401k Plan data: GHI CASH BALANCE PENSION PLAN plan

GHI CASH BALANCE PENSION PLAN 401k Plan overview

Plan Name	GHI CASH BALANCE PENSION PLAN
Plan identification number	005

GHI CASH BALANCE PENSION PLAN Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Cash balance or similar plan - Plan has a "cash balance" formula. For this purpose, a "cash balance" formula is a benefit formula in a defined benefit plan by whatever name (for example, personal account plan, pension equity plan, life cycle plan, cash account plan, etc.) that rather than, or in addition to, expressing the accrued benefit as a life annuity commencing at normal retirement age, defines benefits for each employee in terms more common to a defined contribution plan such as a single sum distribution amount (for example, 10 percent of final average pay times years of service, or the amount of the employee's hypothetical account balance).
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

GROUP HEALTH INCORPORATED has sponsored the creation of one or more 401k plans.

Company Name: GROUP HEALTH INCORPORATED

Employer identification number (EIN): 135511997

NAIC Classification: 524140

Additional information about GROUP HEALTH INCORPORATED

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1946-10-01

Company Identification Number: 47662

Legal Registered Office Address: ATTn: president
55 WATER STREET
NEW YORK
United States of America (USA)
10041

More information about GROUP HEALTH INCORPORATED

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GHI CASH BALANCE PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
005 2010-01-01 PATRICIA GRANNUM JOAN RUBY 2011-10-13
005 2009-01-01 PATRICIA GRANNUM RACHEL AMALFITANO 2010-11-04
005 2009-01-01 PATRICIA GRANNUM RACHEL AMALFITANO 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
005	2010-01-01	PATRICIA GRANNUM	JOAN RUBY	2011-10-13
005	2009-01-01	PATRICIA GRANNUM	RACHEL AMALFITANO	2010-11-04
005	2009-01-01	PATRICIA GRANNUM	RACHEL AMALFITANO	2010-10-15

Plan Statistics for GHI CASH BALANCE PENSION PLAN

401k plan membership statisitcs for GHI CASH BALANCE PENSION PLAN

Measure Date Value
2010: GHI CASH BALANCE PENSION PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,019
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 0
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 3
2009: GHI CASH BALANCE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,009
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 790
Number of retired or separated participants receiving benefits 2009-01-01 3
Number of other retired or separated participants entitled to future benefits 2009-01-01 224
Total of all active and inactive participants 2009-01-01 1,017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 2
Total participants 2009-01-01 1,019
Number of participants with account balances 2009-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 16

Measure	Date	Value
2010: GHI CASH BALANCE PENSION PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,019
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	0
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	3
2009: GHI CASH BALANCE PENSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,009
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	790
Number of retired or separated participants receiving benefits	2009-01-01	3
Number of other retired or separated participants entitled to future benefits	2009-01-01	224
Total of all active and inactive participants	2009-01-01	1,017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	2
Total participants	2009-01-01	1,019
Number of participants with account balances	2009-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	16

Financial Data on GHI CASH BALANCE PENSION PLAN

Measure	Date	Value
2010 : GHI CASH BALANCE PENSION PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total transfer of assets from this plan	2010-12-31	$16,716,547
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$77,680
Total income from all sources (including contributions)	2010-12-31	$1,715,930
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$666,792
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$511,063
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$0
Value of total assets at end of year	2010-12-31	$0
Value of total assets at beginning of year	2010-12-31	$15,745,089
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$155,729
Total interest from all sources	2010-12-31	$543
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$375,001
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$375,001
Administrative expenses professional fees incurred	2010-12-31	$91,490
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2010-12-31	$54,957
Administrative expenses (other) incurred	2010-12-31	$49,628
Liabilities. Value of operating payables at end of year	2010-12-31	$0
Liabilities. Value of operating payables at beginning of year	2010-12-31	$77,680
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$1,049,138
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$15,667,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Investment advisory and management fees	2010-12-31	$14,611
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$12,881,607
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$1,018,525
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$1,018,525
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$543
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,340,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Employer contributions (assets) at end of year	2010-12-31	$0
Employer contributions (assets) at beginning of year	2010-12-31	$1,790,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$511,063
Did the plan have assets held for investment	2010-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	SALIBELLO & BRODER, LLP
Accountancy firm EIN	2010-12-31	133051814
2009 : GHI CASH BALANCE PENSION PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for GHI CASH BALANCE PENSION PLAN

2010: GHI CASH BALANCE PENSION PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	Yes
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: GHI CASH BALANCE PENSION PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	GROUP HEALTH INCORPORATED
Employer identification number (EIN):	135511997
NAIC Classification:	524140

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1946-10-01
Company Identification Number:	47662
Legal Registered Office Address:	ATTn: president 55 WATER STREET NEW YORK United States of America (USA) 10041