401k Plan data: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN plan

HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 401k Plan overview

Plan Name	HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN
Plan identification number	001

HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HOME HEALTH CARE AGENCIES OF AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name: HOME HEALTH CARE AGENCIES OF AMERICA, INC.

Employer identification number (EIN): 721539636

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2019-01-01
001 2018-01-01
001 2017-01-01 SCOTT RUTH
001 2016-01-01 R. SCOTT RUTH
001 2015-01-01 R. SCOTT RUTH R. SCOTT RUTH 2016-10-13
001 2014-01-01 R. SCOTT RUTH R. SCOTT RUTH 2015-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
001	2019-01-01
001	2018-01-01
001	2017-01-01	SCOTT RUTH
001	2016-01-01	R. SCOTT RUTH
001	2015-01-01	R. SCOTT RUTH	R. SCOTT RUTH	2016-10-13
001	2014-01-01	R. SCOTT RUTH	R. SCOTT RUTH	2015-10-15

Plan Statistics for HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN

Measure Date Value
2019: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 518
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 530
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 474
Number of retired or separated participants receiving benefits 2018-01-01 1
Number of other retired or separated participants entitled to future benefits 2018-01-01 43
Total of all active and inactive participants 2018-01-01 518
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 518
Number of participants with account balances 2018-01-01 170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 2
2017: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 522
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 482
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 48
Total of all active and inactive participants 2017-01-01 530
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 530
Number of participants with account balances 2017-01-01 200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 3
2016: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 467
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 477
Number of retired or separated participants receiving benefits 2016-01-01 5
Number of other retired or separated participants entitled to future benefits 2016-01-01 43
Total of all active and inactive participants 2016-01-01 525
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 526
Number of participants with account balances 2016-01-01 211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 559
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 431
Number of retired or separated participants receiving benefits 2015-01-01 5
Number of other retired or separated participants entitled to future benefits 2015-01-01 52
Total of all active and inactive participants 2015-01-01 488
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 488
Number of participants with account balances 2015-01-01 233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 454
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 477
Number of retired or separated participants receiving benefits 2014-01-01 6
Number of other retired or separated participants entitled to future benefits 2014-01-01 109
Total of all active and inactive participants 2014-01-01 592
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 1
Total participants 2014-01-01 593
Number of participants with account balances 2014-01-01 346
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1

Measure	Date	Value
2019: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	518
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	530
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	474
Number of retired or separated participants receiving benefits	2018-01-01	1
Number of other retired or separated participants entitled to future benefits	2018-01-01	43
Total of all active and inactive participants	2018-01-01	518
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	518
Number of participants with account balances	2018-01-01	170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	2
2017: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	522
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	482
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	48
Total of all active and inactive participants	2017-01-01	530
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	530
Number of participants with account balances	2017-01-01	200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	3
2016: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	467
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	477
Number of retired or separated participants receiving benefits	2016-01-01	5
Number of other retired or separated participants entitled to future benefits	2016-01-01	43
Total of all active and inactive participants	2016-01-01	525
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	526
Number of participants with account balances	2016-01-01	211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	559
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	431
Number of retired or separated participants receiving benefits	2015-01-01	5
Number of other retired or separated participants entitled to future benefits	2015-01-01	52
Total of all active and inactive participants	2015-01-01	488
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	488
Number of participants with account balances	2015-01-01	233
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	454
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	477
Number of retired or separated participants receiving benefits	2014-01-01	6
Number of other retired or separated participants entitled to future benefits	2014-01-01	109
Total of all active and inactive participants	2014-01-01	592
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	1
Total participants	2014-01-01	593
Number of participants with account balances	2014-01-01	346
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1

Financial Data on HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN

Measure	Date	Value
2019 : HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-07-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-07-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-07-31	$1,500
Total income from all sources (including contributions)	2019-07-31	$951,653
Total loss/gain on sale of assets	2019-07-31	$0
Total of all expenses incurred	2019-07-31	$5,581,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-07-31	$5,569,585
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-07-31	$357,744
Value of total assets at end of year	2019-07-31	$0
Value of total assets at beginning of year	2019-07-31	$4,631,233
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-07-31	$11,801
Total interest from all sources	2019-07-31	$7,248
Total dividends received (eg from common stock, registered investment company shares)	2019-07-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-07-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-07-31	$0
Was this plan covered by a fidelity bond	2019-07-31	Yes
Value of fidelity bond cover	2019-07-31	$1,000,000
If this is an individual account plan, was there a blackout period	2019-07-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-07-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-07-31	No
Contributions received from participants	2019-07-31	$84,075
Participant contributions at end of year	2019-07-31	$0
Participant contributions at beginning of year	2019-07-31	$211,461
Participant contributions at end of year	2019-07-31	$0
Participant contributions at beginning of year	2019-07-31	$2,899
Income. Received or receivable in cash from other sources (including rollovers)	2019-07-31	$273,669
Other income not declared elsewhere	2019-07-31	$94
Administrative expenses (other) incurred	2019-07-31	$11,801
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-07-31	No
Value of net income/loss	2019-07-31	$-4,629,733
Value of net assets at end of year (total assets less liabilities)	2019-07-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-07-31	$4,629,733
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-07-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-07-31	No
Were any leases to which the plan was party in default or uncollectible	2019-07-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-07-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-07-31	$219,359
Value of interest in pooled separate accounts at end of year	2019-07-31	$0
Value of interest in pooled separate accounts at beginning of year	2019-07-31	$4,197,514
Interest on participant loans	2019-07-31	$5,357
Interest earned on other investments	2019-07-31	$1,891
Net investment gain/loss from pooled separate accounts	2019-07-31	$586,567
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-07-31	No
Was there a failure to transmit to the plan any participant contributions	2019-07-31	No
Has the plan failed to provide any benefit when due under the plan	2019-07-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-07-31	$5,569,585
Liabilities. Value of benefit claims payable at end of year	2019-07-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-07-31	$1,500
Did the plan have assets held for investment	2019-07-31	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	2019-07-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-07-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-07-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-07-31	Disclaimer
Accountancy firm name	2019-07-31	HARTING, BISHOP & ARRENDALE, PLLC
Accountancy firm EIN	2019-07-31	621551418
2018 : HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$1,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$125,022
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$892,484
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$864,886
Value of total corrective distributions	2018-12-31	$1,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$393,503
Value of total assets at end of year	2018-12-31	$4,631,233
Value of total assets at beginning of year	2018-12-31	$5,397,195
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$26,098
Total interest from all sources	2018-12-31	$13,397
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$275,762
Participant contributions at end of year	2018-12-31	$211,461
Participant contributions at beginning of year	2018-12-31	$218,852
Participant contributions at end of year	2018-12-31	$2,899
Participant contributions at beginning of year	2018-12-31	$2,977
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$117,741
Other income not declared elsewhere	2018-12-31	$1,293
Administrative expenses (other) incurred	2018-12-31	$26,098
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-767,462
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,629,733
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$5,397,195
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$219,359
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$277,925
Value of interest in pooled separate accounts at end of year	2018-12-31	$4,197,514
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$4,897,441
Interest on participant loans	2018-12-31	$10,616
Interest earned on other investments	2018-12-31	$2,781
Net investment gain/loss from pooled separate accounts	2018-12-31	$-283,171
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$864,886
Liabilities. Value of benefit claims payable at end of year	2018-12-31	$1,500
Liabilities. Value of benefit claims payable at beginning of year	2018-12-31	$0
Did the plan have assets held for investment	2018-12-31	Yes
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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	HARTING, BISHOP & ARRENDALE, PLLC
Accountancy firm EIN	2018-12-31	621551418
2017 : HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$981,913
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$549,860
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$523,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$297,737
Value of total assets at end of year	2017-12-31	$5,397,195
Value of total assets at beginning of year	2017-12-31	$4,965,142
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$26,068
Total interest from all sources	2017-12-31	$12,804
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$297,463
Participant contributions at end of year	2017-12-31	$218,852
Participant contributions at beginning of year	2017-12-31	$248,804
Participant contributions at end of year	2017-12-31	$2,977
Participant contributions at beginning of year	2017-12-31	$10,097
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$274
Administrative expenses (other) incurred	2017-12-31	$26,068
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	$432,053
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,397,195
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$4,965,142
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$277,925
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$238,694
Value of interest in pooled separate accounts at end of year	2017-12-31	$4,897,441
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$4,467,547
Interest on participant loans	2017-12-31	$11,391
Interest earned on other investments	2017-12-31	$1,413
Net investment gain/loss from pooled separate accounts	2017-12-31	$671,372
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$523,792
Did the plan have assets held for investment	2017-12-31	Yes
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	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	HARTING, BISHOP & ARRENDALE, PLLC
Accountancy firm EIN	2017-12-31	621551418
2016 : HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$724,581
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$384,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$357,601
Expenses. Certain deemed distributions of participant loans	2016-12-31	$1,548
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$423,553
Value of total assets at end of year	2016-12-31	$4,965,142
Value of total assets at beginning of year	2016-12-31	$4,625,283
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$25,573
Total interest from all sources	2016-12-31	$11,718
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$0
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	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
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
Contributions received from participants	2016-12-31	$323,553
Participant contributions at end of year	2016-12-31	$248,804
Participant contributions at beginning of year	2016-12-31	$220,623
Participant contributions at end of year	2016-12-31	$10,097
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$100,000
Administrative expenses (other) incurred	2016-12-31	$25,573
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
Value of net income/loss	2016-12-31	$339,859
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$4,965,142
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$4,625,283
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
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$238,694
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$188,834
Value of interest in pooled separate accounts at end of year	2016-12-31	$4,467,547
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$4,205,465
Interest on participant loans	2016-12-31	$11,718
Net investment gain/loss from pooled separate accounts	2016-12-31	$289,310
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
Employer contributions (assets) at beginning of year	2016-12-31	$10,361
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$357,601
Did the plan have assets held for investment	2016-12-31	Yes
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	HARTING, BISHOP & ARRENDALE, PLLC
Accountancy firm EIN	2016-12-31	621551418
2015 : HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$296,454
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$561,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$520,730
Expenses. Certain deemed distributions of participant loans	2015-12-31	$4,661
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$358,425
Value of total assets at end of year	2015-12-31	$4,625,283
Value of total assets at beginning of year	2015-12-31	$4,890,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$35,780
Total interest from all sources	2015-12-31	$10,784
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$354,080
Participant contributions at end of year	2015-12-31	$220,623
Participant contributions at beginning of year	2015-12-31	$201,475
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$4,345
Administrative expenses (other) incurred	2015-12-31	$35,780
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-264,717
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$4,625,283
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,890,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$188,834
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$153,954
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,205,465
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$4,522,151
Interest on participant loans	2015-12-31	$10,784
Net investment gain/loss from pooled separate accounts	2015-12-31	$-72,755
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Employer contributions (assets) at end of year	2015-12-31	$10,361
Employer contributions (assets) at beginning of year	2015-12-31	$12,420
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$520,730
Did the plan have assets held for investment	2015-12-31	Yes
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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	HARTING, BISHOP & ARRENDALE, PLLC
Accountancy firm EIN	2015-12-31	621551418
2014 : HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$513,613
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$691,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$684,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$293,661
Value of total assets at end of year	2014-12-31	$4,890,000
Value of total assets at beginning of year	2014-12-31	$5,067,450
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$6,975
Total interest from all sources	2014-12-31	$1,487
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$293,661
Participant contributions at end of year	2014-12-31	$201,475
Participant contributions at beginning of year	2014-12-31	$233,523
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$110
Administrative expenses (other) incurred	2014-12-31	$6,975
Total non interest bearing cash at beginning of year	2014-12-31	$23,055
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-177,450
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,890,000
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$5,067,450
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$153,954
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$27,416
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,522,151
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$4,783,346
Interest on participant loans	2014-12-31	$1,487
Net investment gain/loss from pooled separate accounts	2014-12-31	$218,465
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Employer contributions (assets) at end of year	2014-12-31	$12,420
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$684,088
Did the plan have assets held for investment	2014-12-31	Yes
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	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	HARTING, BISHOP & ARRENDALE, PLLC
Accountancy firm EIN	2014-12-31	621551418

Form 5500 Responses for HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN

2019: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: HOME HEALTH CARE AGENCIES OF AMERICA RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37566

Policy instance

Insurance contract or identification number	G37566
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-07-22
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37566

Policy instance

Insurance contract or identification number	G37566
Number of Individuals Covered	170
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37566

Policy instance

Insurance contract or identification number	G37566
Number of Individuals Covered	200
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37566

Policy instance

Insurance contract or identification number	G37566
Number of Individuals Covered	232
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )

Policy contract number

GP2011

Policy instance

Insurance contract or identification number	GP2011
Number of Individuals Covered	0
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $9,664
Total amount of fees paid to insurance company	USD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,664
Insurance broker organization code?	3
Insurance broker name	NFP ADVISOR SERVICES, LLC

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G37566

Policy instance

Insurance contract or identification number	G37566
Number of Individuals Covered	345
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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?	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	HOME HEALTH CARE AGENCIES OF AMERICA, INC.
Employer identification number (EIN):	721539636
NAIC Classification:	621610
NAIC Description:	Home Health Care Services