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SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 401k Plan overview

Plan NameSOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN
Plan identification number 001

SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.

401k Sponsoring company profile

SOMERSET HEALTH SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:SOMERSET HEALTH SERVICES, INC.
Employer identification number (EIN):251441920
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01MATT KOCIOLA2018-06-05
0012016-01-01MATT KOCIOLA2017-05-25 MATT KOCIOLA2017-05-25
0012015-01-01MATT KOCIOLA2016-08-31 MATT KOCIOLA2016-08-31
0012014-01-01MATT KOCIOLA2015-10-12 MATT KOCIOLA2015-10-12
0012013-01-01MATTHEW KOCIOLA2014-10-06
0012012-01-01RON PARK2013-10-08
0012011-01-01RON PARK2012-10-09 RON PARK2012-10-09
0012010-01-01RON PARK2011-10-12

Plan Statistics for SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN

401k plan membership statisitcs for SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN

Measure Date Value
2020: SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01180
Total number of active participants reported on line 7a of the Form 55002020-01-010
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 participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01140
Total number of active participants reported on line 7a of the Form 55002019-01-01149
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0132
Total of all active and inactive participants2019-01-01181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01181
Number of participants with account balances2019-01-01168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01128
Total number of active participants reported on line 7a of the Form 55002018-01-01108
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0136
Total of all active and inactive participants2018-01-01144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01144
Number of participants with account balances2018-01-01127

Financial Data on SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN

Measure Date Value
2020 : SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 2020 401k financial data
Total transfer of assets from this plan2020-07-01$5,906,437
Total income from all sources (including contributions)2020-07-01$262,197
Total of all expenses incurred2020-07-01$31,419
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-07-01$20,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-07-01$445,817
Value of total assets at end of year2020-07-01$0
Value of total assets at beginning of year2020-07-01$5,675,659
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-07-01$10,694
Total interest from all sources2020-07-01$6,783
Total dividends received (eg from common stock, registered investment company shares)2020-07-01$17,418
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-07-01Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-07-01$0
Total dividends received from registered investment company shares (eg mutual funds)2020-07-01$17,418
Was this plan covered by a fidelity bond2020-07-01Yes
Value of fidelity bond cover2020-07-01$5,000,000
If this is an individual account plan, was there a blackout period2020-07-01No
Were there any nonexempt tranactions with any party-in-interest2020-07-01No
Contributions received from participants2020-07-01$315,755
Participant contributions at end of year2020-07-01$0
Participant contributions at beginning of year2020-07-01$29,863
Income. Received or receivable in cash from other sources (including rollovers)2020-07-01$98,581
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-01No
Value of net income/loss2020-07-01$230,778
Value of net assets at end of year (total assets less liabilities)2020-07-01$0
Value of net assets at beginning of year (total assets less liabilities)2020-07-01$5,675,659
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-07-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-07-01No
Were any leases to which the plan was party in default or uncollectible2020-07-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-07-01$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-07-01$5,017,212
Interest on participant loans2020-07-01$652
Interest earned on other investments2020-07-01$6,131
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-07-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-07-01$628,584
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-07-01$-207,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-07-01No
Was there a failure to transmit to the plan any participant contributions2020-07-01No
Has the plan failed to provide any benefit when due under the plan2020-07-01No
Contributions received in cash from employer2020-07-01$31,481
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-07-01$20,725
Contract administrator fees2020-07-01$10,694
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-07-01No
Did the plan have assets held for investment2020-07-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-07-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-07-01Yes
Opinion of an independent qualified public accountant for this plan2020-07-01Disclaimer
Accountancy firm name2020-07-01BKD, LLP
Accountancy firm EIN2020-07-01440160260
2019 : SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$2,103,385
Total of all expenses incurred2019-12-31$119,532
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$101,443
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,238,099
Value of total assets at end of year2019-12-31$5,675,659
Value of total assets at beginning of year2019-12-31$3,691,806
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$18,089
Total interest from all sources2019-12-31$13,939
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$181,125
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$181,125
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$5,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$441,748
Participant contributions at end of year2019-12-31$29,863
Participant contributions at beginning of year2019-12-31$35,074
Participant contributions at beginning of year2019-12-31$10,627
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$751,970
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,983,853
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,675,659
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,691,806
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$5,017,212
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,181,070
Interest on participant loans2019-12-31$1,506
Interest earned on other investments2019-12-31$12,433
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$628,584
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$463,472
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$670,222
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$44,381
Employer contributions (assets) at beginning of year2019-12-31$1,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$101,443
Contract administrator fees2019-12-31$18,089
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440160260
2018 : SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$234,629
Total of all expenses incurred2018-12-31$691,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$671,217
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$469,672
Value of total assets at end of year2018-12-31$3,691,806
Value of total assets at beginning of year2018-12-31$4,149,137
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$20,743
Total interest from all sources2018-12-31$11,924
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$156,814
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$156,814
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$416,937
Participant contributions at end of year2018-12-31$35,074
Participant contributions at beginning of year2018-12-31$45,112
Participant contributions at end of year2018-12-31$10,627
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$10,953
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-457,331
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,691,806
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,149,137
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,181,070
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$3,502,512
Interest on participant loans2018-12-31$1,859
Interest earned on other investments2018-12-31$10,065
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$463,472
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$601,513
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-403,781
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$41,782
Employer contributions (assets) at end of year2018-12-31$1,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$671,217
Contract administrator fees2018-12-31$20,743
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440160260

Form 5500 Responses for SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN

2020: SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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: SOMERSET HEALTH SERVICES 403(B) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number67374
Policy instance 1
Insurance contract or identification number67374
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-07-01
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number67374
Policy instance 1
Insurance contract or identification number67374
Number of Individuals Covered168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number67374
Policy instance 1
Insurance contract or identification number67374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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