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NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 401k Plan overview

Plan NameNORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN
Plan identification number 540

NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental

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 VOUNTARY GROUP DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5402020-06-01
5402019-06-01
5402018-06-01
5402017-01-01JAMES MCANDREW
5402016-06-01JAMES MCANDREW
5402015-06-01JAMES MCANDREW
5402014-06-01JAMES MCANDREW
5402013-06-01JAMES MCANDREW
5402011-06-01JAMES MCANDREW
5402010-06-01JAMES MCANDREW
5402009-06-01JAMES MCANDREW

Plan Statistics for NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN

401k plan membership statisitcs for NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN

Measure Date Value
2020: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-0168
Total number of active participants reported on line 7a of the Form 55002020-06-0168
Number of retired or separated participants receiving benefits2020-06-010
Total of all active and inactive participants2020-06-0168
Total participants2020-06-0168
2019: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-0172
Total number of active participants reported on line 7a of the Form 55002019-06-0172
Number of retired or separated participants receiving benefits2019-06-010
Total of all active and inactive participants2019-06-0172
Total participants2019-06-0172
2018: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-0120
Total number of active participants reported on line 7a of the Form 55002018-06-0120
Number of other retired or separated participants entitled to future benefits2018-06-010
Total of all active and inactive participants2018-06-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-06-010
Total participants2018-06-0120
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 VOUNTARY GROUP DENTAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0153
Total number of active participants reported on line 7a of the Form 55002017-01-0153
Number of retired or separated participants receiving benefits2017-01-010
Total of all active and inactive participants2017-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0153
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-0122
Total number of active participants reported on line 7a of the Form 55002016-06-0122
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 participants2016-06-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-06-010
Total participants2016-06-0122
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 VOUNTARY GROUP DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-0148
Total number of active participants reported on line 7a of the Form 55002015-06-0148
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 participants2015-06-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-06-010
Total participants2015-06-0148
Number of participants with account balances2015-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-06-010
2014: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-0185
Total number of active participants reported on line 7a of the Form 55002014-06-0185
Number of retired or separated participants receiving benefits2014-06-010
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-06-010
Total participants2014-06-0185
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 VOUNTARY GROUP DENTAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-0149
Total number of active participants reported on line 7a of the Form 55002013-06-0149
Number of retired or separated participants receiving benefits2013-06-010
Number of other retired or separated participants entitled to future benefits2013-06-010
Total of all active and inactive participants2013-06-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-06-010
Total participants2013-06-0149
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
2011: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-0153
Total number of active participants reported on line 7a of the Form 55002011-06-0153
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 participants2011-06-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-06-010
Total participants2011-06-0153
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
2010: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-06-0169
Total number of active participants reported on line 7a of the Form 55002010-06-0169
Number of retired or separated participants receiving benefits2010-06-010
Number of other retired or separated participants entitled to future benefits2010-06-010
Total of all active and inactive participants2010-06-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-06-010
Total participants2010-06-0169
2009: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-06-0169
Total number of active participants reported on line 7a of the Form 55002009-06-0169
Total of all active and inactive participants2009-06-0169
Total participants2009-06-0169
Number of participants with account balances2009-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-06-010

Financial Data on NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN

Measure Date Value
2021 : NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 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$11,484
Expenses. Interest paid2021-05-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022021-05-31$0
Total income from all sources (including contributions)2021-05-31$11,484
Total loss/gain on sale of assets2021-05-31$0
Total of all expenses incurred2021-05-31$11,484
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-05-31$11,484
Expenses. Certain deemed distributions of participant loans2021-05-31$0
Value of total corrective distributions2021-05-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-05-31$11,484
Value of total assets at end of year2021-05-31$0
Value of total assets at beginning of year2021-05-31$11,484
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-05-31$0
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$11,484
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$11,484
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
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$0
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$11,484
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
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
Assets. Invements in employer securities at end of year2021-05-31$0
Assets. Invements in employer securities at beginning of year2021-05-31$0
Assets. Value of employer real property at end of year2021-05-31$0
Assets. Value of employer real property at beginning of year2021-05-31$0
Contributions received in cash from employer2021-05-31$0
Employer contributions (assets) at end of year2021-05-31$0
Employer contributions (assets) at beginning of year2021-05-31$0
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$0
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$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-05-31No
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$11,484
Assets. Value of buildings and other operty used in plan operation at end of year2021-05-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-05-31$0
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 VOUNTARY GROUP DENTAL PLAN 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$45,728
Expenses. Interest paid2020-05-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-05-31$0
Total income from all sources (including contributions)2020-05-31$45,728
Total loss/gain on sale of assets2020-05-31$0
Total of all expenses incurred2020-05-31$45,728
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-05-31$45,728
Expenses. Certain deemed distributions of participant loans2020-05-31$0
Value of total corrective distributions2020-05-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-05-31$45,728
Value of total assets at end of year2020-05-31$0
Value of total assets at beginning of year2020-05-31$45,728
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-05-31$0
Total income from rents2020-05-31$0
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$45,728
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$45,728
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$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$45,728
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$0
Employer contributions (assets) at end of year2020-05-31$0
Employer contributions (assets) at beginning of year2020-05-31$0
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$0
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$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-05-31No
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$45,728
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 VOUNTARY GROUP DENTAL PLAN 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$11,306
Total income from all sources (including contributions)2019-05-31$11,306
Total loss/gain on sale of assets2019-05-31$0
Total of all expenses incurred2019-05-31$11,306
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-05-31$11,306
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-05-31$11,306
Value of total assets at end of year2019-05-31$0
Value of total assets at beginning of year2019-05-31$11,306
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-05-31$0
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$11,306
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$11,306
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 beginning of year2019-05-31$0
Administrative expenses (other) incurred2019-05-31$0
Liabilities. Value of operating payables at beginning of year2019-05-31$0
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$11,306
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$0
Employer contributions (assets) at end of year2019-05-31$0
Employer contributions (assets) at beginning of year2019-05-31$0
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$0
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$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-05-31No
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$11,306
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 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
2017 : NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$0
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$0
Total transfer of assets from this plan2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$34,611
Expenses. Interest paid2017-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-12-31$0
Total income from all sources (including contributions)2017-12-31$34,611
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$34,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$34,611
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Value of total corrective distributions2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$34,611
Value of total assets at end of year2017-12-31$0
Value of total assets at beginning of year2017-12-31$34,611
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total income from rents2017-12-31$0
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$0
Assets. Real estate other than employer real property at end of year2017-12-31$0
Assets. Real estate other than employer real property at beginning of year2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$34,611
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$0
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$34,611
Assets. Other investments not covered elsewhere at end of year2017-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Assets. Loans (other than to participants) at end of year2017-12-31$0
Assets. Loans (other than to participants) at beginning of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$0
Administrative expenses (other) incurred2017-12-31$0
Liabilities. Value of operating payables at end of year2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Income. Non cash contributions2017-12-31$0
Value of net income/loss2017-12-31$0
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$0
Assets. partnership/joint venture interests at beginning of year2017-12-31$0
Investment advisory and management fees2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$0
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$0
Interest on participant loans2017-12-31$0
Income. Interest from loans (other than to participants)2017-12-31$0
Interest earned on other investments2017-12-31$0
Income. Interest from US Government securities2017-12-31$0
Income. Interest from corporate debt instruments2017-12-31$0
Value of interest in master investment trust accounts at end of year2017-12-31$0
Value of interest in master investment trust accounts at beginning of year2017-12-31$0
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest in common/collective trusts at beginning of year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2017-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$34,611
Asset value of US Government securities at end of year2017-12-31$0
Asset value of US Government securities at beginning of year2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$0
Net investment gain/loss from pooled separate accounts2017-12-31$0
Net investment gain or loss from common/collective trusts2017-12-31$0
Net gain/loss from 103.12 investment entities2017-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Assets. Invements in employer securities at end of year2017-12-31$0
Assets. Invements in employer securities at beginning of year2017-12-31$0
Assets. Value of employer real property at end of year2017-12-31$0
Assets. Value of employer real property at beginning of year2017-12-31$0
Contributions received in cash from employer2017-12-31$0
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$0
Income. Dividends from preferred stock2017-12-31$0
Income. Dividends from common stock2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$0
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$0
Contract administrator fees2017-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$0
Liabilities. Value of benefit claims payable at end of year2017-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$34,611
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$0
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$0
Aggregate carrying amount (costs) on sale of assets2017-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2017-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
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$21,011
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$21,011
Total loss/gain on sale of assets2017-05-31$0
Total of all expenses incurred2017-05-31$21,011
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-05-31$21,011
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$21,011
Value of total assets at end of year2017-05-31$0
Value of total assets at beginning of year2017-05-31$21,011
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-05-31$0
Total income from rents2017-05-31$0
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$21,011
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$21,011
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 end 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 end of year2017-05-31$0
Liabilities. Value of operating payables at beginning of year2017-05-31$0
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$21,011
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$0
Employer contributions (assets) at end of year2017-05-31$0
Employer contributions (assets) at beginning of year2017-05-31$0
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$0
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$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-05-31No
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$21,011
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 end of year2017-05-31$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 VOUNTARY GROUP DENTAL PLAN 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$40,389
Expenses. Interest paid2016-05-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022016-05-31$0
Total income from all sources (including contributions)2016-05-31$40,389
Total loss/gain on sale of assets2016-05-31$0
Total of all expenses incurred2016-05-31$40,389
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$40,389
Expenses. Certain deemed distributions of participant loans2016-05-31$0
Value of total corrective distributions2016-05-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$40,389
Value of total assets at end of year2016-05-31$0
Value of total assets at beginning of year2016-05-31$40,389
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$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$40,389
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$40,389
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 liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-05-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) 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 end of year2016-05-31$0
Liabilities. Value of operating payables at beginning of year2016-05-31$0
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$40,389
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
Contributions received in cash from employer2016-05-31$0
Employer contributions (assets) at end of year2016-05-31$0
Employer contributions (assets) at beginning of year2016-05-31$0
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$0
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$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-05-31No
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$40,389
Did the plan have assets held for investment2016-05-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
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
Liabilities. Value of acquisition indebtedness at end of year2016-05-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-05-31$0
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
2015 : NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2015 401k financial data
Transfers to/from the plan2015-05-31$0
Total plan liabilities at end of year2015-05-31$0
Total plan liabilities at beginning of year2015-05-31$0
Total income from all sources2015-05-31$37,548
Expenses. Total of all expenses incurred2015-05-31$37,548
Benefits paid (including direct rollovers)2015-05-31$37,329
Total plan assets at end of year2015-05-31$0
Total plan assets at beginning of year2015-05-31$0
Total contributions received or receivable from participants2015-05-31$37,548
Expenses. Other expenses not covered elsewhere2015-05-31$0
Contributions received from other sources (not participants or employers)2015-05-31$0
Other income received2015-05-31$0
Noncash contributions received2015-05-31$0
Net income (gross income less expenses)2015-05-31$0
Net plan assets at end of year (total assets less liabilities)2015-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-05-31$0
Total contributions received or receivable from employer(s)2015-05-31$0
Value of certain deemed distributions of participant loans2015-05-31$0
Value of corrective distributions2015-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-05-31$219
2014 : NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2014 401k financial data
Transfers to/from the plan2014-05-31$0
Total plan liabilities at beginning of year2014-05-31$0
Total income from all sources2014-05-31$32,362
Expenses. Total of all expenses incurred2014-05-31$32,362
Benefits paid (including direct rollovers)2014-05-31$30,096
Total plan assets at end of year2014-05-31$0
Total plan assets at beginning of year2014-05-31$0
Total contributions received or receivable from participants2014-05-31$32,362
Expenses. Other expenses not covered elsewhere2014-05-31$0
Contributions received from other sources (not participants or employers)2014-05-31$0
Other income received2014-05-31$0
Noncash contributions received2014-05-31$0
Net income (gross income less expenses)2014-05-31$0
Net plan assets at end of year (total assets less liabilities)2014-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2014-05-31$0
Total contributions received or receivable from employer(s)2014-05-31$0
Value of certain deemed distributions of participant loans2014-05-31$0
Value of corrective distributions2014-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-05-31$2,266
2012 : NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2012 401k financial data
Transfers to/from the plan2012-05-31$0
Total income from all sources2012-05-31$34,065
Expenses. Total of all expenses incurred2012-05-31$34,065
Benefits paid (including direct rollovers)2012-05-31$31,680
Total plan assets at end of year2012-05-31$0
Total plan assets at beginning of year2012-05-31$34,065
Total contributions received or receivable from participants2012-05-31$34,065
Expenses. Other expenses not covered elsewhere2012-05-31$0
Contributions received from other sources (not participants or employers)2012-05-31$0
Other income received2012-05-31$0
Noncash contributions received2012-05-31$0
Net income (gross income less expenses)2012-05-31$0
Net plan assets at end of year (total assets less liabilities)2012-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2012-05-31$34,065
Total contributions received or receivable from employer(s)2012-05-31$0
Value of certain deemed distributions of participant loans2012-05-31$0
Value of corrective distributions2012-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-05-31$2,385

Form 5500 Responses for NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN

2020: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 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 benefit arrangement – InsuranceYes
2019: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 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 benefit arrangement – InsuranceYes
2018: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 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 benefit arrangement – InsuranceYes
2017: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01First time form 5500 has been submittedYes
2016-06-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2015: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 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 benefit arrangement – InsuranceYes
2014: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 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 benefit arrangement – InsuranceYes
2013: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 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 benefit arrangement – InsuranceYes
2011: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 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 benefit arrangement – InsuranceYes
2010: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2010 form 5500 responses
2010-06-01Type of plan entitySingle employer plan
2010-06-01Submission has been amendedNo
2010-06-01This submission is the final filingYes
2010-06-01This return/report is a short plan year return/report (less than 12 months)No
2010-06-01Plan is a collectively bargained planNo
2010-06-01Plan funding arrangement – InsuranceYes
2010-06-01Plan benefit arrangement – InsuranceYes
2009: NORTHEASTERN EYE INSTITUTE VOUNTARY GROUP DENTAL PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01First time form 5500 has been submittedYes
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract numberPC0000G418
Policy instance 1
Insurance contract or identification numberPC0000G418
Number of Individuals Covered85
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $219
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $37,548
Commission paid to Insurance BrokerUSD $219
Insurance broker organization code?3
Insurance broker nameJOSEPH J. JOYCE ASSOCIATES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00021726
Policy instance 1
Insurance contract or identification number00021726
Number of Individuals Covered68
Insurance policy start date2020-06-01
Insurance policy end date2021-05-30
Total amount of commissions paid to insurance brokerUSD $1,148
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 BenefitNo
Dental Insurance Welfare BenefitYes
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 providedVOLUNTARY DENTAL INSURANCE
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 $11,484
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,148
Amount paid for insurance broker fees0
Insurance broker organization code?3
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number000000636886
Policy instance 1
Insurance contract or identification number000000636886
Number of Individuals Covered72
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $4,573
Total amount of fees paid to insurance companyUSD $337
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 BenefitNo
Dental Insurance Welfare BenefitYes
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 providedVOLUNTARY DENTAL INSURANCE
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 $45,728
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,573
Amount paid for insurance broker fees337
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number421128
Policy instance 1
Insurance contract or identification number421128
Number of Individuals Covered20
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 BenefitNo
Dental Insurance Welfare BenefitYes
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 providedVOLUNTARY PLAN
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 $11,306
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
Insurance broker organization code?3
UNITED CONCORDIA LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62294 )
Policy contract number420028
Policy instance 1
Insurance contract or identification number420028
Number of Individuals Covered53
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $3,474
Total amount of fees paid to insurance companyUSD $559
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 BenefitNo
Dental Insurance Welfare BenefitYes
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 providedVOLUNTARY GROUP DENTAL PLAN
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 $34,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,474
Amount paid for insurance broker fees559
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN BENEFIT ADVISORS
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5472118
Policy instance 1
Insurance contract or identification number5472118
Number of Individuals Covered48
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $2,835
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Dental Insurance Welfare BenefitYes
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 providedVOLUNTARY DENTAL PLAN
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 $40,389
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,835
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameJOESPH J. JOYCE ASSOCIATES, INC.
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number004I09902
Policy instance 1
Insurance contract or identification number004I09902
Number of Individuals Covered49
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $2,266
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Dental Insurance Welfare BenefitYes
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 providedVOLUNTARY PLAN
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 $32,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,266
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameJOSEPH J. JOYCE ASSOCIATES
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number
Policy instance 1
Number of Individuals Covered53
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $2,385
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY PLAN
Welfare Benefit Premiums Paid to CarrierUSD $34,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number004109902
Policy instance 1
Insurance contract or identification number004109902
Number of Individuals Covered69
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $2,674
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,674
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerSALE OF INSURANCE
Insurance broker organization code?3
Insurance broker nameJOSEPH J. JOYCE ASSOCIATES

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