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LA RED HEALTH CENTER, INC. 403B PLAN 401k Plan overview

Plan NameLA RED HEALTH CENTER, INC. 403B PLAN
Plan identification number 001

LA RED HEALTH CENTER, INC. 403B PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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

LA RED HEALTH CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:LA RED HEALTH CENTER, INC.
Employer identification number (EIN):141850828
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LA RED HEALTH CENTER, INC. 403B PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01BEATRICE CHIEMELU
0012017-01-01BEATRICE CHIEMELU
0012016-01-01BEATRICE CHIEMELU2017-05-25 BEATRICE CHIEMELU2017-05-25
0012015-01-01BEATRICE CHIEMELU2016-05-04 BEATRICE CHIEMELU2016-05-04
0012014-01-01BEATRICE CHIEMELU2015-04-30 BEATRICE CHIEMELU2015-04-30
0012013-01-01BEATRICE CHIEMELU2014-12-29 BEATRICE CHIEMELU2014-12-29
0012012-01-01BEATRICE CHIEMELU2014-12-29 BEATRICE CHIEMELU2014-12-29
0012011-01-01BEATRICE CHIEMELU2012-05-31
0012010-01-01BEATRICE CHIEMELU2014-12-29 BEATRICE CHIEMELU2014-12-29

Plan Statistics for LA RED HEALTH CENTER, INC. 403B PLAN

401k plan membership statisitcs for LA RED HEALTH CENTER, INC. 403B PLAN

Measure Date Value
2023: LA RED HEALTH CENTER, INC. 403B PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01236
Total number of active participants reported on line 7a of the Form 55002023-01-01149
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0195
Total of all active and inactive participants2023-01-01244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01244
Number of participants with account balances2023-01-01206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-0110
2022: LA RED HEALTH CENTER, INC. 403B PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01228
Total number of active participants reported on line 7a of the Form 55002022-01-01165
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 participants2022-01-01234
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01234
Number of participants with account balances2022-01-01201
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0110
2021: LA RED HEALTH CENTER, INC. 403B PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01190
Total number of active participants reported on line 7a of the Form 55002021-01-01171
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0154
Total of all active and inactive participants2021-01-01225
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01225
Number of participants with account balances2021-01-01190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: LA RED HEALTH CENTER, INC. 403B PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01182
Total number of active participants reported on line 7a of the Form 55002020-01-01143
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0145
Total of all active and inactive participants2020-01-01188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01188
Number of participants with account balances2020-01-01172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-014
2019: LA RED HEALTH CENTER, INC. 403B PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01149
Total number of active participants reported on line 7a of the Form 55002019-01-01138
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0142
Total of all active and inactive participants2019-01-01180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-01181
Number of participants with account balances2019-01-01151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: LA RED HEALTH CENTER, INC. 403B PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01114
Total number of active participants reported on line 7a of the Form 55002018-01-01108
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0139
Total of all active and inactive participants2018-01-01147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01147
Number of participants with account balances2018-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0110
2017: LA RED HEALTH CENTER, INC. 403B PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01140
Total number of active participants reported on line 7a of the Form 55002017-01-01111
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01113
Number of participants with account balances2017-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012

Financial Data on LA RED HEALTH CENTER, INC. 403B PLAN

Measure Date Value
2023 : LA RED HEALTH CENTER, INC. 403B PLAN 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$854,262
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$208,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$179,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$451,780
Value of total assets at end of year2023-12-31$2,719,989
Value of total assets at beginning of year2023-12-31$2,074,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$28,758
Total interest from all sources2023-12-31$5,425
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$56,227
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$56,227
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$211,000
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$326,469
Participant contributions at end of year2023-12-31$73,795
Participant contributions at beginning of year2023-12-31$35,322
Participant contributions at end of year2023-12-31$16,886
Participant contributions at beginning of year2023-12-31$8,391
Other income not declared elsewhere2023-12-31$19,818
Administrative expenses (other) incurred2023-12-31$1,218
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$645,599
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,719,989
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$2,074,390
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
Investment advisory and management fees2023-12-31$6,066
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$2,385,224
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$1,763,395
Interest on participant loans2023-12-31$2,189
Income. Interest from loans (other than to participants)2023-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$58,169
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$123,364
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$123,364
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$3,236
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$91,932
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$143,918
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$321,012
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$125,311
Employer contributions (assets) at end of year2023-12-31$93,983
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$179,905
Contract administrator fees2023-12-31$21,474
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 plan2023-12-31Disclaimer
Accountancy firm name2023-12-31WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN2023-12-31203934956
2022 : LA RED HEALTH CENTER, INC. 403B 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-74,645
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$399,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$372,919
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$328,862
Value of total assets at end of year2022-12-31$2,074,390
Value of total assets at beginning of year2022-12-31$2,548,658
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$26,704
Total interest from all sources2022-12-31$3,470
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$38,128
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$38,128
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$100,000
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$265,871
Participant contributions at end of year2022-12-31$35,322
Participant contributions at beginning of year2022-12-31$47,582
Participant contributions at end of year2022-12-31$8,391
Participant contributions at beginning of year2022-12-31$5,510
Assets. Other investments not covered elsewhere at end of year2022-12-31$143,918
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$4,538
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$4,104
Other income not declared elsewhere2022-12-31$-32,158
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$-474,268
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,074,390
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,548,658
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
Investment advisory and management fees2022-12-31$6,169
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,763,395
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,256,910
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$171,538
Interest on participant loans2022-12-31$1,832
Income. Interest from loans (other than to participants)2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$123,364
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$3,692
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$3,692
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$1,638
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-412,947
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$58,887
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$58,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$372,919
Contract administrator fees2022-12-31$20,535
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 plan2022-12-31Disclaimer
Accountancy firm name2022-12-31WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN2022-12-31203934956
2021 : LA RED HEALTH CENTER, INC. 403B 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$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$560,058
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$106,882
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$82,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$318,074
Value of total assets at end of year2021-12-31$2,548,658
Value of total assets at beginning of year2021-12-31$2,095,482
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$24,488
Total interest from all sources2021-12-31$2,119
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$42,533
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$42,533
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$100,000
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$228,792
Participant contributions at end of year2021-12-31$47,582
Participant contributions at beginning of year2021-12-31$34,033
Participant contributions at end of year2021-12-31$5,510
Participant contributions at beginning of year2021-12-31$60,980
Assets. Other investments not covered elsewhere at end of year2021-12-31$4,538
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$3,486
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$453,176
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,548,658
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,095,482
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
Investment advisory and management fees2021-12-31$5,893
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$2,256,910
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,834,067
Value of interest in pooled separate accounts at end of year2021-12-31$171,538
Value of interest in pooled separate accounts at beginning of year2021-12-31$161,586
Interest on participant loans2021-12-31$2,119
Income. Interest from loans (other than to participants)2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$3,692
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,330
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$197,332
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$89,282
Employer contributions (assets) at end of year2021-12-31$58,888
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$82,394
Contract administrator fees2021-12-31$18,595
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 plan2021-12-31Disclaimer
Accountancy firm name2021-12-31WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN2021-12-31203934956
2020 : LA RED HEALTH CENTER, INC. 403B 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$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$589,112
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$129,034
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$106,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$351,811
Value of total assets at end of year2020-12-31$2,095,482
Value of total assets at beginning of year2020-12-31$1,635,404
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$22,807
Total interest from all sources2020-12-31$1,522
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$27,823
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$27,823
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$100,000
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$197,117
Participant contributions at end of year2020-12-31$34,033
Participant contributions at beginning of year2020-12-31$27,709
Assets. Other investments not covered elsewhere at end of year2020-12-31$3,486
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$2,983
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$8,905
Other income not declared elsewhere2020-12-31$91
Administrative expenses (other) incurred2020-12-31$1,430
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$460,078
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,095,482
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,635,404
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
Investment advisory and management fees2020-12-31$4,218
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,834,067
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,428,017
Value of interest in pooled separate accounts at end of year2020-12-31$161,586
Value of interest in pooled separate accounts at beginning of year2020-12-31$148,042
Interest on participant loans2020-12-31$1,520
Income. Interest from loans (other than to participants)2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,330
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$383
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$383
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$2
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$188,537
Net investment gain/loss from pooled separate accounts2020-12-31$19,328
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$145,789
Employer contributions (assets) at end of year2020-12-31$60,980
Employer contributions (assets) at beginning of year2020-12-31$28,270
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$106,227
Contract administrator fees2020-12-31$17,159
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 name2020-12-31WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN2020-12-31203934956
2019 : LA RED HEALTH CENTER, INC. 403B PLAN 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$442,178
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$56,475
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$37,835
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$195,557
Value of total assets at end of year2019-12-31$1,635,404
Value of total assets at beginning of year2019-12-31$1,249,701
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$18,640
Total interest from all sources2019-12-31$2,064
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$32,741
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$32,741
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$100,000
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$169,335
Participant contributions at end of year2019-12-31$27,709
Participant contributions at beginning of year2019-12-31$37,439
Assets. Other investments not covered elsewhere at end of year2019-12-31$2,983
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$125,518
Other income not declared elsewhere2019-12-31$25,507
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$385,703
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,635,404
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,249,701
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
Investment advisory and management fees2019-12-31$3,628
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,428,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$1,057,215
Value of interest in pooled separate accounts at end of year2019-12-31$148,042
Interest on participant loans2019-12-31$2,031
Income. Interest from loans (other than to participants)2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$383
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$2,031
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$2,031
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$33
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$186,309
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$26,222
Employer contributions (assets) at end of year2019-12-31$28,270
Employer contributions (assets) at beginning of year2019-12-31$27,498
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$37,835
Contract administrator fees2019-12-31$15,012
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 name2019-12-31WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN2019-12-31203934956
2018 : LA RED HEALTH CENTER, INC. 403B 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$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$217,746
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$591,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$577,103
Value of total corrective distributions2018-12-31$947
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$268,949
Value of total assets at end of year2018-12-31$1,249,701
Value of total assets at beginning of year2018-12-31$1,623,012
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$13,007
Total interest from all sources2018-12-31$2,713
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$25,581
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$25,581
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$100,000
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$202,313
Participant contributions at end of year2018-12-31$37,439
Participant contributions at beginning of year2018-12-31$38,372
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$6,984
Assets. Other investments not covered elsewhere at end of year2018-12-31$125,518
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$348,400
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$10,548
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$223,578
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-373,311
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,249,701
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,623,012
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
Investment advisory and management fees2018-12-31$3,087
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$1,057,215
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,183,352
Interest on participant loans2018-12-31$1,984
Income. Interest from loans (other than to participants)2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$2,031
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$21,336
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$21,336
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$729
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-79,497
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 contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$56,088
Employer contributions (assets) at end of year2018-12-31$27,498
Employer contributions (assets) at beginning of year2018-12-31$24,568
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$353,525
Contract administrator fees2018-12-31$9,920
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 name2018-12-31WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN2018-12-31203934956
2017 : LA RED HEALTH CENTER, INC. 403B 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$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$558,858
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$40,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$37,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$356,051
Value of total assets at end of year2017-12-31$1,623,011
Value of total assets at beginning of year2017-12-31$1,104,739
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,243
Total interest from all sources2017-12-31$536
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$21,953
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$21,953
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$100,000
If this is an individual account plan, was there a blackout period2017-12-31Yes
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$177,450
Participant contributions at end of year2017-12-31$38,372
Participant contributions at beginning of year2017-12-31$4,663
Participant contributions at end of year2017-12-31$6,984
Assets. Other investments not covered elsewhere at end of year2017-12-31$348,400
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$80,330
Administrative expenses (other) incurred2017-12-31$3,243
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$518,272
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,623,011
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,104,739
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$1,183,352
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,100,076
Interest on participant loans2017-12-31$335
Income. Interest from loans (other than to participants)2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$21,335
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$201
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$180,318
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 contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$98,271
Employer contributions (assets) at end of year2017-12-31$24,568
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$37,343
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31Yes
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)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31WHISMAN GIORDANO & ASSOCIATES, LLC
Accountancy firm EIN2017-12-31203934956

Form 5500 Responses for LA RED HEALTH CENTER, INC. 403B PLAN

2023: LA RED HEALTH CENTER, INC. 403B PLAN 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 funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: LA RED HEALTH CENTER, INC. 403B 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: LA RED HEALTH CENTER, INC. 403B 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 – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: LA RED HEALTH CENTER, INC. 403B 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: LA RED HEALTH CENTER, INC. 403B 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: LA RED HEALTH CENTER, INC. 403B 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LA RED HEALTH CENTER, INC. 403B PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number744571-01
Policy instance 1
Insurance contract or identification number744571-01
Number of Individuals Covered58
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $735
Total amount of fees paid to insurance companyUSD $0
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?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750905
Policy instance 1
Insurance contract or identification numberGA-750905
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750905
Policy instance 1
Insurance contract or identification numberGA-750905
Number of Individuals Covered190
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 $0
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?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750905
Policy instance 1
Insurance contract or identification numberGA-750905
Number of Individuals Covered172
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 $0
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?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-750905
Policy instance 1
Insurance contract or identification numberGA-750905
Number of Individuals Covered151
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,427
Total amount of fees paid to insurance companyUSD $0
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?Yes
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 $1,427
Insurance broker organization code?3

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