244 |
| Total plan assets at beginning of year | 2013-04-30 | $848 |
| Expenses. Other expenses not covered elsewhere | 2013-04-30 | $19,073 |
| Net income (gross income less expenses) | 2013-04-30 | $3,606 |
| Net plan assets at end of year (total assets less liabilities) | 2013-04-30 | $3,606 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-04-30 | $0 |
| Total contributions received or receivable from employer(s) | 2013-04-30 | $37,576 |
| 2012 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-04-30 | $848 |
| Total plan liabilities at beginning of year | 2012-04-30 | $542 |
| Total income from all sources | 2012-04-30 | $52,080 |
| Expenses. Total of all expenses incurred | 2012-04-30 | $52,080 |
| Benefits paid (including direct rollovers) | 2012-04-30 | $25,239 |
| Total plan assets at end of year | 2012-04-30 | $848 |
| Total plan assets at beginning of year | 2012-04-30 | $542 |
| Expenses. Other expenses not covered elsewhere | 2012-04-30 | $26,841 |
| Net income (gross income less expenses) | 2012-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2012-04-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-04-30 | $0 |
| Total contributions received or receivable from employer(s) | 2012-04-30 | $52,080 |
| 2011 : EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-04-30 | $542 |
| Total plan liabilities at beginning of year | 2011-04-30 | $0 |
| Total income from all sources | 2011-04-30 | $28,982 |
| Expenses. Total of all expenses incurred | 2011-04-30 | $28,982 |
| Benefits paid (including direct rollovers) | 2011-04-30 | $14,734 |
| Total plan assets at end of year | 2011-04-30 | $542 |
| Total plan assets at beginning of year | 2011-04-30 | $0 |
| Expenses. Other expenses not covered elsewhere | 2011-04-30 | $14,248 |
| Net income (gross income less expenses) | 2011-04-30 | $0 |
| Net plan assets at end of year (total assets less liabilities) | 2011-04-30 | $0 |
| 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 | $28,982 |
| 2023: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2023 form 5500 responses |
|---|
| 2023-05-01 | Type of plan entity | Single employer plan |
| 2023-05-01 | Submission has been amended | No |
| 2023-05-01 | This submission is the final filing | No |
| 2023-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-05-01 | Plan is a collectively bargained plan | No |
| 2023-05-01 | Plan funding arrangement – Insurance | Yes |
| 2023-05-01 | Plan funding arrangement – Trust | Yes |
| 2023-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-05-01 | Plan benefit arrangement - Trust | Yes |
| 2022: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2022 form 5500 responses |
|---|
| 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 AMITA RESTAURANTS 2021 form 5500 responses |
|---|
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | Submission has been amended | No |
| 2021-05-01 | This submission is the final filing | No |
| 2021-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-05-01 | Plan is a collectively bargained plan | No |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan funding arrangement – Trust | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement - Trust | Yes |
| 2020: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2020 form 5500 responses |
|---|
| 2020-05-01 | Type of plan entity | Single employer plan |
| 2020-05-01 | Submission has been amended | No |
| 2020-05-01 | This submission is the final filing | No |
| 2020-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-05-01 | Plan is a collectively bargained plan | No |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan funding arrangement – Trust | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement - Trust | Yes |
| 2019: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2019 form 5500 responses |
|---|
| 2019-05-01 | Type of plan entity | Single employer plan |
| 2019-05-01 | Submission has been amended | No |
| 2019-05-01 | This submission is the final filing | No |
| 2019-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-05-01 | Plan is a collectively bargained plan | No |
| 2019-05-01 | Plan funding arrangement – Insurance | Yes |
| 2019-05-01 | Plan funding arrangement – Trust | Yes |
| 2019-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-05-01 | Plan benefit arrangement - Trust | Yes |
| 2018: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2018 form 5500 responses |
|---|
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | Submission has been amended | No |
| 2018-05-01 | This submission is the final filing | No |
| 2018-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-05-01 | Plan is a collectively bargained plan | No |
| 2018-05-01 | Plan funding arrangement – Insurance | Yes |
| 2018-05-01 | Plan funding arrangement – Trust | Yes |
| 2018-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-05-01 | Plan benefit arrangement - Trust | Yes |
| 2017: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2017 form 5500 responses |
|---|
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | Submission has been amended | No |
| 2017-05-01 | This submission is the final filing | No |
| 2017-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-05-01 | Plan is a collectively bargained plan | No |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan funding arrangement – Trust | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement - Trust | Yes |
| 2016: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2016 form 5500 responses |
|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Submission has been amended | No |
| 2016-05-01 | This submission is the final filing | No |
| 2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-05-01 | Plan is a collectively bargained plan | No |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan funding arrangement – Trust | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement - Trust | Yes |
| 2015: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2015 form 5500 responses |
|---|
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Submission has been amended | No |
| 2015-05-01 | This submission is the final filing | No |
| 2015-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-05-01 | Plan is a collectively bargained plan | No |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan funding arrangement – Trust | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement - Trust | Yes |
| 2014: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2014 form 5500 responses |
|---|
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | Submission has been amended | No |
| 2014-05-01 | This submission is the final filing | No |
| 2014-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-05-01 | Plan is a collectively bargained plan | No |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan funding arrangement – Trust | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement - Trust | Yes |
| 2013: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2013 form 5500 responses |
|---|
| 2013-05-01 | Type of plan entity | Single employer plan |
| 2013-05-01 | Submission has been amended | No |
| 2013-05-01 | This submission is the final filing | No |
| 2013-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-05-01 | Plan is a collectively bargained plan | No |
| 2013-05-01 | Plan funding arrangement – Insurance | Yes |
| 2013-05-01 | Plan funding arrangement – Trust | Yes |
| 2013-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-05-01 | Plan benefit arrangement - Trust | Yes |
| 2012: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2012 form 5500 responses |
|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | Submission has been amended | No |
| 2012-05-01 | This submission is the final filing | No |
| 2012-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-05-01 | Plan is a collectively bargained plan | No |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan funding arrangement – Trust | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement - Trust | Yes |
| 2011: EMPLOYEE HEALTH PLAN OF AMITA RESTAURANTS 2011 form 5500 responses |
|---|
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | Submission has been amended | No |
| 2011-05-01 | This submission is the final filing | No |
| 2011-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-05-01 | Plan is a collectively bargained plan | No |
| 2011-05-01 | Plan funding arrangement – Insurance | Yes |
| 2011-05-01 | Plan funding arrangement – Trust | Yes |
| 2011-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-05-01 | Plan benefit arrangement - Trust | Yes |
| NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2023-05-01 | | Insurance policy end date | 2024-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $19,547 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $18,556 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $14,233 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $10,634 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $16,936 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 24 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $19,682 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 21 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $19,662 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $21,744 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 40 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $18,564 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $12,456 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 6 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $13,268 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $18,271 | | 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: 00000 ) |
| Policy contract number | 25515 NFA 0263 |
| Policy instance | 1 |
| Insurance contract or identification number | 25515 NFA 0263 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2010-05-01 | | Insurance policy end date | 2011-04-30 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $11,091 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
