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EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP
Plan identification number 501

EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

COVENANT MEDICAL GROUP LLC has sponsored the creation of one or more 401k plans.

Company Name:COVENANT MEDICAL GROUP LLC
Employer identification number (EIN):822423015
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-05-01
5012022-05-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP

Measure Date Value
2023: EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP 2023 401k membership
Total participants, beginning-of-year2023-05-016
Total number of active participants reported on line 7a of the Form 55002023-05-016
Number of retired or separated participants receiving benefits2023-05-010
Number of other retired or separated participants entitled to future benefits2023-05-010
Total of all active and inactive participants2023-05-016
2022: EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP 2022 401k membership
Total participants, beginning-of-year2022-05-014
Total number of active participants reported on line 7a of the Form 55002022-05-014
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-014

Financial Data on EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP

Measure Date Value
2024 : EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP 2024 401k financial data
Total income from all sources2024-04-30$85,365
Expenses. Total of all expenses incurred2024-04-30$67,933
Benefits paid (including direct rollovers)2024-04-30$26,538
Total plan assets at end of year2024-04-30$28,951
Total plan assets at beginning of year2024-04-30$11,519
Value of fidelity bond covering the plan2024-04-30$8,000
Expenses. Other expenses not covered elsewhere2024-04-30$41,395
Net income (gross income less expenses)2024-04-30$17,432
Net plan assets at end of year (total assets less liabilities)2024-04-30$28,951
Net plan assets at beginning of year (total assets less liabilities)2024-04-30$11,519
Total contributions received or receivable from employer(s)2024-04-30$85,365
2023 : EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP 2023 401k financial data
Total income from all sources2023-04-30$25,857
Expenses. Total of all expenses incurred2023-04-30$14,338
Benefits paid (including direct rollovers)2023-04-30$2,675
Total plan assets at end of year2023-04-30$11,519
Value of fidelity bond covering the plan2023-04-30$2,000
Expenses. Other expenses not covered elsewhere2023-04-30$11,663
Net income (gross income less expenses)2023-04-30$11,519
Net plan assets at end of year (total assets less liabilities)2023-04-30$11,519
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$0
Total contributions received or receivable from employer(s)2023-04-30$25,857

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP

2023: EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP 2023 form 5500 responses
2023-05-01Type of plan entitySingle employer plan
2023-05-01Submission has been amendedNo
2023-05-01This submission is the final filingNo
2023-05-01This return/report is a short plan year return/report (less than 12 months)No
2023-05-01Plan is a collectively bargained planNo
2023-05-01Plan funding arrangement – InsuranceYes
2023-05-01Plan funding arrangement – TrustYes
2023-05-01Plan benefit arrangement – InsuranceYes
2023-05-01Plan benefit arrangement - TrustYes
2022: EMPLOYEE HEALTH PLAN OF COVENANT MEDICAL GROUP 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01First time form 5500 has been submittedYes
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75042NFA0936
Policy instance 1
Insurance contract or identification number75042NFA0936
Number of Individuals Covered6
Insurance policy start date2023-05-01
Insurance policy end date2024-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $35,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number75042NFA0936
Policy instance 1
Insurance contract or identification number75042NFA0936
Number of Individuals Covered4
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,758
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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