401k Plan data: MEDSTAR 401(K) PLAN plan

MEDSTAR 401(K) PLAN 401k Plan overview

Plan Name	MEDSTAR 401(K) PLAN
Plan identification number	001

MEDSTAR 401(K) 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.
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.

401k Sponsoring company profile

MEDSTAR, INC. has sponsored the creation of one or more 401k plans.

Company Name: MEDSTAR, INC.

Employer identification number (EIN): 112959177

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDSTAR 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01 CHRISTOPHER MURRAY
001 2014-01-01
001 2014-01-01 CHRISTOPHER MURRAY
001 2013-01-01
001 2012-01-01 MAILLIE FALCONIERO MAILLIE FALCONIERO 2016-07-06
001 2011-01-01 FRANK BONSIGNORE 2012-07-30
001 2010-01-01 FRANK BONSIGNORE 2011-09-20

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-01-01	CHRISTOPHER MURRAY
001	2014-01-01
001	2014-01-01	CHRISTOPHER MURRAY
001	2013-01-01
001	2012-01-01	MAILLIE FALCONIERO		MAILLIE FALCONIERO	2016-07-06
001	2011-01-01	FRANK BONSIGNORE	2012-07-30
001	2010-01-01	FRANK BONSIGNORE	2011-09-20

Plan Statistics for MEDSTAR 401(K) PLAN

401k plan membership statisitcs for MEDSTAR 401(K) PLAN

Measure Date Value
2014: MEDSTAR 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 170
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 0
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MEDSTAR 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 162
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 8
Total of all active and inactive participants 2013-01-01 170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 170
Number of participants with account balances 2013-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MEDSTAR 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 149
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 157
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 8
Total of all active and inactive participants 2012-01-01 165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 165
Number of participants with account balances 2012-01-01 44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2014: MEDSTAR 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	170
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	0
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MEDSTAR 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	162
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	8
Total of all active and inactive participants	2013-01-01	170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	170
Number of participants with account balances	2013-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MEDSTAR 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	157
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	8
Total of all active and inactive participants	2012-01-01	165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	165
Number of participants with account balances	2012-01-01	44
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on MEDSTAR 401(K) PLAN

Measure	Date	Value
2014 : MEDSTAR 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-26	$0
Total transfer of assets from this plan	2014-12-26	$1,093,173
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-26	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-26	$0
Total income from all sources (including contributions)	2014-12-26	$180,218
Total loss/gain on sale of assets	2014-12-26	$0
Total of all expenses incurred	2014-12-26	$76,213
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-26	$69,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-26	$109,352
Value of total assets at end of year	2014-12-26	$0
Value of total assets at beginning of year	2014-12-26	$989,168
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-26	$6,499
Total interest from all sources	2014-12-26	$3,188
Total dividends received (eg from common stock, registered investment company shares)	2014-12-26	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-26	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2014-12-26	$0
Was this plan covered by a fidelity bond	2014-12-26	No
If this is an individual account plan, was there a blackout period	2014-12-26	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-26	No
Contributions received from participants	2014-12-26	$109,352
Participant contributions at end of year	2014-12-26	$0
Participant contributions at beginning of year	2014-12-26	$66,837
Administrative expenses (other) incurred	2014-12-26	$6,499
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-26	No
Value of net income/loss	2014-12-26	$104,005
Value of net assets at end of year (total assets less liabilities)	2014-12-26	$0
Value of net assets at beginning of year (total assets less liabilities)	2014-12-26	$989,168
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-26	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-26	No
Were any leases to which the plan was party in default or uncollectible	2014-12-26	No
Value of interest in pooled separate accounts at end of year	2014-12-26	$0
Value of interest in pooled separate accounts at beginning of year	2014-12-26	$920,653
Interest on participant loans	2014-12-26	$3,188
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-26	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-26	$1,678
Net investment gain/loss from pooled separate accounts	2014-12-26	$67,678
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-26	No
Was there a failure to transmit to the plan any participant contributions	2014-12-26	No
Has the plan failed to provide any benefit when due under the plan	2014-12-26	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-26	$69,714
Contract administrator fees	2014-12-26	$6,499
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-26	Yes
Did the plan have assets held for investment	2014-12-26	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-26	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-26	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-26	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-26	Disclaimer
Accountancy firm name	2014-12-26	MAILLIE LLP
Accountancy firm EIN	2014-12-26	231518888
2013 : MEDSTAR 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$263,553
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$31,791
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$23,908
Expenses. Certain deemed distributions of participant loans	2013-12-31	$1,640
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$105,782
Value of total assets at end of year	2013-12-31	$989,168
Value of total assets at beginning of year	2013-12-31	$757,406
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$6,243
Total interest from all sources	2013-12-31	$1,809
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	No
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$105,782
Participant contributions at end of year	2013-12-31	$66,837
Participant contributions at beginning of year	2013-12-31	$0
Assets. Loans (other than to participants) at end of year	2013-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2013-12-31	$31,534
Administrative expenses (other) incurred	2013-12-31	$6,243
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$231,762
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$989,168
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$757,406
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$920,653
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$725,026
Interest on participant loans	2013-12-31	$1,778
Interest earned on other investments	2013-12-31	$31
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$1,678
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$846
Net investment gain/loss from pooled separate accounts	2013-12-31	$155,962
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$23,908
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	MAILLIE LLP
Accountancy firm EIN	2013-12-31	231518888
2012 : MEDSTAR 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$212,551
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$60,999
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$55,468
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$154,561
Value of total assets at end of year	2012-12-31	$757,406
Value of total assets at beginning of year	2012-12-31	$605,854
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$5,531
Total interest from all sources	2012-12-31	$1,400
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	No
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$115,884
Participant contributions at end of year	2012-12-31	$31,534
Participant contributions at beginning of year	2012-12-31	$33,077
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$38,677
Assets. Loans (other than to participants) at end of year	2012-12-31	$31,534
Assets. Loans (other than to participants) at beginning of year	2012-12-31	$33,077
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$151,552
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$757,406
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$605,854
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$725,026
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$572,372
Interest on participant loans	2012-12-31	$1,363
Interest earned on other investments	2012-12-31	$37
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$846
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$405
Net investment gain/loss from pooled separate accounts	2012-12-31	$56,590
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$55,468
Contract administrator fees	2012-12-31	$5,531
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	MAILLIE LLP
Accountancy firm EIN	2012-12-31	231518888

Form 5500 Responses for MEDSTAR 401(K) PLAN

2014: MEDSTAR 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
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
2013: MEDSTAR 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MEDSTAR 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91641756

Policy instance

Insurance contract or identification number	91641756
Number of Individuals Covered	44
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-26
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?	Yes
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91641756

Policy instance

Insurance contract or identification number	91641756
Number of Individuals Covered	44
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $1,222
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?	Yes
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 $1,222
Insurance broker organization code?	3
Insurance broker name	RIHAL SUNIL

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )

Policy contract number

91641756

Policy instance

Insurance contract or identification number	91641756
Number of Individuals Covered	44
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,179
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 $1,179
Insurance broker organization code?	3
Insurance broker name	RIHAL SUNIL

Potentially related plans

MEDSTAR 401(K) PLAN & TRUST [EIN = 911817215]

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Company Name:	MEDSTAR, INC.
Employer identification number (EIN):	112959177
NAIC Classification:	621610
NAIC Description:	Home Health Care Services