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ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 401k Plan overview

Plan NameROBERTS HOME MEDICAL INC. HEALTH CARE PLAN
Plan identification number 501

ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

ROBERTS HOME MEDICAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:ROBERTS HOME MEDICAL, INC.
Employer identification number (EIN):202767287
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-04-01
5012016-04-01
5012015-04-01
5012014-04-01
5012013-04-01
5012012-04-01WILLIAM P ROBERTS III
5012011-04-01WILLIAM P ROBERTS III
5012010-04-01WILLIAM P ROBERTS III
5012009-04-01WILLIAM P ROBERTS III

Plan Statistics for ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN

401k plan membership statisitcs for ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN

Measure Date Value
2016: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01186
Total number of active participants reported on line 7a of the Form 55002016-04-01137
Total of all active and inactive participants2016-04-01137
2015: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01185
Total number of active participants reported on line 7a of the Form 55002015-04-01186
Total of all active and inactive participants2015-04-01186
2014: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01197
Total number of active participants reported on line 7a of the Form 55002014-04-01185
Total of all active and inactive participants2014-04-01185
2013: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01222
Total number of active participants reported on line 7a of the Form 55002013-04-01197
Total of all active and inactive participants2013-04-01197
2012: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01239
Total number of active participants reported on line 7a of the Form 55002012-04-01222
Total of all active and inactive participants2012-04-01222
2011: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01252
Total number of active participants reported on line 7a of the Form 55002011-04-01239
Total of all active and inactive participants2011-04-01239
2010: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01261
Total number of active participants reported on line 7a of the Form 55002010-04-01252
Total of all active and inactive participants2010-04-01252
2009: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01240
Total number of active participants reported on line 7a of the Form 55002009-04-01261
Total of all active and inactive participants2009-04-01261

Financial Data on ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN

Measure Date Value
2017 : ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-03-31$3,323,204
Total of all expenses incurred2017-03-31$3,366,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-03-31$3,235,183
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-03-31$3,323,204
Value of total assets at end of year2017-03-31$2,182
Value of total assets at beginning of year2017-03-31$45,792
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-03-31$131,631
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-03-31No
Was this plan covered by a fidelity bond2017-03-31Yes
Value of fidelity bond cover2017-03-31$500,000
If this is an individual account plan, was there a blackout period2017-03-31No
Were there any nonexempt tranactions with any party-in-interest2017-03-31No
Contributions received from participants2017-03-31$243,794
Total non interest bearing cash at end of year2017-03-31$2,182
Total non interest bearing cash at beginning of year2017-03-31$45,792
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Value of net income/loss2017-03-31$-43,610
Value of net assets at end of year (total assets less liabilities)2017-03-31$2,182
Value of net assets at beginning of year (total assets less liabilities)2017-03-31$45,792
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-03-31No
Were any leases to which the plan was party in default or uncollectible2017-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-03-31$196,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-03-31No
Was there a failure to transmit to the plan any participant contributions2017-03-31No
Has the plan failed to provide any benefit when due under the plan2017-03-31No
Contributions received in cash from employer2017-03-31$3,079,410
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-03-31$3,038,761
Contract administrator fees2017-03-31$131,631
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-03-31No
Did the plan have assets held for investment2017-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-03-31No
Opinion of an independent qualified public accountant for this plan2017-03-31Unqualified
Accountancy firm name2017-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2017-03-31522009588
2016 : ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-03-31$2,836,410
Total of all expenses incurred2016-03-31$3,442,241
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$3,316,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$2,836,410
Value of total assets at end of year2016-03-31$45,792
Value of total assets at beginning of year2016-03-31$651,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$125,996
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31No
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$500,000
If this is an individual account plan, was there a blackout period2016-03-31No
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Contributions received from participants2016-03-31$191,650
Total non interest bearing cash at end of year2016-03-31$45,792
Total non interest bearing cash at beginning of year2016-03-31$651,623
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Value of net income/loss2016-03-31$-605,831
Value of net assets at end of year (total assets less liabilities)2016-03-31$45,792
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$651,623
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-03-31$204,187
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31No
Was there a failure to transmit to the plan any participant contributions2016-03-31No
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Contributions received in cash from employer2016-03-31$2,644,760
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$3,112,058
Contract administrator fees2016-03-31$125,996
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-03-31No
Did the plan have assets held for investment2016-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31No
Opinion of an independent qualified public accountant for this plan2016-03-31Unqualified
Accountancy firm name2016-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2016-03-31522009588
2015 : ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-03-31$3,848,596
Total of all expenses incurred2015-03-31$3,662,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$3,523,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$3,848,596
Value of total assets at end of year2015-03-31$651,623
Value of total assets at beginning of year2015-03-31$465,283
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$138,545
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-03-31No
Was this plan covered by a fidelity bond2015-03-31Yes
Value of fidelity bond cover2015-03-31$500,000
If this is an individual account plan, was there a blackout period2015-03-31No
Were there any nonexempt tranactions with any party-in-interest2015-03-31No
Contributions received from participants2015-03-31$175,424
Total non interest bearing cash at end of year2015-03-31$651,623
Total non interest bearing cash at beginning of year2015-03-31$465,283
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Value of net income/loss2015-03-31$186,340
Value of net assets at end of year (total assets less liabilities)2015-03-31$651,623
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$465,283
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2015-03-31$233,531
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31No
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Contributions received in cash from employer2015-03-31$3,673,172
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$3,290,180
Contract administrator fees2015-03-31$138,545
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-03-31No
Did the plan have assets held for investment2015-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31No
Opinion of an independent qualified public accountant for this plan2015-03-31Unqualified
Accountancy firm name2015-03-31PHILLIPS & ASSOCIATES LLC
Accountancy firm EIN2015-03-31522009588
2014 : ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-03-31$4,018,358
Total of all expenses incurred2014-03-31$3,893,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$3,785,005
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$4,018,358
Value of total assets at end of year2014-03-31$465,283
Value of total assets at beginning of year2014-03-31$340,804
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$108,874
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$500,000
If this is an individual account plan, was there a blackout period2014-03-31No
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$172,797
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Value of net income/loss2014-03-31$124,479
Value of net assets at end of year (total assets less liabilities)2014-03-31$465,283
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$340,804
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-03-31$465,283
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-03-31$340,804
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-03-31$340,804
Expenses. Payments to insurance carriers foe the provision of benefits2014-03-31$249,685
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31No
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$3,845,561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$3,535,320
Contract administrator fees2014-03-31$108,874
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-03-31No
Did the plan have assets held for investment2014-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31No
Opinion of an independent qualified public accountant for this plan2014-03-31Unqualified
Accountancy firm name2014-03-31PHILLIPS & ASSOCIATES, LLC
Accountancy firm EIN2014-03-31522009588
2013 : ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-03-31$3,806,553
Total of all expenses incurred2013-03-31$3,822,849
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$3,712,577
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-03-31$3,806,553
Value of total assets at end of year2013-03-31$340,804
Value of total assets at beginning of year2013-03-31$357,100
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$110,272
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-03-31No
Was this plan covered by a fidelity bond2013-03-31Yes
Value of fidelity bond cover2013-03-31$500,000
If this is an individual account plan, was there a blackout period2013-03-31No
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Contributions received from participants2013-03-31$202,269
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Value of net income/loss2013-03-31$-16,296
Value of net assets at end of year (total assets less liabilities)2013-03-31$340,804
Value of net assets at beginning of year (total assets less liabilities)2013-03-31$357,100
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-03-31$340,804
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-03-31$357,100
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-03-31$357,100
Expenses. Payments to insurance carriers foe the provision of benefits2013-03-31$245,463
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31No
Was there a failure to transmit to the plan any participant contributions2013-03-31No
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Contributions received in cash from employer2013-03-31$3,604,284
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$3,467,114
Contract administrator fees2013-03-31$110,272
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-03-31No
Did the plan have assets held for investment2013-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31No
Opinion of an independent qualified public accountant for this plan2013-03-31Unqualified
Accountancy firm name2013-03-31PHILLIPS & ASSOCIATES, LLC
Accountancy firm EIN2013-03-31522009588
2012 : ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-03-31$3,760,362
Total of all expenses incurred2012-03-31$3,452,184
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$3,384,311
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-03-31$3,760,362
Value of total assets at end of year2012-03-31$357,100
Value of total assets at beginning of year2012-03-31$48,922
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$67,873
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-03-31No
Was this plan covered by a fidelity bond2012-03-31Yes
Value of fidelity bond cover2012-03-31$550,000
If this is an individual account plan, was there a blackout period2012-03-31No
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Contributions received from participants2012-03-31$211,981
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Value of net income/loss2012-03-31$308,178
Value of net assets at end of year (total assets less liabilities)2012-03-31$357,100
Value of net assets at beginning of year (total assets less liabilities)2012-03-31$48,922
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-03-31$357,100
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-03-31$48,922
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-03-31$48,922
Expenses. Payments to insurance carriers foe the provision of benefits2012-03-31$253,180
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31No
Was there a failure to transmit to the plan any participant contributions2012-03-31No
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Contributions received in cash from employer2012-03-31$3,548,381
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$3,131,131
Contract administrator fees2012-03-31$67,873
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-03-31No
Did the plan have assets held for investment2012-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31No
Opinion of an independent qualified public accountant for this plan2012-03-31Unqualified
Accountancy firm name2012-03-31PHILLIPS & ASSOCIATES, LLC
Accountancy firm EIN2012-03-31522009588
2011 : ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-03-31$3,914,117
Total of all expenses incurred2011-03-31$4,004,830
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$3,935,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-03-31$3,914,117
Value of total assets at end of year2011-03-31$48,922
Value of total assets at beginning of year2011-03-31$139,635
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-03-31$69,745
Total interest from all sources2011-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-03-31No
Was this plan covered by a fidelity bond2011-03-31Yes
Value of fidelity bond cover2011-03-31$550,000
If this is an individual account plan, was there a blackout period2011-03-31No
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Contributions received from participants2011-03-31$218,925
Administrative expenses (other) incurred2011-03-31$90
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Value of net income/loss2011-03-31$-90,713
Value of net assets at end of year (total assets less liabilities)2011-03-31$48,922
Value of net assets at beginning of year (total assets less liabilities)2011-03-31$139,635
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-03-31$48,922
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-03-31$139,635
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-03-31$139,635
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-03-31$244,020
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31No
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$3,695,192
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$3,691,065
Contract administrator fees2011-03-31$69,655
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-03-31No
Did the plan have assets held for investment2011-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31No
Opinion of an independent qualified public accountant for this plan2011-03-31Unqualified
Accountancy firm name2011-03-31STANFIELD & PHILLIPS LLC
Accountancy firm EIN2011-03-31522009588

Form 5500 Responses for ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN

2016: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2010: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan funding arrangement – TrustYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-04-01Plan benefit arrangement - TrustYes
2009: ROBERTS HOME MEDICAL INC. HEALTH CARE PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01This submission is the final filingNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberSLP2008746TRU
Policy instance 1
Insurance contract or identification numberSLP2008746TRU
Number of Individuals Covered186
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $187,282
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $204,187
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees187282
Additional information about fees paid to insurance brokerINSURANCE FEES
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberSLP2008746TRU
Policy instance 1
Insurance contract or identification numberSLP2008746TRU
Number of Individuals Covered185
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $21,597
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $233,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,597
Additional information about fees paid to insurance brokerINSURANCE COMMISSION FEES
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG4051993
Policy instance 1
Insurance contract or identification numberG4051993
Number of Individuals Covered197
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $9,606
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $249,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,606
Additional information about fees paid to insurance brokerINSURANCE COMMISSION FEES
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG4051993
Policy instance 1
Insurance contract or identification numberG4051993
Number of Individuals Covered222
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $10,825
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $245,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,825
Additional information about fees paid to insurance brokerINSURANCE COMMISSION FEES
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SERVICES USA INC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG4051993
Policy instance 1
Insurance contract or identification numberG4051993
Number of Individuals Covered239
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $10,112
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $253,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberG4051993
Policy instance 1
Insurance contract or identification numberG4051993
Number of Individuals Covered252
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $10,081
Total amount of fees paid to insurance companyUSD $81,956
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $244,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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