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NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 401k Plan overview

Plan NameNORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT
Plan identification number 502

NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

NORTHEASTERN EYE INSTITUTE has sponsored the creation of one or more 401k plans.

Company Name:NORTHEASTERN EYE INSTITUTE
Employer identification number (EIN):232287632
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-06-01
5022019-06-01
5022018-06-01
5022017-06-01JAMES MCANDREW
5022016-06-01JAMES MCANDREW
5022015-06-01JAMES MCANDREW
5022014-06-01JAMES MCANDREW
5022013-06-01JAMES MCANDREW
5022012-06-01JAMES MCANDREW
5022011-06-01JAMES MCANDREW

Plan Statistics for NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT

401k plan membership statisitcs for NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT

Measure Date Value
2020: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2020 401k membership
Total participants, beginning-of-year2020-06-0153
Total number of active participants reported on line 7a of the Form 55002020-06-0153
Number of retired or separated participants receiving benefits2020-06-010
Total of all active and inactive participants2020-06-0153
Total participants2020-06-0153
2019: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2019 401k membership
Total participants, beginning-of-year2019-06-0152
Total number of active participants reported on line 7a of the Form 55002019-06-0152
Number of retired or separated participants receiving benefits2019-06-010
Total of all active and inactive participants2019-06-0152
Total participants2019-06-0152
2018: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2018 401k membership
Total participants, beginning-of-year2018-06-0151
Total number of active participants reported on line 7a of the Form 55002018-06-0151
Number of retired or separated participants receiving benefits2018-06-010
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-06-010
Total participants2018-06-0151
Number of participants with account balances2018-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-06-010
2017: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2017 401k membership
Total participants, beginning-of-year2017-06-0135
Total number of active participants reported on line 7a of the Form 55002017-06-0135
Number of retired or separated participants receiving benefits2017-06-010
Number of other retired or separated participants entitled to future benefits2017-06-010
Total of all active and inactive participants2017-06-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-06-010
Total participants2017-06-0135
Number of participants with account balances2017-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-06-010
2016: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2016 401k membership
Total participants, beginning-of-year2016-06-0165
Total number of active participants reported on line 7a of the Form 55002016-06-01265
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-01265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-06-010
Total participants2016-06-01265
Number of participants with account balances2016-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-06-010
Number of employers contributing to the scheme2016-06-010
2015: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2015 401k membership
Total participants, beginning-of-year2015-06-01296
Total number of active participants reported on line 7a of the Form 55002015-06-01296
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-01296
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-06-010
Total participants2015-06-01296
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-06-010
2014: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year2014-06-01326
Total number of active participants reported on line 7a of the Form 55002014-06-01321
Number of retired or separated participants receiving benefits2014-06-015
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-01326
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-06-010
Total participants2014-06-01326
Number of participants with account balances2014-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-06-010
2013: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year2013-06-01346
Total number of active participants reported on line 7a of the Form 55002013-06-01341
Number of retired or separated participants receiving benefits2013-06-015
Number of other retired or separated participants entitled to future benefits2013-06-010
Total of all active and inactive participants2013-06-01346
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-06-010
Total participants2013-06-01346
Number of participants with account balances2013-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-06-010
2012: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year2012-06-01267
Total number of active participants reported on line 7a of the Form 55002012-06-01267
Number of retired or separated participants receiving benefits2012-06-010
Number of other retired or separated participants entitled to future benefits2012-06-010
Total of all active and inactive participants2012-06-01267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-06-010
Total participants2012-06-01267
Number of participants with account balances2012-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-06-010
Number of employers contributing to the scheme2012-06-010
2011: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2011 401k membership
Total participants, beginning-of-year2011-06-01121
Total number of active participants reported on line 7a of the Form 55002011-06-01121
Number of retired or separated participants receiving benefits2011-06-010
Number of other retired or separated participants entitled to future benefits2011-06-010
Total of all active and inactive participants2011-06-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-06-010
Total participants2011-06-01121
Number of participants with account balances2011-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-06-010

Financial Data on NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT

Measure Date Value
2021 : NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2021-05-31$0
Total unrealized appreciation/depreciation of assets2021-05-31$0
Total transfer of assets to this plan2021-05-31$0
Total transfer of assets from this plan2021-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-05-31$97,623
Total income from all sources (including contributions)2021-05-31$97,623
Total loss/gain on sale of assets2021-05-31$0
Total of all expenses incurred2021-05-31$97,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-05-31$91,623
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-05-31$97,623
Value of total assets at end of year2021-05-31$0
Value of total assets at beginning of year2021-05-31$97,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-05-31$6,000
Total interest from all sources2021-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-05-31$0
Assets. Real estate other than employer real property at end of year2021-05-31$0
Assets. Real estate other than employer real property at beginning of year2021-05-31$0
Administrative expenses professional fees incurred2021-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-05-31$0
Was this plan covered by a fidelity bond2021-05-31No
If this is an individual account plan, was there a blackout period2021-05-31No
Were there any nonexempt tranactions with any party-in-interest2021-05-31No
Contributions received from participants2021-05-31$0
Participant contributions at end of year2021-05-31$0
Participant contributions at beginning of year2021-05-31$0
Participant contributions at end of year2021-05-31$0
Participant contributions at beginning of year2021-05-31$0
Assets. Other investments not covered elsewhere at end of year2021-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2021-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-05-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-05-31$0
Assets. Loans (other than to participants) at end of year2021-05-31$0
Assets. Loans (other than to participants) at beginning of year2021-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-05-31$0
Other income not declared elsewhere2021-05-31$0
Administrative expenses (other) incurred2021-05-31$0
Liabilities. Value of operating payables at end of year2021-05-31$0
Liabilities. Value of operating payables at beginning of year2021-05-31$6,000
Total non interest bearing cash at end of year2021-05-31$0
Total non interest bearing cash at beginning of year2021-05-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Income. Non cash contributions2021-05-31$0
Value of net income/loss2021-05-31$0
Value of net assets at end of year (total assets less liabilities)2021-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2021-05-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-05-31No
Were any leases to which the plan was party in default or uncollectible2021-05-31No
Assets. partnership/joint venture interests at end of year2021-05-31$0
Assets. partnership/joint venture interests at beginning of year2021-05-31$0
Investment advisory and management fees2021-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-05-31$0
Value of interest in pooled separate accounts at end of year2021-05-31$0
Value of interest in pooled separate accounts at beginning of year2021-05-31$0
Interest on participant loans2021-05-31$0
Income. Interest from loans (other than to participants)2021-05-31$0
Interest earned on other investments2021-05-31$0
Income. Interest from US Government securities2021-05-31$0
Income. Interest from corporate debt instruments2021-05-31$0
Value of interest in master investment trust accounts at end of year2021-05-31$0
Value of interest in master investment trust accounts at beginning of year2021-05-31$0
Value of interest in common/collective trusts at end of year2021-05-31$0
Value of interest in common/collective trusts at beginning of year2021-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2021-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2021-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2021-05-31$0
Asset value of US Government securities at end of year2021-05-31$0
Asset value of US Government securities at beginning of year2021-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-05-31$0
Net investment gain/loss from pooled separate accounts2021-05-31$0
Net investment gain or loss from common/collective trusts2021-05-31$0
Net gain/loss from 103.12 investment entities2021-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-05-31No
Was there a failure to transmit to the plan any participant contributions2021-05-31No
Has the plan failed to provide any benefit when due under the plan2021-05-31No
Contributions received in cash from employer2021-05-31$97,623
Employer contributions (assets) at end of year2021-05-31$0
Employer contributions (assets) at beginning of year2021-05-31$97,623
Income. Dividends from preferred stock2021-05-31$0
Income. Dividends from common stock2021-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-05-31$91,623
Asset. Corporate debt instrument preferred debt at end of year2021-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2021-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2021-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2021-05-31$0
Contract administrator fees2021-05-31$6,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2021-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2021-05-31$0
Liabilities. Value of benefit claims payable at end of year2021-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-05-31$91,623
Did the plan have assets held for investment2021-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-05-31No
Aggregate proceeds on sale of assets2021-05-31$0
Aggregate carrying amount (costs) on sale of assets2021-05-31$0
Liabilities. Value of acquisition indebtedness at end of year2021-05-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2021-05-31$0
Opinion of an independent qualified public accountant for this plan2021-05-31Unqualified
2020 : NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-05-31$0
Total unrealized appreciation/depreciation of assets2020-05-31$0
Total transfer of assets to this plan2020-05-31$0
Total transfer of assets from this plan2020-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-05-31$98,955
Total income from all sources (including contributions)2020-05-31$98,955
Total loss/gain on sale of assets2020-05-31$0
Total of all expenses incurred2020-05-31$98,955
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-05-31$92,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-05-31$98,955
Value of total assets at end of year2020-05-31$0
Value of total assets at beginning of year2020-05-31$98,955
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-05-31$6,000
Total interest from all sources2020-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-05-31$0
Assets. Real estate other than employer real property at end of year2020-05-31$0
Assets. Real estate other than employer real property at beginning of year2020-05-31$0
Administrative expenses professional fees incurred2020-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-05-31$0
Was this plan covered by a fidelity bond2020-05-31No
If this is an individual account plan, was there a blackout period2020-05-31No
Were there any nonexempt tranactions with any party-in-interest2020-05-31No
Contributions received from participants2020-05-31$0
Participant contributions at end of year2020-05-31$0
Participant contributions at beginning of year2020-05-31$0
Participant contributions at end of year2020-05-31$0
Participant contributions at beginning of year2020-05-31$0
Assets. Other investments not covered elsewhere at end of year2020-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2020-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-05-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-05-31$0
Assets. Loans (other than to participants) at end of year2020-05-31$0
Assets. Loans (other than to participants) at beginning of year2020-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-05-31$0
Other income not declared elsewhere2020-05-31$0
Administrative expenses (other) incurred2020-05-31$0
Liabilities. Value of operating payables at end of year2020-05-31$0
Liabilities. Value of operating payables at beginning of year2020-05-31$6,000
Total non interest bearing cash at end of year2020-05-31$0
Total non interest bearing cash at beginning of year2020-05-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Income. Non cash contributions2020-05-31$0
Value of net income/loss2020-05-31$0
Value of net assets at end of year (total assets less liabilities)2020-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-05-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-05-31No
Were any leases to which the plan was party in default or uncollectible2020-05-31No
Assets. partnership/joint venture interests at end of year2020-05-31$0
Assets. partnership/joint venture interests at beginning of year2020-05-31$0
Investment advisory and management fees2020-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-05-31$0
Value of interest in pooled separate accounts at end of year2020-05-31$0
Value of interest in pooled separate accounts at beginning of year2020-05-31$0
Interest on participant loans2020-05-31$0
Income. Interest from loans (other than to participants)2020-05-31$0
Interest earned on other investments2020-05-31$0
Income. Interest from US Government securities2020-05-31$0
Income. Interest from corporate debt instruments2020-05-31$0
Value of interest in master investment trust accounts at end of year2020-05-31$0
Value of interest in master investment trust accounts at beginning of year2020-05-31$0
Value of interest in common/collective trusts at end of year2020-05-31$0
Value of interest in common/collective trusts at beginning of year2020-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2020-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2020-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-05-31$0
Asset value of US Government securities at end of year2020-05-31$0
Asset value of US Government securities at beginning of year2020-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-05-31$0
Net investment gain/loss from pooled separate accounts2020-05-31$0
Net investment gain or loss from common/collective trusts2020-05-31$0
Net gain/loss from 103.12 investment entities2020-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-05-31No
Was there a failure to transmit to the plan any participant contributions2020-05-31No
Has the plan failed to provide any benefit when due under the plan2020-05-31No
Assets. Invements in employer securities at end of year2020-05-31$0
Assets. Invements in employer securities at beginning of year2020-05-31$0
Assets. Value of employer real property at end of year2020-05-31$0
Assets. Value of employer real property at beginning of year2020-05-31$0
Contributions received in cash from employer2020-05-31$98,955
Employer contributions (assets) at end of year2020-05-31$0
Employer contributions (assets) at beginning of year2020-05-31$98,955
Income. Dividends from preferred stock2020-05-31$0
Income. Dividends from common stock2020-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-05-31$92,955
Asset. Corporate debt instrument preferred debt at end of year2020-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2020-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2020-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2020-05-31$0
Contract administrator fees2020-05-31$6,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2020-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2020-05-31$0
Liabilities. Value of benefit claims payable at end of year2020-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2020-05-31$92,955
Assets. Value of buildings and other operty used in plan operation at end of year2020-05-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-05-31$0
Did the plan have assets held for investment2020-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-05-31No
Aggregate proceeds on sale of assets2020-05-31$0
Aggregate carrying amount (costs) on sale of assets2020-05-31$0
Liabilities. Value of acquisition indebtedness at end of year2020-05-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-05-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-05-31No
Opinion of an independent qualified public accountant for this plan2020-05-31Unqualified
2019 : NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-05-31$0
Total unrealized appreciation/depreciation of assets2019-05-31$0
Total transfer of assets to this plan2019-05-31$0
Total transfer of assets from this plan2019-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-05-31$97,762
Total income from all sources (including contributions)2019-05-31$97,762
Total loss/gain on sale of assets2019-05-31$0
Total of all expenses incurred2019-05-31$97,762
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-05-31$91,762
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-05-31$97,762
Value of total assets at end of year2019-05-31$0
Value of total assets at beginning of year2019-05-31$97,762
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-05-31$6,000
Total income from rents2019-05-31$0
Total interest from all sources2019-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-05-31$0
Assets. Real estate other than employer real property at end of year2019-05-31$0
Assets. Real estate other than employer real property at beginning of year2019-05-31$0
Administrative expenses professional fees incurred2019-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-05-31$0
Was this plan covered by a fidelity bond2019-05-31No
If this is an individual account plan, was there a blackout period2019-05-31No
Were there any nonexempt tranactions with any party-in-interest2019-05-31No
Contributions received from participants2019-05-31$0
Participant contributions at end of year2019-05-31$0
Participant contributions at beginning of year2019-05-31$0
Participant contributions at end of year2019-05-31$0
Participant contributions at beginning of year2019-05-31$0
Assets. Other investments not covered elsewhere at end of year2019-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2019-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-05-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-05-31$0
Assets. Loans (other than to participants) at end of year2019-05-31$0
Assets. Loans (other than to participants) at beginning of year2019-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-05-31$0
Other income not declared elsewhere2019-05-31$0
Administrative expenses (other) incurred2019-05-31$0
Liabilities. Value of operating payables at end of year2019-05-31$0
Liabilities. Value of operating payables at beginning of year2019-05-31$6,000
Total non interest bearing cash at end of year2019-05-31$0
Total non interest bearing cash at beginning of year2019-05-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Income. Non cash contributions2019-05-31$0
Value of net income/loss2019-05-31$0
Value of net assets at end of year (total assets less liabilities)2019-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-05-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-05-31No
Were any leases to which the plan was party in default or uncollectible2019-05-31No
Assets. partnership/joint venture interests at end of year2019-05-31$0
Assets. partnership/joint venture interests at beginning of year2019-05-31$0
Investment advisory and management fees2019-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-05-31$0
Value of interest in pooled separate accounts at end of year2019-05-31$0
Value of interest in pooled separate accounts at beginning of year2019-05-31$0
Interest on participant loans2019-05-31$0
Income. Interest from loans (other than to participants)2019-05-31$0
Interest earned on other investments2019-05-31$0
Income. Interest from US Government securities2019-05-31$0
Income. Interest from corporate debt instruments2019-05-31$0
Value of interest in master investment trust accounts at end of year2019-05-31$0
Value of interest in master investment trust accounts at beginning of year2019-05-31$0
Value of interest in common/collective trusts at end of year2019-05-31$0
Value of interest in common/collective trusts at beginning of year2019-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2019-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2019-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-05-31$0
Asset value of US Government securities at end of year2019-05-31$0
Asset value of US Government securities at beginning of year2019-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-05-31$0
Net investment gain/loss from pooled separate accounts2019-05-31$0
Net investment gain or loss from common/collective trusts2019-05-31$0
Net gain/loss from 103.12 investment entities2019-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-05-31No
Was there a failure to transmit to the plan any participant contributions2019-05-31No
Has the plan failed to provide any benefit when due under the plan2019-05-31No
Assets. Invements in employer securities at end of year2019-05-31$0
Assets. Invements in employer securities at beginning of year2019-05-31$0
Assets. Value of employer real property at end of year2019-05-31$0
Assets. Value of employer real property at beginning of year2019-05-31$0
Contributions received in cash from employer2019-05-31$97,762
Employer contributions (assets) at end of year2019-05-31$0
Employer contributions (assets) at beginning of year2019-05-31$97,762
Income. Dividends from preferred stock2019-05-31$0
Income. Dividends from common stock2019-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-05-31$91,762
Asset. Corporate debt instrument preferred debt at end of year2019-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2019-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2019-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2019-05-31$0
Contract administrator fees2019-05-31$6,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2019-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2019-05-31$0
Liabilities. Value of benefit claims payable at end of year2019-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-05-31$91,762
Assets. Value of buildings and other operty used in plan operation at end of year2019-05-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-05-31$0
Did the plan have assets held for investment2019-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-05-31No
Aggregate proceeds on sale of assets2019-05-31$0
Aggregate carrying amount (costs) on sale of assets2019-05-31$0
Liabilities. Value of acquisition indebtedness at end of year2019-05-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-05-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-05-31No
Opinion of an independent qualified public accountant for this plan2019-05-31Unqualified
2018 : NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2018-05-31$0
Total unrealized appreciation/depreciation of assets2018-05-31$0
Total transfer of assets to this plan2018-05-31$0
Total transfer of assets from this plan2018-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-31$57,709
Expenses. Interest paid2018-05-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022018-05-31$0
Total income from all sources (including contributions)2018-05-31$57,709
Total loss/gain on sale of assets2018-05-31$0
Total of all expenses incurred2018-05-31$57,709
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-05-31$51,709
Expenses. Certain deemed distributions of participant loans2018-05-31$0
Value of total corrective distributions2018-05-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-05-31$57,709
Value of total assets at end of year2018-05-31$0
Value of total assets at beginning of year2018-05-31$57,709
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-05-31$6,000
Total interest from all sources2018-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-05-31$0
Assets. Real estate other than employer real property at end of year2018-05-31$0
Assets. Real estate other than employer real property at beginning of year2018-05-31$0
Administrative expenses professional fees incurred2018-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-05-31$0
Was this plan covered by a fidelity bond2018-05-31No
If this is an individual account plan, was there a blackout period2018-05-31No
Were there any nonexempt tranactions with any party-in-interest2018-05-31No
Contributions received from participants2018-05-31$0
Participant contributions at end of year2018-05-31$0
Participant contributions at beginning of year2018-05-31$0
Participant contributions at end of year2018-05-31$0
Participant contributions at beginning of year2018-05-31$0
Assets. Other investments not covered elsewhere at end of year2018-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2018-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-05-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-05-31$0
Assets. Loans (other than to participants) at end of year2018-05-31$0
Assets. Loans (other than to participants) at beginning of year2018-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-05-31$0
Other income not declared elsewhere2018-05-31$0
Administrative expenses (other) incurred2018-05-31$0
Liabilities. Value of operating payables at end of year2018-05-31$0
Liabilities. Value of operating payables at beginning of year2018-05-31$6,000
Total non interest bearing cash at end of year2018-05-31$0
Total non interest bearing cash at beginning of year2018-05-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Income. Non cash contributions2018-05-31$0
Value of net income/loss2018-05-31$0
Value of net assets at end of year (total assets less liabilities)2018-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2018-05-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-05-31No
Were any leases to which the plan was party in default or uncollectible2018-05-31No
Assets. partnership/joint venture interests at end of year2018-05-31$0
Assets. partnership/joint venture interests at beginning of year2018-05-31$0
Investment advisory and management fees2018-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-05-31$0
Value of interest in pooled separate accounts at end of year2018-05-31$0
Value of interest in pooled separate accounts at beginning of year2018-05-31$0
Interest on participant loans2018-05-31$0
Income. Interest from loans (other than to participants)2018-05-31$0
Interest earned on other investments2018-05-31$0
Income. Interest from US Government securities2018-05-31$0
Income. Interest from corporate debt instruments2018-05-31$0
Value of interest in master investment trust accounts at end of year2018-05-31$0
Value of interest in master investment trust accounts at beginning of year2018-05-31$0
Value of interest in common/collective trusts at end of year2018-05-31$0
Value of interest in common/collective trusts at beginning of year2018-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2018-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2018-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2018-05-31$0
Asset value of US Government securities at end of year2018-05-31$0
Asset value of US Government securities at beginning of year2018-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-05-31$0
Net investment gain/loss from pooled separate accounts2018-05-31$0
Net investment gain or loss from common/collective trusts2018-05-31$0
Net gain/loss from 103.12 investment entities2018-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-05-31No
Was there a failure to transmit to the plan any participant contributions2018-05-31No
Has the plan failed to provide any benefit when due under the plan2018-05-31No
Assets. Invements in employer securities at end of year2018-05-31$0
Assets. Invements in employer securities at beginning of year2018-05-31$0
Assets. Value of employer real property at end of year2018-05-31$0
Assets. Value of employer real property at beginning of year2018-05-31$0
Contributions received in cash from employer2018-05-31$57,709
Employer contributions (assets) at end of year2018-05-31$0
Employer contributions (assets) at beginning of year2018-05-31$57,709
Income. Dividends from preferred stock2018-05-31$0
Income. Dividends from common stock2018-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-05-31$51,709
Asset. Corporate debt instrument preferred debt at end of year2018-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2018-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2018-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2018-05-31$0
Contract administrator fees2018-05-31$6,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2018-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2018-05-31$0
Liabilities. Value of benefit claims payable at end of year2018-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2018-05-31$51,709
Assets. Value of buildings and other operty used in plan operation at end of year2018-05-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-05-31$0
Did the plan have assets held for investment2018-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-05-31No
Aggregate proceeds on sale of assets2018-05-31$0
Aggregate carrying amount (costs) on sale of assets2018-05-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2018-05-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-05-31No
Opinion of an independent qualified public accountant for this plan2018-05-31Unqualified
2017 : NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-05-31$0
Total unrealized appreciation/depreciation of assets2017-05-31$0
Total transfer of assets to this plan2017-05-31$0
Total transfer of assets from this plan2017-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-05-31$54,658
Expenses. Interest paid2017-05-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-05-31$0
Total income from all sources (including contributions)2017-05-31$54,658
Total loss/gain on sale of assets2017-05-31$0
Total of all expenses incurred2017-05-31$54,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-05-31$48,658
Expenses. Certain deemed distributions of participant loans2017-05-31$0
Value of total corrective distributions2017-05-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-05-31$54,658
Value of total assets at end of year2017-05-31$0
Value of total assets at beginning of year2017-05-31$54,658
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-05-31$6,000
Total interest from all sources2017-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-05-31$0
Assets. Real estate other than employer real property at end of year2017-05-31$0
Assets. Real estate other than employer real property at beginning of year2017-05-31$0
Administrative expenses professional fees incurred2017-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-05-31$0
Was this plan covered by a fidelity bond2017-05-31No
If this is an individual account plan, was there a blackout period2017-05-31No
Were there any nonexempt tranactions with any party-in-interest2017-05-31No
Contributions received from participants2017-05-31$0
Participant contributions at end of year2017-05-31$0
Participant contributions at beginning of year2017-05-31$0
Participant contributions at end of year2017-05-31$0
Participant contributions at beginning of year2017-05-31$0
Assets. Other investments not covered elsewhere at end of year2017-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-05-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-05-31$0
Assets. Loans (other than to participants) at end of year2017-05-31$0
Assets. Loans (other than to participants) at beginning of year2017-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-05-31$0
Other income not declared elsewhere2017-05-31$0
Administrative expenses (other) incurred2017-05-31$0
Liabilities. Value of operating payables at beginning of year2017-05-31$6,000
Total non interest bearing cash at end of year2017-05-31$0
Total non interest bearing cash at beginning of year2017-05-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Income. Non cash contributions2017-05-31$0
Value of net income/loss2017-05-31$0
Value of net assets at end of year (total assets less liabilities)2017-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-05-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-05-31No
Were any leases to which the plan was party in default or uncollectible2017-05-31No
Assets. partnership/joint venture interests at end of year2017-05-31$0
Assets. partnership/joint venture interests at beginning of year2017-05-31$0
Investment advisory and management fees2017-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-05-31$0
Value of interest in pooled separate accounts at end of year2017-05-31$0
Value of interest in pooled separate accounts at beginning of year2017-05-31$0
Interest on participant loans2017-05-31$0
Income. Interest from loans (other than to participants)2017-05-31$0
Interest earned on other investments2017-05-31$0
Income. Interest from US Government securities2017-05-31$0
Income. Interest from corporate debt instruments2017-05-31$0
Value of interest in master investment trust accounts at end of year2017-05-31$0
Value of interest in master investment trust accounts at beginning of year2017-05-31$0
Value of interest in common/collective trusts at end of year2017-05-31$0
Value of interest in common/collective trusts at beginning of year2017-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2017-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2017-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-05-31$0
Asset value of US Government securities at end of year2017-05-31$0
Asset value of US Government securities at beginning of year2017-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-05-31$0
Net investment gain/loss from pooled separate accounts2017-05-31$0
Net investment gain or loss from common/collective trusts2017-05-31$0
Net gain/loss from 103.12 investment entities2017-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-05-31No
Was there a failure to transmit to the plan any participant contributions2017-05-31No
Has the plan failed to provide any benefit when due under the plan2017-05-31No
Assets. Invements in employer securities at end of year2017-05-31$0
Assets. Invements in employer securities at beginning of year2017-05-31$0
Assets. Value of employer real property at end of year2017-05-31$0
Assets. Value of employer real property at beginning of year2017-05-31$0
Contributions received in cash from employer2017-05-31$54,658
Employer contributions (assets) at end of year2017-05-31$0
Employer contributions (assets) at beginning of year2017-05-31$54,658
Income. Dividends from preferred stock2017-05-31$0
Income. Dividends from common stock2017-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-05-31$48,658
Asset. Corporate debt instrument preferred debt at end of year2017-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2017-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2017-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2017-05-31$0
Contract administrator fees2017-05-31$6,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2017-05-31$0
Liabilities. Value of benefit claims payable at end of year2017-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-05-31$48,658
Assets. Value of buildings and other operty used in plan operation at end of year2017-05-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-05-31$0
Did the plan have assets held for investment2017-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-05-31No
Aggregate proceeds on sale of assets2017-05-31$0
Aggregate carrying amount (costs) on sale of assets2017-05-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-05-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-05-31No
Opinion of an independent qualified public accountant for this plan2017-05-31Unqualified
2016 : NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-05-31$0
Total unrealized appreciation/depreciation of assets2016-05-31$0
Total transfer of assets to this plan2016-05-31$0
Total transfer of assets from this plan2016-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$68,455
Total income from all sources (including contributions)2016-05-31$68,455
Total loss/gain on sale of assets2016-05-31$0
Total of all expenses incurred2016-05-31$68,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$62,455
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$68,455
Value of total assets at end of year2016-05-31$0
Value of total assets at beginning of year2016-05-31$68,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$6,000
Total income from rents2016-05-31$0
Total interest from all sources2016-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-05-31$0
Assets. Real estate other than employer real property at end of year2016-05-31$0
Assets. Real estate other than employer real property at beginning of year2016-05-31$0
Administrative expenses professional fees incurred2016-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-05-31$0
Was this plan covered by a fidelity bond2016-05-31No
If this is an individual account plan, was there a blackout period2016-05-31No
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$0
Participant contributions at end of year2016-05-31$0
Participant contributions at beginning of year2016-05-31$0
Participant contributions at end of year2016-05-31$0
Participant contributions at beginning of year2016-05-31$0
Assets. Other investments not covered elsewhere at end of year2016-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-05-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-05-31$0
Assets. Loans (other than to participants) at end of year2016-05-31$0
Assets. Loans (other than to participants) at beginning of year2016-05-31$0
Other income not declared elsewhere2016-05-31$0
Administrative expenses (other) incurred2016-05-31$0
Liabilities. Value of operating payables at beginning of year2016-05-31$6,000
Total non interest bearing cash at end of year2016-05-31$0
Total non interest bearing cash at beginning of year2016-05-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Income. Non cash contributions2016-05-31$0
Value of net income/loss2016-05-31$0
Value of net assets at end of year (total assets less liabilities)2016-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Assets. partnership/joint venture interests at end of year2016-05-31$0
Assets. partnership/joint venture interests at beginning of year2016-05-31$0
Investment advisory and management fees2016-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-05-31$0
Value of interest in pooled separate accounts at end of year2016-05-31$0
Value of interest in pooled separate accounts at beginning of year2016-05-31$0
Interest on participant loans2016-05-31$0
Income. Interest from loans (other than to participants)2016-05-31$0
Interest earned on other investments2016-05-31$0
Income. Interest from US Government securities2016-05-31$0
Income. Interest from corporate debt instruments2016-05-31$0
Value of interest in master investment trust accounts at end of year2016-05-31$0
Value of interest in master investment trust accounts at beginning of year2016-05-31$0
Value of interest in common/collective trusts at end of year2016-05-31$0
Value of interest in common/collective trusts at beginning of year2016-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2016-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2016-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$0
Asset value of US Government securities at end of year2016-05-31$0
Asset value of US Government securities at beginning of year2016-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-05-31$0
Net investment gain/loss from pooled separate accounts2016-05-31$0
Net investment gain or loss from common/collective trusts2016-05-31$0
Net gain/loss from 103.12 investment entities2016-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31No
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Assets. Invements in employer securities at end of year2016-05-31$0
Assets. Invements in employer securities at beginning of year2016-05-31$0
Assets. Value of employer real property at end of year2016-05-31$0
Assets. Value of employer real property at beginning of year2016-05-31$0
Contributions received in cash from employer2016-05-31$68,455
Employer contributions (assets) at end of year2016-05-31$0
Employer contributions (assets) at beginning of year2016-05-31$68,455
Income. Dividends from preferred stock2016-05-31$0
Income. Dividends from common stock2016-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$62,455
Asset. Corporate debt instrument preferred debt at end of year2016-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2016-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2016-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2016-05-31$0
Contract administrator fees2016-05-31$6,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2016-05-31$0
Liabilities. Value of benefit claims payable at end of year2016-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2016-05-31$62,455
Assets. Value of buildings and other operty used in plan operation at end of year2016-05-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-05-31$0
Did the plan have assets held for investment2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Aggregate proceeds on sale of assets2016-05-31$0
Aggregate carrying amount (costs) on sale of assets2016-05-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31No
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
2015 : NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-05-31$0
Total unrealized appreciation/depreciation of assets2015-05-31$0
Total transfer of assets to this plan2015-05-31$0
Total transfer of assets from this plan2015-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$65,103
Expenses. Interest paid2015-05-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022015-05-31$0
Total income from all sources (including contributions)2015-05-31$65,103
Total loss/gain on sale of assets2015-05-31$0
Total of all expenses incurred2015-05-31$71,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$65,103
Expenses. Certain deemed distributions of participant loans2015-05-31$0
Value of total corrective distributions2015-05-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$65,103
Value of total assets at end of year2015-05-31$0
Value of total assets at beginning of year2015-05-31$71,103
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$6,000
Total income from rents2015-05-31$0
Total interest from all sources2015-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-05-31$0
Assets. Real estate other than employer real property at end of year2015-05-31$0
Assets. Real estate other than employer real property at beginning of year2015-05-31$0
Administrative expenses professional fees incurred2015-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-05-31$0
Was this plan covered by a fidelity bond2015-05-31No
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Contributions received from participants2015-05-31$0
Participant contributions at end of year2015-05-31$0
Participant contributions at beginning of year2015-05-31$0
Participant contributions at end of year2015-05-31$0
Participant contributions at beginning of year2015-05-31$0
Assets. Other investments not covered elsewhere at end of year2015-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2015-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-05-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-05-31$0
Assets. Loans (other than to participants) at end of year2015-05-31$0
Assets. Loans (other than to participants) at beginning of year2015-05-31$0
Other income not declared elsewhere2015-05-31$0
Administrative expenses (other) incurred2015-05-31$0
Total non interest bearing cash at end of year2015-05-31$0
Total non interest bearing cash at beginning of year2015-05-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Income. Non cash contributions2015-05-31$0
Value of net income/loss2015-05-31$-6,000
Value of net assets at end of year (total assets less liabilities)2015-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$6,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Assets. partnership/joint venture interests at end of year2015-05-31$0
Assets. partnership/joint venture interests at beginning of year2015-05-31$0
Investment advisory and management fees2015-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-05-31$0
Value of interest in pooled separate accounts at end of year2015-05-31$0
Value of interest in pooled separate accounts at beginning of year2015-05-31$0
Interest on participant loans2015-05-31$0
Income. Interest from loans (other than to participants)2015-05-31$0
Interest earned on other investments2015-05-31$0
Income. Interest from US Government securities2015-05-31$0
Income. Interest from corporate debt instruments2015-05-31$0
Value of interest in master investment trust accounts at end of year2015-05-31$0
Value of interest in master investment trust accounts at beginning of year2015-05-31$0
Value of interest in common/collective trusts at end of year2015-05-31$0
Value of interest in common/collective trusts at beginning of year2015-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2015-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2015-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$0
Asset value of US Government securities at end of year2015-05-31$0
Asset value of US Government securities at beginning of year2015-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-05-31$0
Net investment gain/loss from pooled separate accounts2015-05-31$0
Net investment gain or loss from common/collective trusts2015-05-31$0
Net gain/loss from 103.12 investment entities2015-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31No
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Assets. Invements in employer securities at end of year2015-05-31$0
Assets. Invements in employer securities at beginning of year2015-05-31$0
Assets. Value of employer real property at end of year2015-05-31$0
Assets. Value of employer real property at beginning of year2015-05-31$0
Contributions received in cash from employer2015-05-31$65,103
Employer contributions (assets) at end of year2015-05-31$0
Employer contributions (assets) at beginning of year2015-05-31$71,103
Income. Dividends from preferred stock2015-05-31$0
Income. Dividends from common stock2015-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$65,103
Asset. Corporate debt instrument preferred debt at end of year2015-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2015-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2015-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2015-05-31$0
Contract administrator fees2015-05-31$6,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2015-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2015-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2015-05-31$65,103
Assets. Value of buildings and other operty used in plan operation at end of year2015-05-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-05-31$0
Did the plan have assets held for investment2015-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Aggregate proceeds on sale of assets2015-05-31$0
Aggregate carrying amount (costs) on sale of assets2015-05-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
2014 : NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-05-31$0
Total unrealized appreciation/depreciation of assets2014-05-31$0
Total transfer of assets to this plan2014-05-31$0
Total transfer of assets from this plan2014-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-05-31$89,013
Expenses. Interest paid2014-05-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-05-31$0
Total income from all sources (including contributions)2014-05-31$89,013
Total loss/gain on sale of assets2014-05-31$0
Total of all expenses incurred2014-05-31$95,013
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-05-31$89,013
Expenses. Certain deemed distributions of participant loans2014-05-31$0
Value of total corrective distributions2014-05-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-05-31$89,013
Value of total assets at end of year2014-05-31$0
Value of total assets at beginning of year2014-05-31$95,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-05-31$6,000
Total interest from all sources2014-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-05-31$0
Assets. Real estate other than employer real property at end of year2014-05-31$0
Assets. Real estate other than employer real property at beginning of year2014-05-31$0
Administrative expenses professional fees incurred2014-05-31$6,000
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-05-31$0
Was this plan covered by a fidelity bond2014-05-31No
If this is an individual account plan, was there a blackout period2014-05-31No
Were there any nonexempt tranactions with any party-in-interest2014-05-31No
Contributions received from participants2014-05-31$89,013
Participant contributions at end of year2014-05-31$0
Participant contributions at beginning of year2014-05-31$0
Participant contributions at end of year2014-05-31$0
Participant contributions at beginning of year2014-05-31$0
Assets. Other investments not covered elsewhere at end of year2014-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-05-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-05-31$0
Assets. Loans (other than to participants) at end of year2014-05-31$0
Assets. Loans (other than to participants) at beginning of year2014-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-05-31$0
Other income not declared elsewhere2014-05-31$0
Administrative expenses (other) incurred2014-05-31$0
Liabilities. Value of operating payables at end of year2014-05-31$0
Liabilities. Value of operating payables at beginning of year2014-05-31$0
Total non interest bearing cash at end of year2014-05-31$0
Total non interest bearing cash at beginning of year2014-05-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Income. Non cash contributions2014-05-31$0
Value of net income/loss2014-05-31$-6,000
Value of net assets at end of year (total assets less liabilities)2014-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-05-31$6,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-05-31No
Were any leases to which the plan was party in default or uncollectible2014-05-31No
Assets. partnership/joint venture interests at end of year2014-05-31$0
Assets. partnership/joint venture interests at beginning of year2014-05-31$0
Investment advisory and management fees2014-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-05-31$0
Value of interest in pooled separate accounts at end of year2014-05-31$0
Value of interest in pooled separate accounts at beginning of year2014-05-31$0
Interest on participant loans2014-05-31$0
Income. Interest from loans (other than to participants)2014-05-31$0
Interest earned on other investments2014-05-31$0
Income. Interest from US Government securities2014-05-31$0
Income. Interest from corporate debt instruments2014-05-31$0
Value of interest in master investment trust accounts at end of year2014-05-31$0
Value of interest in master investment trust accounts at beginning of year2014-05-31$0
Value of interest in common/collective trusts at end of year2014-05-31$0
Value of interest in common/collective trusts at beginning of year2014-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2014-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2014-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-05-31$0
Asset value of US Government securities at end of year2014-05-31$0
Asset value of US Government securities at beginning of year2014-05-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-05-31$0
Net investment gain/loss from pooled separate accounts2014-05-31$0
Net investment gain or loss from common/collective trusts2014-05-31$0
Net gain/loss from 103.12 investment entities2014-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-05-31No
Was there a failure to transmit to the plan any participant contributions2014-05-31No
Has the plan failed to provide any benefit when due under the plan2014-05-31No
Assets. Invements in employer securities at end of year2014-05-31$0
Assets. Invements in employer securities at beginning of year2014-05-31$0
Assets. Value of employer real property at end of year2014-05-31$0
Assets. Value of employer real property at beginning of year2014-05-31$0
Contributions received in cash from employer2014-05-31$0
Employer contributions (assets) at end of year2014-05-31$0
Employer contributions (assets) at beginning of year2014-05-31$95,013
Income. Dividends from preferred stock2014-05-31$0
Income. Dividends from common stock2014-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-05-31$89,013
Asset. Corporate debt instrument preferred debt at end of year2014-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2014-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2014-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2014-05-31$0
Contract administrator fees2014-05-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2014-05-31$0
Liabilities. Value of benefit claims payable at end of year2014-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2014-05-31$89,013
Assets. Value of buildings and other operty used in plan operation at end of year2014-05-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-05-31$0
Did the plan have assets held for investment2014-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-05-31No
Aggregate proceeds on sale of assets2014-05-31$0
Aggregate carrying amount (costs) on sale of assets2014-05-31$0
Liabilities. Value of acquisition indebtedness at end of year2014-05-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-05-31$0
2012 : NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k financial data
Unrealized appreciation/depreciation of real estate assets2012-05-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2012-05-31$0
Total unrealized appreciation/depreciation of assets2012-05-31$0
Total transfer of assets to this plan2012-05-31$0
Total transfer of assets from this plan2012-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-05-31$93,841
Expenses. Interest paid2012-05-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-05-31$0
Total income from all sources (including contributions)2012-05-31$0
Total loss/gain on sale of assets2012-05-31$0
Total of all expenses incurred2012-05-31$93,841
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-05-31$87,841
Expenses. Certain deemed distributions of participant loans2012-05-31$0
Value of total corrective distributions2012-05-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-05-31$0
Value of total assets at end of year2012-05-31$0
Value of total assets at beginning of year2012-05-31$87,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-05-31$6,000
Total interest from all sources2012-05-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-05-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-05-31$0
Assets. Real estate other than employer real property at end of year2012-05-31$0
Assets. Real estate other than employer real property at beginning of year2012-05-31$0
Administrative expenses professional fees incurred2012-05-31$6,000
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-05-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2012-05-31$0
Was this plan covered by a fidelity bond2012-05-31No
If this is an individual account plan, was there a blackout period2012-05-31No
Were there any nonexempt tranactions with any party-in-interest2012-05-31No
Contributions received from participants2012-05-31$0
Participant contributions at end of year2012-05-31$0
Participant contributions at beginning of year2012-05-31$0
Participant contributions at end of year2012-05-31$0
Participant contributions at beginning of year2012-05-31$0
Assets. Other investments not covered elsewhere at end of year2012-05-31$0
Assets. Other investments not covered elsewhere at beginning of year2012-05-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-05-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-05-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-05-31$0
Assets. Loans (other than to participants) at end of year2012-05-31$0
Assets. Loans (other than to participants) at beginning of year2012-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-05-31$0
Administrative expenses (other) incurred2012-05-31$0
Liabilities. Value of operating payables at end of year2012-05-31$0
Liabilities. Value of operating payables at beginning of year2012-05-31$6,000
Total non interest bearing cash at end of year2012-05-31$0
Total non interest bearing cash at beginning of year2012-05-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Income. Non cash contributions2012-05-31$0
Value of net income/loss2012-05-31$-93,841
Value of net assets at end of year (total assets less liabilities)2012-05-31$0
Value of net assets at beginning of year (total assets less liabilities)2012-05-31$-6,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-05-31No
Were any leases to which the plan was party in default or uncollectible2012-05-31No
Assets. partnership/joint venture interests at end of year2012-05-31$0
Assets. partnership/joint venture interests at beginning of year2012-05-31$0
Investment advisory and management fees2012-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-05-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-05-31$0
Value of interest in pooled separate accounts at end of year2012-05-31$0
Value of interest in pooled separate accounts at beginning of year2012-05-31$0
Interest on participant loans2012-05-31$0
Income. Interest from loans (other than to participants)2012-05-31$0
Interest earned on other investments2012-05-31$0
Income. Interest from US Government securities2012-05-31$0
Income. Interest from corporate debt instruments2012-05-31$0
Value of interest in master investment trust accounts at end of year2012-05-31$0
Value of interest in master investment trust accounts at beginning of year2012-05-31$0
Value of interest in common/collective trusts at end of year2012-05-31$0
Value of interest in common/collective trusts at beginning of year2012-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-05-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-05-31$0
Assets. Value of investments in 103.12 investment entities at end of year2012-05-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2012-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-05-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-05-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-05-31$87,841
Asset value of US Government securities at end of year2012-05-31$0
Asset value of US Government securities at beginning of year2012-05-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-05-31No
Was there a failure to transmit to the plan any participant contributions2012-05-31No
Has the plan failed to provide any benefit when due under the plan2012-05-31No
Assets. Invements in employer securities at end of year2012-05-31$0
Assets. Invements in employer securities at beginning of year2012-05-31$0
Assets. Value of employer real property at end of year2012-05-31$0
Assets. Value of employer real property at beginning of year2012-05-31$0
Contributions received in cash from employer2012-05-31$0
Employer contributions (assets) at end of year2012-05-31$0
Employer contributions (assets) at beginning of year2012-05-31$87,841
Income. Dividends from preferred stock2012-05-31$0
Income. Dividends from common stock2012-05-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-05-31$0
Asset. Corporate debt instrument preferred debt at end of year2012-05-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2012-05-31$0
Asset. Corporate debt instrument debt (other) at end of year2012-05-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2012-05-31$0
Contract administrator fees2012-05-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-05-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-05-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2012-05-31$0
Liabilities. Value of benefit claims payable at end of year2012-05-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-05-31$87,841
Assets. Value of buildings and other operty used in plan operation at end of year2012-05-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-05-31$0
Did the plan have assets held for investment2012-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-05-31No
Aggregate proceeds on sale of assets2012-05-31$0
Aggregate carrying amount (costs) on sale of assets2012-05-31$0
Liabilities. Value of acquisition indebtedness at end of year2012-05-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2012-05-31$0

Form 5500 Responses for NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT

2020: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – General assets of the sponsorYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – General assets of the sponsorYes
2019: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingNo
2019-06-01This return/report is a short plan year return/report (less than 12 months)No
2019-06-01Plan is a collectively bargained planNo
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – General assets of the sponsorYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – General assets of the sponsorYes
2018: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01First time form 5500 has been submittedYes
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingNo
2018-06-01This return/report is a short plan year return/report (less than 12 months)No
2018-06-01Plan is a collectively bargained planNo
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – General assets of the sponsorYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – General assets of the sponsorYes
2017: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01First time form 5500 has been submittedYes
2017-06-01Submission has been amendedNo
2017-06-01This submission is the final filingNo
2017-06-01This return/report is a short plan year return/report (less than 12 months)No
2017-06-01Plan is a collectively bargained planNo
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – General assets of the sponsorYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – General assets of the sponsorYes
2016: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedYes
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – General assets of the sponsorYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – General assets of the sponsorYes
2015: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01First time form 5500 has been submittedYes
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – General assets of the sponsorYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – General assets of the sponsorYes
2014: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01First time form 5500 has been submittedYes
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – General assets of the sponsorYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – General assets of the sponsorYes
2013: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01First time form 5500 has been submittedYes
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – General assets of the sponsorYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – General assets of the sponsorYes
2012: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01First time form 5500 has been submittedYes
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – InsuranceYes
2011: NORTHEASTERN EYE INSTITUTE HEALTH REIMBURSEMENT ARRANGEMENT 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01First time form 5500 has been submittedYes
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – General assets of the sponsorYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number09715915
Policy instance 1
Insurance contract or identification number09715915
Number of Individuals Covered53
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
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?No
Health Insurance Welfare BenefitYes
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
Other welfare benefits providedHEALTH REIMBURSEMENT ARRANGEMENT (HRA)
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6000
Additional information about fees paid to insurance brokerADMINISTRATIVE AND CLAIMS
Insurance broker organization code?5
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number09715815
Policy instance 1
Insurance contract or identification number09715815
Number of Individuals Covered52
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
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?No
Health Insurance Welfare BenefitYes
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
Other welfare benefits providedHEALTH REIMBURSEMENT ARRANGEMENT (HRA)
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6000
Additional information about fees paid to insurance brokerADMINISTRATIVE AND CLAIMS
Insurance broker organization code?5
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number09715815
Policy instance 1
Insurance contract or identification number09715815
Number of Individuals Covered51
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
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?No
Health Insurance Welfare BenefitYes
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
Other welfare benefits providedHEALTH REIMBURSEMENT ARRANGEMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerADMINISTRATIVE/CLAIMS FEE
Insurance broker organization code?5
HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )
Policy contract number09715915
Policy instance 1
Insurance contract or identification number09715915
Number of Individuals Covered35
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,000
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedHEALTH REIMBURSEMENT ARRANGEMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6000
Insurance broker organization code?5
Insurance broker nameDEHEY MCANDREW

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