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GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 401k Plan overview

Plan NameGUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN
Plan identification number 002

GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

GUERNSEY HEALTH SYSTEMS has sponsored the creation of one or more 401k plans.

Company Name:GUERNSEY HEALTH SYSTEMS
Employer identification number (EIN):311148352
NAIC Classification:621900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01TIM EVANCHO
0022016-01-01TIM EVANCHO
0022015-01-01TIM EVANCHO
0022015-01-01TIM EVANCHO

Plan Statistics for GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN

401k plan membership statisitcs for GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN

Measure Date Value
2023: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-011,310
Total number of active participants reported on line 7a of the Form 55002023-01-01703
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-01328
Total of all active and inactive participants2023-01-011,031
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-011,031
Number of participants with account balances2023-01-011,002
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-0180
2022: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,231
Total number of active participants reported on line 7a of the Form 55002022-01-01724
Number of retired or separated participants receiving benefits2022-01-016
Number of other retired or separated participants entitled to future benefits2022-01-01580
Total of all active and inactive participants2022-01-011,310
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011,310
Number of participants with account balances2022-01-011,283
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0196
2021: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,489
Total number of active participants reported on line 7a of the Form 55002021-01-01745
Number of retired or separated participants receiving benefits2021-01-016
Number of other retired or separated participants entitled to future benefits2021-01-01480
Total of all active and inactive participants2021-01-011,231
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,231
Number of participants with account balances2021-01-011,190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0178
2020: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,415
Total number of active participants reported on line 7a of the Form 55002020-01-011,209
Number of retired or separated participants receiving benefits2020-01-0169
Number of other retired or separated participants entitled to future benefits2020-01-01210
Total of all active and inactive participants2020-01-011,488
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-011,489
Number of participants with account balances2020-01-011,399
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,386
Total number of active participants reported on line 7a of the Form 55002019-01-01809
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01606
Total of all active and inactive participants2019-01-011,415
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-011,415
Number of participants with account balances2019-01-011,345
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-016
2018: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,286
Total number of active participants reported on line 7a of the Form 55002018-01-01883
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01505
Total of all active and inactive participants2018-01-011,388
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,388
Number of participants with account balances2018-01-011,315
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0118
2017: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,398
Total number of active participants reported on line 7a of the Form 55002017-01-01910
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01369
Total of all active and inactive participants2017-01-011,279
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,279
Number of participants with account balances2017-01-011,211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-014
2016: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,192
Total number of active participants reported on line 7a of the Form 55002016-01-01962
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01346
Total of all active and inactive participants2016-01-011,308
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,308
Number of participants with account balances2016-01-011,236
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-017
2015: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,107
Total number of active participants reported on line 7a of the Form 55002015-01-01962
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01225
Total of all active and inactive participants2015-01-011,187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,187
Number of participants with account balances2015-01-011,059
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN

Measure Date Value
2023 : GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2023 401k financial data
Total income from all sources (including contributions)2023-12-31$5,896,952
Total of all expenses incurred2023-12-31$2,003,294
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$1,932,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,843,149
Value of total assets at end of year2023-12-31$25,942,971
Value of total assets at beginning of year2023-12-31$22,049,313
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$70,385
Total interest from all sources2023-12-31$27,166
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$815,254
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$815,254
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$1,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$1,374,897
Participant contributions at end of year2023-12-31$0
Participant contributions at beginning of year2023-12-31$48,573
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$13,709
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$3,893,658
Value of net assets at end of year (total assets less liabilities)2023-12-31$25,942,971
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$22,049,313
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$24,688,561
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$20,765,401
Interest earned on other investments2023-12-31$27,166
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$1,254,410
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$1,217,949
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$136,525
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$3,211,383
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$454,543
Employer contributions (assets) at end of year2023-12-31$0
Employer contributions (assets) at beginning of year2023-12-31$17,390
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$1,796,384
Contract administrator fees2023-12-31$70,385
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2023-12-31381357951
2022 : GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-2,517,117
Total of all expenses incurred2022-12-31$1,907,691
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,837,693
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,090,807
Value of total assets at end of year2022-12-31$22,049,313
Value of total assets at beginning of year2022-12-31$26,474,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$69,998
Total interest from all sources2022-12-31$21,079
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,160,053
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,160,053
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,526,858
Participant contributions at end of year2022-12-31$48,573
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$64,771
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-4,424,808
Value of net assets at end of year (total assets less liabilities)2022-12-31$22,049,313
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$26,474,121
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$20,765,401
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$25,129,781
Interest earned on other investments2022-12-31$21,079
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,217,949
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$1,344,340
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$478,636
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-5,789,056
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$499,178
Employer contributions (assets) at end of year2022-12-31$17,390
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,359,057
Contract administrator fees2022-12-31$69,998
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2022-12-31381357951
2021 : GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$5,532,020
Total of all expenses incurred2021-12-31$3,159,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$3,105,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,216,681
Value of total assets at end of year2021-12-31$26,474,121
Value of total assets at beginning of year2021-12-31$24,101,495
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$53,408
Total interest from all sources2021-12-31$23,876
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$978,830
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$978,830
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,675,628
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$42,720
Other income not declared elsewhere2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,372,626
Value of net assets at end of year (total assets less liabilities)2021-12-31$26,474,121
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$24,101,495
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$25,129,781
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$22,690,382
Interest earned on other investments2021-12-31$23,876
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$1,344,340
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$1,411,113
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$243,916
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,312,633
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$498,333
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,862,070
Contract administrator fees2021-12-31$53,408
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2021-12-31381357951
2020 : GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$4,994,337
Total of all expenses incurred2020-12-31$912,654
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$855,623
Value of total corrective distributions2020-12-31$1,107
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,871,658
Value of total assets at end of year2020-12-31$24,101,495
Value of total assets at beginning of year2020-12-31$20,019,812
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$55,924
Total interest from all sources2020-12-31$19,901
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,234,309
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,234,309
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,431,392
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$65,208
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$4,081,683
Value of net assets at end of year (total assets less liabilities)2020-12-31$24,101,495
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$20,019,812
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$22,690,382
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$19,332,387
Interest earned on other investments2020-12-31$19,901
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$1,411,113
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$687,425
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$81,912
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,868,469
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$375,058
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$773,711
Contract administrator fees2020-12-31$55,924
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2020-12-31381357951
2019 : GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$5,195,877
Total of all expenses incurred2019-12-31$1,258,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,206,752
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,667,985
Value of total assets at end of year2019-12-31$20,019,812
Value of total assets at beginning of year2019-12-31$16,082,087
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$51,400
Total interest from all sources2019-12-31$14,153
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$967,835
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$967,835
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
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$1,509,972
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$158,013
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$3,937,725
Value of net assets at end of year (total assets less liabilities)2019-12-31$20,019,812
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$16,082,087
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$19,332,387
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$15,272,313
Interest earned on other investments2019-12-31$14,153
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$45
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$45
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$687,425
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$809,729
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,545,904
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$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,206,752
Contract administrator fees2019-12-31$51,400
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 name2019-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2019-12-31381357951
2018 : GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$1,040,769
Total of all expenses incurred2018-12-31$1,159,036
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,112,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,118,037
Value of total assets at end of year2018-12-31$16,082,087
Value of total assets at beginning of year2018-12-31$16,200,354
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$46,508
Total interest from all sources2018-12-31$9,437
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,187,831
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$1,187,831
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$1,505,162
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$294,406
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-118,267
Value of net assets at end of year (total assets less liabilities)2018-12-31$16,082,087
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$16,200,354
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$15,272,313
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$15,795,547
Interest earned on other investments2018-12-31$9,437
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$45
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$4,040
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$4,040
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$809,729
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$400,767
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,274,536
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$318,469
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,112,528
Contract administrator fees2018-12-31$46,508
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 name2018-12-31BLUE & CO LLC
Accountancy firm EIN2018-12-31351178662
2017 : GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$3,980,547
Total of all expenses incurred2017-12-31$891,571
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$814,664
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,532,175
Value of total assets at end of year2017-12-31$16,200,354
Value of total assets at beginning of year2017-12-31$13,111,378
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$76,907
Total interest from all sources2017-12-31$7,181
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$660,400
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$660,400
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,421,852
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$78,189
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$3,088,976
Value of net assets at end of year (total assets less liabilities)2017-12-31$16,200,354
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$13,111,378
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$15,795,547
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$12,850,399
Interest earned on other investments2017-12-31$7,181
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$4,040
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,859
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,859
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$400,767
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$259,120
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,780,791
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
Contributions received in cash from employer2017-12-31$32,134
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$814,664
Contract administrator fees2017-12-31$76,907
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 name2017-12-31BLUE & CO LLC
Accountancy firm EIN2017-12-31351178662
2016 : GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$2,603,570
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$970,126
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$892,234
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,720,614
Value of total assets at end of year2016-12-31$13,111,378
Value of total assets at beginning of year2016-12-31$11,477,934
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$77,892
Total interest from all sources2016-12-31$4,588
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$521,141
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,376,197
Participant contributions at beginning of year2016-12-31$28,971
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$42,542
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$1,633,444
Value of net assets at end of year (total assets less liabilities)2016-12-31$13,111,378
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$11,477,934
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$12,850,399
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$11,287,931
Interest on participant loans2016-12-31$0
Interest earned on other investments2016-12-31$4,588
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,859
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$259,120
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$161,032
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$357,227
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$301,875
Income. Dividends from common stock2016-12-31$521,141
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$892,234
Contract administrator fees2016-12-31$77,892
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 name2016-12-31BLUE & CO LLC
Accountancy firm EIN2016-12-31351178662
2015 : GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,309,729
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$852,476
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$779,827
Expenses. Certain deemed distributions of participant loans2015-12-31$0
Value of total corrective distributions2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,346,045
Value of total assets at end of year2015-12-31$11,477,934
Value of total assets at beginning of year2015-12-31$11,020,681
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$72,649
Total interest from all sources2015-12-31$2,118
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$594,083
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$594,083
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
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,307,135
Participant contributions at beginning of year2015-12-31$0
Participant contributions at end of year2015-12-31$28,971
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$38,910
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
Income. Non cash contributions2015-12-31$0
Value of net income/loss2015-12-31$457,253
Value of net assets at end of year (total assets less liabilities)2015-12-31$11,477,934
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,020,681
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$11,287,931
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$10,963,920
Interest earned on other investments2015-12-31$2,118
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$161,032
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$56,761
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-632,517
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 contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$779,827
Contract administrator fees2015-12-31$72,649
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 name2015-12-31BLUE & CO LLC
Accountancy firm EIN2015-12-31351178662

Form 5500 Responses for GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN

2023: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
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: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: GUERNSEY HEALTH SYSTEMS 403B SAVINGS 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: GUERNSEY HEALTH SYSTEMS 403B SAVINGS 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
2017: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 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: GUERNSEY HEALTH SYSTEMS 403B SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
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

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number69159
Policy instance 1
Insurance contract or identification number69159
Number of Individuals Covered1346
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Contracts With Unallocated Funds Deposit Administration1
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 number69159
Policy instance 1
Insurance contract or identification number69159
Number of Individuals Covered1298
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Contracts With Unallocated Funds Deposit Administration1
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 number69159
Policy instance 1
Insurance contract or identification number69159
Number of Individuals Covered1204
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Contracts With Unallocated Funds Deposit Administration1
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 number69159
Policy instance 1
Insurance contract or identification number69159
Number of Individuals Covered1399
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 number69159
Policy instance 1
Insurance contract or identification number69159
Number of Individuals Covered1346
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Contracts With Unallocated Funds Deposit Administration1
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 number69159
Policy instance 1
Insurance contract or identification number69159
Number of Individuals Covered1316
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Contracts With Unallocated Funds Deposit Administration1
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 number69159
Policy instance 1
Insurance contract or identification number69159
Number of Individuals Covered1212
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Contracts With Unallocated Funds Deposit Administration1
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 number69159
Policy instance 1
Insurance contract or identification number69159
Number of Individuals Covered1060
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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

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