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HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 401k Plan overview

Plan NameHMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS
Plan identification number 001

HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HMC/CAH CONSOLIDATED INC has sponsored the creation of one or more 401k plans.

Company Name:HMC/CAH CONSOLIDATED INC
Employer identification number (EIN):260206921
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01JENNI UPENIEKS
0012016-01-01JENNI UPENIEKS
0012015-01-01JENNI UPENIEKS
0012014-01-01JENNI UPENIEKS
0012013-01-01KURT WOODWORTH
0012012-01-01KURT WOODWORTH
0012011-01-01KURT WOODWORTH
0012009-01-01KURT WOODWORTH KURT WOODWORTH2010-10-12

Plan Statistics for HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS

401k plan membership statisitcs for HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS

Measure Date Value
2017: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2017 401k membership
Total participants, beginning-of-year2017-01-011,208
Total number of active participants reported on line 7a of the Form 55002017-01-011,060
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01423
Total of all active and inactive participants2017-01-011,483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,483
Number of participants with account balances2017-01-011,147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2016 401k membership
Total participants, beginning-of-year2016-01-011,190
Total number of active participants reported on line 7a of the Form 55002016-01-011,029
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01273
Total of all active and inactive participants2016-01-011,302
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,302
Number of participants with account balances2016-01-011,011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2015 401k membership
Total participants, beginning-of-year2015-01-011,311
Total number of active participants reported on line 7a of the Form 55002015-01-011,018
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01161
Total of all active and inactive participants2015-01-011,179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,179
Number of participants with account balances2015-01-01835
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0157
2014: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2014 401k membership
Total participants, beginning-of-year2014-01-011,321
Total number of active participants reported on line 7a of the Form 55002014-01-011,210
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0185
Total of all active and inactive participants2014-01-011,295
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,295
Number of participants with account balances2014-01-01333
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-01138
2013: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2013 401k membership
Total participants, beginning-of-year2013-01-011,213
Total number of active participants reported on line 7a of the Form 55002013-01-011,209
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0166
Total of all active and inactive participants2013-01-011,275
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,275
Number of participants with account balances2013-01-01332
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2012 401k membership
Total participants, beginning-of-year2012-01-011,441
Total number of active participants reported on line 7a of the Form 55002012-01-011,165
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0130
Total of all active and inactive participants2012-01-011,195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,195
Number of participants with account balances2012-01-01318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2011 401k membership
Total participants, beginning-of-year2011-01-011,345
Total number of active participants reported on line 7a of the Form 55002011-01-011,387
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0154
Total of all active and inactive participants2011-01-011,441
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,441
Number of participants with account balances2011-01-01340
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2009: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2009 401k membership
Total participants, beginning-of-year2009-01-01235
Total number of active participants reported on line 7a of the Form 55002009-01-01624
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0139
Total of all active and inactive participants2009-01-01663
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01663
Number of participants with account balances2009-01-01244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS

Measure Date Value
2017 : HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$83,200
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$78,621
Total income from all sources (including contributions)2017-12-31$1,734,439
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,155,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$967,558
Value of total corrective distributions2017-12-31$144,693
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$784,409
Value of total assets at end of year2017-12-31$6,341,107
Value of total assets at beginning of year2017-12-31$5,757,973
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$43,633
Total interest from all sources2017-12-31$8,374
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
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$761,234
Participant contributions at end of year2017-12-31$126,684
Participant contributions at beginning of year2017-12-31$186,436
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$10,327
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$23,175
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$70,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$67,756
Liabilities. Value of operating payables at end of year2017-12-31$13,200
Liabilities. Value of operating payables at beginning of year2017-12-31$10,865
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
Value of net income/loss2017-12-31$578,555
Value of net assets at end of year (total assets less liabilities)2017-12-31$6,257,907
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,679,352
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$147,976
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$143,693
Value of interest in pooled separate accounts at end of year2017-12-31$5,759,898
Value of interest in pooled separate accounts at beginning of year2017-12-31$4,935,183
Interest on participant loans2017-12-31$8,374
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$306,549
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$482,334
Net investment gain/loss from pooled separate accounts2017-12-31$941,656
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$967,558
Contract administrator fees2017-12-31$43,633
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2017-12-31410746749
2016 : HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$78,621
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$9,000
Total income from all sources (including contributions)2016-12-31$1,147,671
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$677,860
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$506,795
Expenses. Certain deemed distributions of participant loans2016-12-31$42
Value of total corrective distributions2016-12-31$135,057
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$815,082
Value of total assets at end of year2016-12-31$5,757,973
Value of total assets at beginning of year2016-12-31$5,218,541
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$35,966
Total interest from all sources2016-12-31$9,950
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$35,966
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$754,342
Participant contributions at end of year2016-12-31$186,436
Participant contributions at beginning of year2016-12-31$205,951
Participant contributions at end of year2016-12-31$10,327
Participant contributions at beginning of year2016-12-31$9,965
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$60,740
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$67,756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
Other income not declared elsewhere2016-12-31$0
Liabilities. Value of operating payables at end of year2016-12-31$10,865
Liabilities. Value of operating payables at beginning of year2016-12-31$9,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$469,811
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,679,352
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,209,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$143,693
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$0
Value of interest in pooled separate accounts at end of year2016-12-31$4,935,183
Value of interest in pooled separate accounts at beginning of year2016-12-31$4,478,240
Interest on participant loans2016-12-31$9,950
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$482,334
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$524,385
Net investment gain/loss from pooled separate accounts2016-12-31$322,639
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$506,795
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-12-31410746749
2015 : HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$9,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$12,050
Total income from all sources (including contributions)2015-12-31$795,267
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,301,498
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,192,479
Value of total corrective distributions2015-12-31$77,656
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$784,965
Value of total assets at end of year2015-12-31$5,218,541
Value of total assets at beginning of year2015-12-31$5,727,822
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$31,363
Total interest from all sources2015-12-31$17,215
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$691,881
Participant contributions at end of year2015-12-31$205,951
Participant contributions at beginning of year2015-12-31$205,406
Participant contributions at end of year2015-12-31$9,965
Participant contributions at beginning of year2015-12-31$4,930
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$93,084
Other income not declared elsewhere2015-12-31$0
Liabilities. Value of operating payables at end of year2015-12-31$9,000
Liabilities. Value of operating payables at beginning of year2015-12-31$12,050
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-506,231
Value of net assets at end of year (total assets less liabilities)2015-12-31$5,209,541
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,715,772
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$184,179
Value of interest in pooled separate accounts at end of year2015-12-31$4,478,240
Value of interest in pooled separate accounts at beginning of year2015-12-31$4,955,508
Interest on participant loans2015-12-31$9,486
Interest earned on other investments2015-12-31$7,729
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$524,385
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$377,799
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$0
Net investment gain/loss from pooled separate accounts2015-12-31$-6,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,192,479
Contract administrator fees2015-12-31$31,363
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2015-12-31410746749
2014 : HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$12,050
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$1,393,754
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$658,712
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$469,562
Value of total corrective distributions2014-12-31$157,595
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,096,687
Value of total assets at end of year2014-12-31$5,727,822
Value of total assets at beginning of year2014-12-31$4,980,730
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$31,555
Total interest from all sources2014-12-31$10,005
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$762,241
Participant contributions at end of year2014-12-31$205,406
Participant contributions at beginning of year2014-12-31$218,751
Participant contributions at end of year2014-12-31$4,930
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$334,446
Liabilities. Value of operating payables at end of year2014-12-31$12,050
Liabilities. Value of operating payables at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$735,042
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,715,772
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,980,730
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$184,179
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$193,148
Value of interest in pooled separate accounts at end of year2014-12-31$4,955,508
Value of interest in pooled separate accounts at beginning of year2014-12-31$4,266,750
Interest on participant loans2014-12-31$10,005
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$377,799
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$302,081
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$7,839
Net investment gain/loss from pooled separate accounts2014-12-31$279,223
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$469,562
Contract administrator fees2014-12-31$31,555
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2014-12-31410746749
2013 : HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,479,120
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$430,497
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$324,415
Expenses. Certain deemed distributions of participant loans2013-12-31$14,331
Value of total corrective distributions2013-12-31$43,894
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$806,315
Value of total assets at end of year2013-12-31$4,980,730
Value of total assets at beginning of year2013-12-31$3,932,107
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$47,857
Total interest from all sources2013-12-31$9,145
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$764,486
Participant contributions at end of year2013-12-31$218,751
Participant contributions at beginning of year2013-12-31$164,036
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$3,878
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$41,829
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,048,623
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,980,730
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,932,107
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$193,148
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$204,741
Value of interest in pooled separate accounts at end of year2013-12-31$4,266,750
Value of interest in pooled separate accounts at beginning of year2013-12-31$3,320,942
Interest on participant loans2013-12-31$9,145
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$302,081
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$238,510
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$663,660
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$324,415
Contract administrator fees2013-12-31$47,857
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2013-12-31410746749
2012 : HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,046,512
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$458,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$430,080
Value of total corrective distributions2012-12-31$16,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$700,500
Value of total assets at end of year2012-12-31$3,932,107
Value of total assets at beginning of year2012-12-31$3,344,047
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$12,329
Total interest from all sources2012-12-31$3,398
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$37,837
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$37,837
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$700,500
Participant contributions at end of year2012-12-31$164,036
Participant contributions at beginning of year2012-12-31$116,963
Participant contributions at end of year2012-12-31$3,878
Participant contributions at beginning of year2012-12-31$57,708
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$588,060
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,932,107
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,344,047
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$12,329
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$204,741
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$3,051,121
Value of interest in pooled separate accounts at end of year2012-12-31$3,320,942
Value of interest in pooled separate accounts at beginning of year2012-12-31$0
Interest on participant loans2012-12-31$3,398
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$118,255
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$118,255
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$238,510
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$250,046
Net investment gain/loss from pooled separate accounts2012-12-31$54,731
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$430,080
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31Yes
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2012-12-31410746749
2011 : HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$775,588
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$817,401
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$734,770
Expenses. Certain deemed distributions of participant loans2011-12-31$14,466
Value of total corrective distributions2011-12-31$30,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$823,447
Value of total assets at end of year2011-12-31$3,344,047
Value of total assets at beginning of year2011-12-31$3,385,860
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$37,374
Total interest from all sources2011-12-31$3,609
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$93,801
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$93,801
Administrative expenses professional fees incurred2011-12-31$16,611
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$781,522
Participant contributions at end of year2011-12-31$116,963
Participant contributions at beginning of year2011-12-31$126,474
Participant contributions at end of year2011-12-31$57,708
Participant contributions at beginning of year2011-12-31$75,572
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$41,925
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-41,813
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,344,047
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,385,860
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$3,051,121
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$3,169,847
Interest on participant loans2011-12-31$3,609
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$118,255
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$13,967
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$13,967
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-145,269
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$734,770
Contract administrator fees2011-12-31$20,763
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2011-12-31410746749
2010 : HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,468,762
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$338,173
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$311,049
Value of total corrective distributions2010-12-31$19,463
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,158,093
Value of total assets at end of year2010-12-31$3,385,860
Value of total assets at beginning of year2010-12-31$2,255,271
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$7,661
Total interest from all sources2010-12-31$3,897
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$58,846
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$58,846
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$850,535
Participant contributions at end of year2010-12-31$126,474
Participant contributions at beginning of year2010-12-31$91,071
Participant contributions at end of year2010-12-31$75,572
Participant contributions at beginning of year2010-12-31$16,020
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$102,914
Total non interest bearing cash at beginning of year2010-12-31$34,206
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,130,589
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,385,860
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,255,271
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$3,169,847
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,992,548
Interest on participant loans2010-12-31$3,897
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$13,967
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$115,599
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$115,599
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$247,926
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$204,644
Employer contributions (assets) at beginning of year2010-12-31$5,827
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$311,049
Contract administrator fees2010-12-31$7,661
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31LARSONALLEN LLP
Accountancy firm EIN2010-12-31410746749
2009 : HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS

2017: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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 funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: HMC/CAH CONSOLIDATED INC EMPLOYEE SAVINGS 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number803560-000
Policy instance 1
Insurance contract or identification number803560-000
Number of Individuals Covered1483
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,740
Total amount of fees paid to insurance companyUSD $17,239
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
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 fees17239
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameARQUE CAPITAL LTD
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA568
Policy instance 2
Insurance contract or identification numberFA568
Number of Individuals Covered79
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number803560-000
Policy instance 1
Insurance contract or identification number803560-000
Number of Individuals Covered835
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,093
Total amount of fees paid to insurance companyUSD $11,216
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,093
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameTHE RETIREMENT ADVANTAGE
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA568
Policy instance 2
Insurance contract or identification numberFA568
Number of Individuals Covered89
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number803560-000
Policy instance 1
Insurance contract or identification number803560-000
Number of Individuals Covered333
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $19,496
Total amount of fees paid to insurance companyUSD $14,701
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,496
Insurance broker organization code?3
Amount paid for insurance broker fees14701
Additional information about fees paid to insurance brokerTPA SERVICES
Insurance broker nameTHE RETIREMENT ADVANTAGE
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number803560-000
Policy instance 1
Insurance contract or identification number803560-000
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $15,628
Total amount of fees paid to insurance companyUSD $23,668
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 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
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 fees23668
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?5
Insurance broker nameDAVID P BAHR
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number803560-000
Policy instance 1
Insurance contract or identification number803560-000
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,131
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,131
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerNA
Insurance broker organization code?3
Insurance broker nameDAVID P BAHR

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