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SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 401k Plan overview

Plan NameSAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC.
Plan identification number 002

SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. Benefits

401k Plan TypeDefined 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SETTLEMENT HEALTH & MEDICAL SERVICE S, INC. has sponsored the creation of one or more 401k plans.

Company Name:SETTLEMENT HEALTH & MEDICAL SERVICE S, INC.
Employer identification number (EIN):132957943
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01ANA A. TRILLA2024-10-10 ANA A. TRILLA2024-10-10
0022022-01-01ANTHONY BIANCHI2023-10-16
0022021-01-01ANA TRILLA2023-01-20
0022020-01-01ANA TRILLA2021-10-14
0022019-01-01ANA TRILLA2020-10-14
0022018-01-01ANA TRILLA2019-10-14
0022017-01-01
0022016-01-01
0022015-01-01ANA TRILLA2016-07-28 ANA TRILLA2016-07-28
0022014-01-01ANA TRILLA2015-07-06 ANA TRILLA2015-07-06

Plan Statistics for SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC.

401k plan membership statisitcs for SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC.

Measure Date Value
2023: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2023 401k membership
Total participants, beginning-of-year2023-01-01186
Total number of active participants reported on line 7a of the Form 55002023-01-01118
Number of retired or separated participants receiving benefits2023-01-013
Number of other retired or separated participants entitled to future benefits2023-01-0174
Total of all active and inactive participants2023-01-01195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01195
Number of participants with account balances2023-01-01183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2022 401k membership
Total participants, beginning-of-year2022-01-01172
Total number of active participants reported on line 7a of the Form 55002022-01-01117
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0169
Total of all active and inactive participants2022-01-01186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01186
Number of participants with account balances2022-01-01177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2021 401k membership
Total participants, beginning-of-year2021-01-01167
Total number of active participants reported on line 7a of the Form 55002021-01-01104
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0168
Total of all active and inactive participants2021-01-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01172
Number of participants with account balances2021-01-01171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2020 401k membership
Total participants, beginning-of-year2020-01-01159
Total number of active participants reported on line 7a of the Form 55002020-01-01125
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0142
Total of all active and inactive participants2020-01-01167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01167
Number of participants with account balances2020-01-01164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2019 401k membership
Total participants, beginning-of-year2019-01-01150
Total number of active participants reported on line 7a of the Form 55002019-01-01120
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0139
Total of all active and inactive participants2019-01-01159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01159
Number of participants with account balances2019-01-01158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2018 401k membership
Total participants, beginning-of-year2018-01-01139
Total number of active participants reported on line 7a of the Form 55002018-01-01116
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0134
Total of all active and inactive participants2018-01-01150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01150
Number of participants with account balances2018-01-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2017 401k membership
Total participants, beginning-of-year2017-01-01130
Total number of active participants reported on line 7a of the Form 55002017-01-01110
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0129
Total of all active and inactive participants2017-01-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01139
Number of participants with account balances2017-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2016 401k membership
Total participants, beginning-of-year2016-01-01120
Total number of active participants reported on line 7a of the Form 55002016-01-01104
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0125
Total of all active and inactive participants2016-01-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01130
Number of participants with account balances2016-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012

Financial Data on SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC.

Measure Date Value
2023 : SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,727,783
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$303,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$292,761
Expenses. Certain deemed distributions of participant loans2023-12-31$10,160
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$711,024
Value of total assets at end of year2023-12-31$8,219,486
Value of total assets at beginning of year2023-12-31$6,795,204
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$580
Total interest from all sources2023-12-31$35,702
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$465,201
Participant contributions at end of year2023-12-31$326,659
Participant contributions at beginning of year2023-12-31$271,099
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,424,282
Value of net assets at end of year (total assets less liabilities)2023-12-31$8,219,486
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$6,795,204
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$6,875,792
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$5,593,920
Interest on participant loans2023-12-31$20,362
Interest earned on other investments2023-12-31$15,340
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$1,017,035
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$930,185
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$981,057
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$245,823
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$292,761
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31PKF O'CONNOR DAVIES LLP
Accountancy firm EIN2023-12-31271728945
2022 : SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-475,875
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$676,193
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$659,381
Expenses. Certain deemed distributions of participant loans2022-12-31$15,485
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$649,989
Value of total assets at end of year2022-12-31$6,795,204
Value of total assets at beginning of year2022-12-31$7,947,272
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,327
Total interest from all sources2022-12-31$13,591
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$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$419,733
Participant contributions at end of year2022-12-31$271,099
Participant contributions at beginning of year2022-12-31$245,793
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$12,198
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,152,068
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,795,204
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$7,947,272
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 in registered invesment companies (eg mutual funds) at end of year2022-12-31$5,593,920
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$6,992,471
Interest on participant loans2022-12-31$11,551
Interest earned on other investments2022-12-31$2,040
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$930,185
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$709,008
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,139,455
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$218,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$659,381
Contract administrator fees2022-12-31$1,327
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 name2022-12-31PKF O'CONNOR DAVIES LLP
Accountancy firm EIN2022-12-31271728945
2021 : SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,559,052
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$165,054
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$158,052
Expenses. Certain deemed distributions of participant loans2021-12-31$2,934
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$632,875
Value of total assets at end of year2021-12-31$7,947,271
Value of total assets at beginning of year2021-12-31$6,553,273
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$4,068
Total interest from all sources2021-12-31$18,486
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$386,905
Participant contributions at end of year2021-12-31$245,793
Participant contributions at beginning of year2021-12-31$228,387
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$29,883
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$1,393,998
Value of net assets at end of year (total assets less liabilities)2021-12-31$7,947,271
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$6,553,273
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 in registered invesment companies (eg mutual funds) at end of year2021-12-31$6,992,470
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$5,537,364
Interest on participant loans2021-12-31$11,546
Interest earned on other investments2021-12-31$6,940
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$709,008
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$787,522
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$907,691
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$216,087
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$158,052
Contract administrator fees2021-12-31$4,068
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 name2021-12-31PKF O'CONNOR DAVIES LLP
Accountancy firm EIN2021-12-31271728945
2020 : SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,329,293
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$391,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$366,218
Expenses. Certain deemed distributions of participant loans2020-12-31$23,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$613,123
Value of total assets at end of year2020-12-31$6,553,273
Value of total assets at beginning of year2020-12-31$5,615,505
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,398
Total interest from all sources2020-12-31$20,218
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$340,788
Participant contributions at end of year2020-12-31$228,387
Participant contributions at beginning of year2020-12-31$271,267
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$65,676
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$937,768
Value of net assets at end of year (total assets less liabilities)2020-12-31$6,553,273
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$5,615,505
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 in registered invesment companies (eg mutual funds) at end of year2020-12-31$5,537,364
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,585,579
Interest on participant loans2020-12-31$12,428
Interest earned on other investments2020-12-31$7,790
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$787,522
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$758,659
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$695,952
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$206,659
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$366,218
Contract administrator fees2020-12-31$1,398
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 name2020-12-31PKF O'CONNOR DAVIES LLP
Accountancy firm EIN2020-12-31271728945
2019 : SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2019 401k financial data
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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,368,024
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$104,779
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$103,304
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$605,094
Value of total assets at end of year2019-12-31$5,615,505
Value of total assets at beginning of year2019-12-31$4,352,260
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,475
Total interest from all sources2019-12-31$27,458
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$326,990
Participant contributions at end of year2019-12-31$271,267
Participant contributions at beginning of year2019-12-31$279,342
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$73,966
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$1,263,245
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,615,505
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,352,260
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 leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,585,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,316,004
Interest on participant loans2019-12-31$14,080
Interest earned on other investments2019-12-31$13,378
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$758,659
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$756,914
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$735,472
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
Contributions received in cash from employer2019-12-31$204,138
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$103,304
Contract administrator fees2019-12-31$1,475
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
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
Accountancy firm name2019-12-31PKF O'CONNOR DAVIES LLP
Accountancy firm EIN2019-12-31271728945
2018 : SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$605,122
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$106,326
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$74,487
Expenses. Certain deemed distributions of participant loans2018-12-31$30,323
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$844,788
Value of total assets at end of year2018-12-31$4,352,260
Value of total assets at beginning of year2018-12-31$3,853,464
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,516
Total interest from all sources2018-12-31$21,203
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$302,938
Participant contributions at end of year2018-12-31$279,342
Participant contributions at beginning of year2018-12-31$340,041
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$335,699
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$498,796
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,352,260
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,853,464
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 registered invesment companies (eg mutual funds) at end of year2018-12-31$3,316,004
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,783,571
Interest on participant loans2018-12-31$13,877
Interest earned on other investments2018-12-31$7,326
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$756,914
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$729,852
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-260,869
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
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$206,151
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$74,487
Contract administrator fees2018-12-31$1,516
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 name2018-12-31PKF O'CONNOR DAVIES LLP
Accountancy firm EIN2018-12-31271728945
2017 : SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$964,032
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$108,290
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$106,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$607,477
Value of total assets at end of year2017-12-31$3,853,464
Value of total assets at beginning of year2017-12-31$2,997,722
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,510
Total interest from all sources2017-12-31$18,797
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$284,430
Participant contributions at end of year2017-12-31$340,041
Participant contributions at beginning of year2017-12-31$250,541
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$125,408
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$855,742
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,853,464
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,997,722
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 registered invesment companies (eg mutual funds) at end of year2017-12-31$2,783,571
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,968,272
Interest on participant loans2017-12-31$11,189
Interest earned on other investments2017-12-31$7,608
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$729,852
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$778,909
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$337,758
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$197,639
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$106,780
Contract administrator fees2017-12-31$1,510
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 name2017-12-31PKF O'CONNOR DAVIES LLP
Accountancy firm EIN2017-12-31271728945
2016 : SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$659,427
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$164,911
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$163,381
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$487,832
Value of total assets at end of year2016-12-31$2,997,722
Value of total assets at beginning of year2016-12-31$2,503,206
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,530
Total interest from all sources2016-12-31$16,482
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$292,702
Participant contributions at end of year2016-12-31$250,541
Participant contributions at beginning of year2016-12-31$193,740
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$494,516
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,997,722
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,503,206
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 registered invesment companies (eg mutual funds) at end of year2016-12-31$1,968,272
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,534,744
Interest on participant loans2016-12-31$8,857
Interest earned on other investments2016-12-31$7,625
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$778,909
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$774,722
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$155,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$195,130
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$163,381
Contract administrator fees2016-12-31$1,530
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 name2016-12-31PKF O'CONNOR DAVIES LLP
Accountancy firm EIN2016-12-31271728945

Form 5500 Responses for SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC.

2023: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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 – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
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 – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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 benefit arrangement – InsuranceYes
2019: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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 benefit arrangement – InsuranceYes
2018: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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 benefit arrangement – InsuranceYes
2017: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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 benefit arrangement – InsuranceYes
2016: SAFE HARBOR 401(K) PROFIT SHARING PLAN FOR EMPLOYEES OF SETTLEMENT HEALTH & MEDICAL SERVICES, INC. 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052418
Policy instance 1
Insurance contract or identification number052418
Number of Individuals Covered195
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,953
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 Administration1
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052418-I
Policy instance 1
Insurance contract or identification number052418-I
Number of Individuals Covered186
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 Administration1
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052418-I
Policy instance 1
Insurance contract or identification number052418-I
Number of Individuals Covered172
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,325
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 Administration1
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1325
Additional information about fees paid to insurance brokerAGENT/BROKER COMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052418-I
Policy instance 1
Insurance contract or identification number052418-I
Number of Individuals Covered167
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,325
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 Administration1
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1325
Additional information about fees paid to insurance brokerAGENT/BROKER COMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052418-I
Policy instance 1
Insurance contract or identification number052418-I
Number of Individuals Covered159
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,501
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 Administration1
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2501
Additional information about fees paid to insurance brokerAGENT/BROKER COMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052418-I
Policy instance 1
Insurance contract or identification number052418-I
Number of Individuals Covered150
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,932
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 Administration1
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1932
Additional information about fees paid to insurance brokerAGENT/BROKER COMPENSATION
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number052418-I
Policy instance 1
Insurance contract or identification number052418-I
Number of Individuals Covered139
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,349
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 Administration1
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1349
Additional information about fees paid to insurance brokerAGENT/BROKER COMPENSATION
Insurance broker organization code?3
Insurance broker nameMUTUAL OF AMERICA

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