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PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NamePERFORMANCE GROUP, INC. GROUP MEDICAL PLAN
Plan identification number 502

PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

PERFORMANCE GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:PERFORMANCE GROUP, INC.
Employer identification number (EIN):232915255
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01

Plan Statistics for PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN

Measure Date Value
2022: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0122
Total number of active participants reported on line 7a of the Form 55002022-01-0123
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0124
2021: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0125
Total number of active participants reported on line 7a of the Form 55002021-01-0122
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0122
2020: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0126
Total number of active participants reported on line 7a of the Form 55002020-01-0125
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0125
2019: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0129
Total number of active participants reported on line 7a of the Form 55002019-01-0125
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0126
2018: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0134
Total number of active participants reported on line 7a of the Form 55002018-01-0129
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0129

Financial Data on PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN

Measure Date Value
2022 : PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$119,637
Total plan liabilities at beginning of year2022-12-31$188,862
Total income from all sources2022-12-31$422,961
Expenses. Total of all expenses incurred2022-12-31$460,402
Benefits paid (including direct rollovers)2022-12-31$280,112
Total plan assets at end of year2022-12-31$49,698
Total plan assets at beginning of year2022-12-31$156,364
Value of fidelity bond covering the plan2022-12-31$1,000,000
Total contributions received or receivable from participants2022-12-31$131,908
Expenses. Other expenses not covered elsewhere2022-12-31$177,585
Contributions received from other sources (not participants or employers)2022-12-31$6,843
Other income received2022-12-31$179
Net income (gross income less expenses)2022-12-31$-37,441
Net plan assets at end of year (total assets less liabilities)2022-12-31$-69,939
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-32,498
Total contributions received or receivable from employer(s)2022-12-31$284,031
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$2,705
2021 : PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$188,862
Total plan liabilities at beginning of year2021-12-31$12,259
Total income from all sources2021-12-31$324,899
Expenses. Total of all expenses incurred2021-12-31$397,971
Benefits paid (including direct rollovers)2021-12-31$231,853
Total plan assets at end of year2021-12-31$156,364
Total plan assets at beginning of year2021-12-31$52,833
Value of fidelity bond covering the plan2021-12-31$1,000,000
Total contributions received or receivable from participants2021-12-31$151,392
Expenses. Other expenses not covered elsewhere2021-12-31$138,345
Other income received2021-12-31$185
Net income (gross income less expenses)2021-12-31$-73,072
Net plan assets at end of year (total assets less liabilities)2021-12-31$-32,498
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$40,574
Total contributions received or receivable from employer(s)2021-12-31$173,322
Value of corrective distributions2021-12-31$20,907
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$6,866
2020 : PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$12,259
Total plan liabilities at beginning of year2020-12-31$18,169
Total income from all sources2020-12-31$318,147
Expenses. Total of all expenses incurred2020-12-31$298,823
Benefits paid (including direct rollovers)2020-12-31$139,136
Total plan assets at end of year2020-12-31$52,833
Total plan assets at beginning of year2020-12-31$39,419
Value of fidelity bond covering the plan2020-12-31$1,000,000
Total contributions received or receivable from participants2020-12-31$69,013
Expenses. Other expenses not covered elsewhere2020-12-31$129,980
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$192
Net income (gross income less expenses)2020-12-31$19,324
Net plan assets at end of year (total assets less liabilities)2020-12-31$40,574
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$21,250
Total contributions received or receivable from employer(s)2020-12-31$248,942
Value of corrective distributions2020-12-31$22,563
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$7,144
2019 : PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$18,169
Total plan liabilities at beginning of year2019-12-31$17,614
Total income from all sources2019-12-31$318,997
Expenses. Total of all expenses incurred2019-12-31$283,565
Benefits paid (including direct rollovers)2019-12-31$140,796
Total plan assets at end of year2019-12-31$39,419
Total plan assets at beginning of year2019-12-31$3,432
Value of fidelity bond covering the plan2019-12-31$1,000,000
Total contributions received or receivable from participants2019-12-31$272,956
Expenses. Other expenses not covered elsewhere2019-12-31$134,821
Contributions received from other sources (not participants or employers)2019-12-31$275
Other income received2019-12-31$75
Net income (gross income less expenses)2019-12-31$35,432
Net plan assets at end of year (total assets less liabilities)2019-12-31$21,250
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$-14,182
Total contributions received or receivable from employer(s)2019-12-31$45,691
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$7,948
2018 : PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$17,614
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$369,198
Expenses. Total of all expenses incurred2018-12-31$383,380
Benefits paid (including direct rollovers)2018-12-31$222,137
Total plan assets at end of year2018-12-31$3,432
Total plan assets at beginning of year2018-12-31$0
Value of fidelity bond covering the plan2018-12-31$1,000,000
Total contributions received or receivable from participants2018-12-31$48,050
Expenses. Other expenses not covered elsewhere2018-12-31$148,398
Contributions received from other sources (not participants or employers)2018-12-31$3,487
Other income received2018-12-31$143
Net income (gross income less expenses)2018-12-31$-14,182
Net plan assets at end of year (total assets less liabilities)2018-12-31$-14,182
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$317,518
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$12,845

Form 5500 Responses for PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN

2022: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PERFORMANCE GROUP, INC. GROUP MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500346
Policy instance 1
Insurance contract or identification number30500346
Number of Individuals Covered23
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $157,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500346
Policy instance 1
Insurance contract or identification number30500346
Number of Individuals Covered22
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $121,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500346
Policy instance 1
Insurance contract or identification number30500346
Number of Individuals Covered25
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $111,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered26
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $113,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered29
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $125,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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