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NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan NameNGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN
Plan identification number 535

NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

ATH HOLDING COMPANY LLC has sponsored the creation of one or more 401k plans.

Company Name:ATH HOLDING COMPANY LLC
Employer identification number (EIN):113713086
NAIC Classification:524140

Additional information about ATH HOLDING COMPANY LLC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: 201234810093

More information about ATH HOLDING COMPANY LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5352022-01-01SUSAN AVERY2023-10-14
5352021-01-01SUSAN AVERY2022-10-17
5352020-01-01SUSAN AVERY2021-10-07
5352019-01-01SUSAN AVERY2020-10-14
5352018-01-01MARK T. SABIN2019-10-08
5352017-01-01
5352016-01-01
5352015-01-01
5352014-01-01MARK T. SABIN

Plan Statistics for NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN

Measure Date Value
2022: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01584
Total number of active participants reported on line 7a of the Form 55002022-01-01606
Number of retired or separated participants receiving benefits2022-01-013
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01609
2021: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01610
Total number of active participants reported on line 7a of the Form 55002021-01-01581
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01584
2020: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01584
Total number of active participants reported on line 7a of the Form 55002020-01-01609
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01610
2019: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01656
Total number of active participants reported on line 7a of the Form 55002019-01-01578
Number of retired or separated participants receiving benefits2019-01-016
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01584
2018: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01773
Total number of active participants reported on line 7a of the Form 55002018-01-01650
Number of retired or separated participants receiving benefits2018-01-016
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01656
2017: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01916
Total number of active participants reported on line 7a of the Form 55002017-01-01756
Number of retired or separated participants receiving benefits2017-01-0117
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01773
2016: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,203
Total number of active participants reported on line 7a of the Form 55002016-01-01907
Number of retired or separated participants receiving benefits2016-01-019
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01916
2015: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,551
Total number of active participants reported on line 7a of the Form 55002015-01-011,197
Number of retired or separated participants receiving benefits2015-01-016
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,203
2014: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,267
Total number of active participants reported on line 7a of the Form 55002014-01-011,545
Number of retired or separated participants receiving benefits2014-01-016
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,551

Financial Data on NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN

Measure Date Value
2022 : NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,751,111
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$6,634,121
Total income from all sources (including contributions)2022-12-31$8,280,588
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$8,183,633
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$8,159,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$8,115,435
Value of total assets at end of year2022-12-31$13,002,083
Value of total assets at beginning of year2022-12-31$17,788,138
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$24,291
Total interest from all sources2022-12-31$165,153
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$10,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31Yes
Amount of non-exempt transactions with any party-in-interest2022-12-31$155,715
Contributions received from participants2022-12-31$1,474,434
Participant contributions at end of year2022-12-31$390,595
Participant contributions at beginning of year2022-12-31$1,173,907
Administrative expenses (other) incurred2022-12-31$24,291
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$96,955
Value of net assets at end of year (total assets less liabilities)2022-12-31$11,250,972
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$11,154,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$12,611,488
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$11,351,898
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$11,351,898
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$165,153
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$6,641,001
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$5,262,333
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$8,159,342
Liabilities. Value of benefit claims payable at end of year2022-12-31$1,751,111
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$6,634,121
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CROWE LLP
Accountancy firm EIN2022-12-31350921680
2021 : NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$6,634,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,637,612
Total income from all sources (including contributions)2021-12-31$9,055,381
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$9,400,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$9,340,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$9,041,244
Value of total assets at end of year2021-12-31$17,788,138
Value of total assets at beginning of year2021-12-31$14,136,742
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$59,878
Total interest from all sources2021-12-31$14,137
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31Yes
Amount of non-exempt transactions with any party-in-interest2021-12-31$32,940
Contributions received from participants2021-12-31$1,484,058
Participant contributions at end of year2021-12-31$1,173,907
Participant contributions at beginning of year2021-12-31$0
Administrative expenses (other) incurred2021-12-31$59,878
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-345,113
Value of net assets at end of year (total assets less liabilities)2021-12-31$11,154,017
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$11,499,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$11,351,898
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$14,136,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$14,136,742
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$14,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$7,557,186
Employer contributions (assets) at end of year2021-12-31$5,262,333
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$9,340,616
Liabilities. Value of benefit claims payable at end of year2021-12-31$6,634,121
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$2,637,612
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CROWE LLP
Accountancy firm EIN2021-12-31350921680
2020 : NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,637,612
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,090,186
Total income from all sources (including contributions)2020-12-31$7,585,440
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$9,624,477
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$9,461,638
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$7,494,733
Value of total assets at end of year2020-12-31$14,136,742
Value of total assets at beginning of year2020-12-31$15,628,353
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$162,839
Total interest from all sources2020-12-31$90,707
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,272,677
Administrative expenses (other) incurred2020-12-31$162,839
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-2,039,037
Value of net assets at end of year (total assets less liabilities)2020-12-31$11,499,130
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$13,538,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$14,136,742
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$15,628,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$15,628,353
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$90,707
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,438
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$6,222,056
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$9,459,200
Liabilities. Value of benefit claims payable at end of year2020-12-31$2,637,612
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$2,090,186
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CROWE LLP
Accountancy firm EIN2020-12-31350921680
2019 : NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,090,186
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,090,186
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,138,790
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,138,790
Total income from all sources (including contributions)2019-12-31$9,512,311
Total income from all sources (including contributions)2019-12-31$9,512,311
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$7,609,170
Total of all expenses incurred2019-12-31$7,609,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$7,498,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$7,498,863
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$9,179,988
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$9,179,988
Value of total assets at end of year2019-12-31$15,628,353
Value of total assets at end of year2019-12-31$15,628,353
Value of total assets at beginning of year2019-12-31$13,773,816
Value of total assets at beginning of year2019-12-31$13,773,816
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$110,307
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$110,307
Total interest from all sources2019-12-31$332,323
Total interest from all sources2019-12-31$332,323
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,562,748
Contributions received from participants2019-12-31$1,562,748
Administrative expenses (other) incurred2019-12-31$110,307
Administrative expenses (other) incurred2019-12-31$110,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,903,141
Value of net income/loss2019-12-31$1,903,141
Value of net assets at end of year (total assets less liabilities)2019-12-31$13,538,167
Value of net assets at end of year (total assets less liabilities)2019-12-31$13,538,167
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,635,026
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,635,026
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$15,628,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$15,628,353
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$13,773,816
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$13,773,816
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$13,773,816
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$13,773,816
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$332,323
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$332,323
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,160
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,160
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$7,617,240
Contributions received in cash from employer2019-12-31$7,617,240
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$7,494,703
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$7,494,703
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,090,186
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,090,186
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,138,790
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$2,138,790
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CROWE LLP
Accountancy firm name2019-12-31CROWE LLP
Accountancy firm EIN2019-12-31350921680
2018 : NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,138,790
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,420,228
Total income from all sources (including contributions)2018-12-31$10,210,805
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$7,907,342
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$7,801,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$10,009,933
Value of total assets at end of year2018-12-31$13,773,816
Value of total assets at beginning of year2018-12-31$11,751,791
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$105,366
Total interest from all sources2018-12-31$200,872
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 year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,646,296
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$13,201
Administrative expenses (other) incurred2018-12-31$105,366
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$2,303,463
Value of net assets at end of year (total assets less liabilities)2018-12-31$11,635,026
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$9,331,563
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in common/collective trusts at end of year2018-12-31$0
Value of interest in common/collective trusts at beginning of year2018-12-31$11,738,590
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$13,773,816
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$200,872
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$5,667
Net investment gain or loss from common/collective trusts2018-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$8,363,637
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$7,796,309
Liabilities. Value of benefit claims payable at end of year2018-12-31$2,138,790
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$2,420,228
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CROWE LLP
Accountancy firm EIN2018-12-31350921680
2017 : NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,420,228
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,558,740
Total income from all sources (including contributions)2017-12-31$11,658,537
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$7,968,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,924,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$11,540,389
Value of total assets at end of year2017-12-31$11,751,791
Value of total assets at beginning of year2017-12-31$9,200,071
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$43,620
Total interest from all sources2017-12-31$0
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 year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,877,165
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$13,201
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$5,223
Administrative expenses (other) incurred2017-12-31$43,620
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$188
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$3,690,232
Value of net assets at end of year (total assets less liabilities)2017-12-31$9,331,563
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,641,331
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in common/collective trusts at end of year2017-12-31$11,738,590
Value of interest in common/collective trusts at beginning of year2017-12-31$9,194,660
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$7,794
Net investment gain or loss from common/collective trusts2017-12-31$118,148
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$9,663,224
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,916,891
Liabilities. Value of benefit claims payable at end of year2017-12-31$2,420,228
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$3,558,740
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CROWE LLP
Accountancy firm EIN2017-12-31350921680
2016 : NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,558,740
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,354,156
Total income from all sources (including contributions)2016-12-31$13,807,706
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$11,608,818
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$11,601,968
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$13,770,177
Value of total assets at end of year2016-12-31$9,200,071
Value of total assets at beginning of year2016-12-31$6,796,599
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$6,850
Total interest from all sources2016-12-31$0
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 year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,227,941
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$5,223
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$855
Administrative expenses (other) incurred2016-12-31$6,850
Total non interest bearing cash at end of year2016-12-31$188
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,198,888
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,641,331
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,442,443
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in common/collective trusts at end of year2016-12-31$9,194,660
Value of interest in common/collective trusts at beginning of year2016-12-31$6,795,744
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$7,562
Net investment gain or loss from common/collective trusts2016-12-31$37,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$11,542,236
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$11,594,406
Liabilities. Value of benefit claims payable at end of year2016-12-31$3,558,740
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$3,354,156
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CROWE HORWATH LLP
Accountancy firm EIN2016-12-31350921680
2015 : NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,354,156
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,505,538
Total income from all sources (including contributions)2015-12-31$13,598,171
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$12,283,929
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$12,277,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$13,596,010
Value of total assets at end of year2015-12-31$6,796,599
Value of total assets at beginning of year2015-12-31$4,633,739
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$6,000
Total interest from all sources2015-12-31$0
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 year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,288,606
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$855
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Administrative expenses (other) incurred2015-12-31$6,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,314,242
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,442,443
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,128,201
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in common/collective trusts at end of year2015-12-31$6,795,744
Value of interest in common/collective trusts at beginning of year2015-12-31$4,633,739
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$9,787
Net investment gain or loss from common/collective trusts2015-12-31$2,161
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$11,307,404
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$12,268,142
Liabilities. Value of benefit claims payable at end of year2015-12-31$3,354,156
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$2,505,538
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CROWE HORWATH LLP
Accountancy firm EIN2015-12-31350921680
2014 : NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,505,538
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$10,500,137
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$8,371,936
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$8,371,936
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$10,500,136
Value of total assets at end of year2014-12-31$4,633,739
Value of total assets at beginning of year2014-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$0
Total interest from all sources2014-12-31$0
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 year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,550,365
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$2,128,201
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,128,201
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in common/collective trusts at end of year2014-12-31$4,633,739
Value of interest in common/collective trusts at beginning of year2014-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$10,003
Net investment gain or loss from common/collective trusts2014-12-31$1
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$7,949,771
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$8,361,933
Liabilities. Value of benefit claims payable at end of year2014-12-31$2,505,538
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$0
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CROWE HORWATH LLP
Accountancy firm EIN2014-12-31350921680

Form 5500 Responses for NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN

2022: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NGS NON-EXEMPT EMPLOYEE FLEXIBLE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberC00415
Policy instance 1
Insurance contract or identification numberC00415
Number of Individuals Covered5
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 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 BenefitNo
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 $3,021
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberC00415
Policy instance 1
Insurance contract or identification numberC00415
Number of Individuals Covered6
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 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 BenefitNo
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 $4,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberC00415
Policy instance 1
Insurance contract or identification numberC00415
Number of Individuals Covered7
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 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 BenefitNo
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 $5,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberC00415
Policy instance 1
Insurance contract or identification numberC00415
Number of Individuals Covered26
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 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 $11,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberC00415
Policy instance 1
Insurance contract or identification numberC00415
Number of Individuals Covered26
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 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 $22,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberC00415
Policy instance 1
Insurance contract or identification numberC00415
Number of Individuals Covered31
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 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 $18,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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