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HEMET HEALTHCARE SURGICENTER 401(K) PLAN 401k Plan overview

Plan NameHEMET HEALTHCARE SURGICENTER 401(K) PLAN
Plan identification number 001

HEMET HEALTHCARE SURGICENTER 401(K) PLAN 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.
  • 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.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

HEMET HEALTHCARE SURGICENTER has sponsored the creation of one or more 401k plans.

Company Name:HEMET HEALTHCARE SURGICENTER
Employer identification number (EIN):330526203
NAIC Classification:621493
NAIC Description:Freestanding Ambulatory Surgical and Emergency Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEMET HEALTHCARE SURGICENTER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01DEBRA SAIGE2018-03-23 DEBRA SAIGE2018-03-23
0012016-01-01DEBRA SAIGE2017-10-16 DEBRA SAIGE2017-10-16
0012015-01-01DEBRA SAIGE2016-07-29 DEBRA SAIGE2016-07-29
0012014-01-01VINAY RAO2015-07-29 VINAY RAO2015-07-29
0012013-01-01VINAY RAO2014-06-05 VINAY RAO2014-06-05
0012012-01-01VINAY RAO2013-07-15 VINAY RAO2013-07-15
0012011-01-01VINAY RAO2012-05-10 VINAY RAO2012-05-14
0012010-01-01VINAY RAO2012-05-16 VINAY RAO2012-05-16
0012008-01-01
0012007-01-01
0012006-01-01
0012005-01-01

Plan Statistics for HEMET HEALTHCARE SURGICENTER 401(K) PLAN

401k plan membership statisitcs for HEMET HEALTHCARE SURGICENTER 401(K) PLAN

Measure Date Value
2008: HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-0128
Total number of active participants reported on line 7a of the Form 55002008-01-0127
Number of other retired or separated participants entitled to future benefits2008-01-011
Total of all active and inactive participants2008-01-0128
Total participants2008-01-0128
Number of participants with account balances2008-01-013
2007: HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-0128
Total number of active participants reported on line 7a of the Form 55002007-01-0127
Number of other retired or separated participants entitled to future benefits2007-01-011
Total of all active and inactive participants2007-01-0128
Total participants2007-01-0128
Number of participants with account balances2007-01-012
2006: HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-0129
Total number of active participants reported on line 7a of the Form 55002006-01-0127
Number of other retired or separated participants entitled to future benefits2006-01-011
Total of all active and inactive participants2006-01-0128
Total participants2006-01-0128
Number of participants with account balances2006-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2006-01-011
2005: HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2005 401k membership
Total participants, beginning-of-year2005-01-0129
Total number of active participants reported on line 7a of the Form 55002005-01-0129
Total of all active and inactive participants2005-01-0129
Total participants2005-01-0129
Number of participants with account balances2005-01-013

Financial Data on HEMET HEALTHCARE SURGICENTER 401(K) PLAN

Measure Date Value
2008 : HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2008 401k financial data
Total income from all sources2008-12-31$16,161
Expenses. Total of all expenses incurred2008-12-31$0
Total plan assets at end of year2008-12-31$28,657
Total plan assets at beginning of year2008-12-31$12,496
Value of fidelity bond covering the plan2008-12-31$50,000
Total contributions received or receivable from participants2008-12-31$14,240
Other income received2008-12-31$-4,281
Net income (gross income less expenses)2008-12-31$16,161
Net plan assets at end of year (total assets less liabilities)2008-12-31$28,657
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$12,496
Total contributions received or receivable from employer(s)2008-12-31$6,202
2007 : HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2007 401k financial data
Total income from all sources2007-12-31$1,192
Expenses. Total of all expenses incurred2007-12-31$0
Total plan assets at end of year2007-12-31$12,496
Total plan assets at beginning of year2007-12-31$11,304
Value of fidelity bond covering the plan2007-12-31$50,000
Other income received2007-12-31$192
Net income (gross income less expenses)2007-12-31$1,192
Net plan assets at end of year (total assets less liabilities)2007-12-31$12,496
Net plan assets at beginning of year (total assets less liabilities)2007-12-31$11,304
Total contributions received or receivable from employer(s)2007-12-31$1,000
2006 : HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2006 401k financial data
Total income from all sources2006-12-31$3,509
Expenses. Total of all expenses incurred2006-12-31$1,425
Benefits paid (including direct rollovers)2006-12-31$1,425
Total plan assets at end of year2006-12-31$11,304
Total plan assets at beginning of year2006-12-31$9,220
Value of fidelity bond covering the plan2006-12-31$50,000
Other income received2006-12-31$1,055
Net income (gross income less expenses)2006-12-31$2,084
Net plan assets at end of year (total assets less liabilities)2006-12-31$11,304
Net plan assets at beginning of year (total assets less liabilities)2006-12-31$9,220
Total contributions received or receivable from employer(s)2006-12-31$2,454
2005 : HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2005 401k financial data
Total income from all sources2005-12-31$3,777
Expenses. Total of all expenses incurred2005-12-31$0
Total plan assets at end of year2005-12-31$9,220
Total plan assets at beginning of year2005-12-31$5,443
Value of fidelity bond covering the plan2005-12-31$50,000
Total contributions received or receivable from participants2005-12-31$2,638
Other income received2005-12-31$397
Net income (gross income less expenses)2005-12-31$3,777
Net plan assets at end of year (total assets less liabilities)2005-12-31$9,220
Net plan assets at beginning of year (total assets less liabilities)2005-12-31$5,443
Total contributions received or receivable from employer(s)2005-12-31$742

Form 5500 Responses for HEMET HEALTHCARE SURGICENTER 401(K) PLAN

2008: HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan benefit arrangement – InsuranceYes
2007: HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan benefit arrangement – InsuranceYes
2006: HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Submission has been amendedNo
2006-01-01This submission is the final filingNo
2006-01-01This return/report is a short plan year return/report (less than 12 months)No
2006-01-01Plan is a collectively bargained planNo
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan benefit arrangement – InsuranceYes
2005: HEMET HEALTHCARE SURGICENTER 401(K) PLAN 2005 form 5500 responses
2005-01-01Type of plan entitySingle employer plan
2005-01-01Submission has been amendedNo
2005-01-01This submission is the final filingNo
2005-01-01This return/report is a short plan year return/report (less than 12 months)No
2005-01-01Plan is a collectively bargained planNo
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number5-15815
Policy instance 1
Insurance contract or identification number5-15815
Number of Individuals Covered28
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $418
Total amount of fees paid to insurance companyUSD $37
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?Yes
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
Commission paid to Insurance BrokerUSD $418
Amount paid for insurance broker fees37
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker nameNYLINK INSURANCE AGENCY INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number5-15815
Policy instance 1
Insurance contract or identification number5-15815
Number of Individuals Covered28
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
Total amount of commissions paid to insurance brokerUSD $24
Total amount of fees paid to insurance companyUSD $34
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?Yes
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
Commission paid to Insurance BrokerUSD $24
Amount paid for insurance broker fees34
Additional information about fees paid to insurance brokerREFERRA; SERVOCE FEE
Insurance broker organization code?3
Insurance broker nameNYLINK INSURANCE AGENCY INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number5-15815
Policy instance 1
Insurance contract or identification number5-15815
Number of Individuals Covered28
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
Total amount of commissions paid to insurance brokerUSD $53
Total amount of fees paid to insurance companyUSD $28
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?Yes
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
Commission paid to Insurance BrokerUSD $53
Amount paid for insurance broker fees28
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker nameNYLINK INSURANCE AGENCY INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number5-15815
Policy instance 1
Insurance contract or identification number5-15815
Number of Individuals Covered29
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
Total amount of commissions paid to insurance brokerUSD $79
Total amount of fees paid to insurance companyUSD $16
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?Yes
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
Commission paid to Insurance BrokerUSD $79
Amount paid for insurance broker fees16
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Insurance broker nameNYLINK INSURANCE AGENCY INC

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