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PALOS HEALTH 401(A) PLAN 401k Plan overview

Plan NamePALOS HEALTH 401(A) PLAN
Plan identification number 001

PALOS HEALTH 401(A) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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.
  • 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

PALOS COMMUNITY HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:PALOS COMMUNITY HOSPITAL
Employer identification number (EIN):362169179
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PALOS HEALTH 401(A) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01MARY DENISIENKO
0012016-01-01MARY DENISIENKO
0012015-01-01MARY DENISIENKO
0012014-01-01MARY DENISIENKO
0012013-01-01MARY DENISIENKO
0012012-01-01MARY DENISIENKO MARY DENISIENKO2013-10-13
0012011-01-01MARY DENISIENKO
0012009-01-01MARY DENISIENKO

Plan Statistics for PALOS HEALTH 401(A) PLAN

401k plan membership statisitcs for PALOS HEALTH 401(A) PLAN

Measure Date Value
2021: PALOS HEALTH 401(A) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,321
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-010
Number of participants with account balances2021-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: PALOS HEALTH 401(A) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,567
Total number of active participants reported on line 7a of the Form 55002020-01-01847
Number of retired or separated participants receiving benefits2020-01-0127
Number of other retired or separated participants entitled to future benefits2020-01-01426
Total of all active and inactive participants2020-01-011,300
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-0121
Total participants2020-01-011,321
Number of participants with account balances2020-01-011,321
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: PALOS HEALTH 401(A) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,679
Total number of active participants reported on line 7a of the Form 55002019-01-011,063
Number of retired or separated participants receiving benefits2019-01-0159
Number of other retired or separated participants entitled to future benefits2019-01-01427
Total of all active and inactive participants2019-01-011,549
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0118
Total participants2019-01-011,567
Number of participants with account balances2019-01-011,478
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: PALOS HEALTH 401(A) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,752
Total number of active participants reported on line 7a of the Form 55002018-01-011,177
Number of retired or separated participants receiving benefits2018-01-0156
Number of other retired or separated participants entitled to future benefits2018-01-01431
Total of all active and inactive participants2018-01-011,664
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0115
Total participants2018-01-011,679
Number of participants with account balances2018-01-011,577
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: PALOS HEALTH 401(A) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,795
Total number of active participants reported on line 7a of the Form 55002017-01-011,241
Number of retired or separated participants receiving benefits2017-01-0157
Number of other retired or separated participants entitled to future benefits2017-01-01440
Total of all active and inactive participants2017-01-011,738
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-0114
Total participants2017-01-011,752
Number of participants with account balances2017-01-011,684
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: PALOS HEALTH 401(A) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,917
Total number of active participants reported on line 7a of the Form 55002016-01-011,366
Number of retired or separated participants receiving benefits2016-01-0160
Number of other retired or separated participants entitled to future benefits2016-01-01359
Total of all active and inactive participants2016-01-011,785
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-0110
Total participants2016-01-011,795
Number of participants with account balances2016-01-011,790
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: PALOS HEALTH 401(A) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,038
Total number of active participants reported on line 7a of the Form 55002015-01-011,402
Number of retired or separated participants receiving benefits2015-01-0157
Number of other retired or separated participants entitled to future benefits2015-01-01453
Total of all active and inactive participants2015-01-011,912
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-015
Total participants2015-01-011,917
Number of participants with account balances2015-01-011,917
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: PALOS HEALTH 401(A) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,223
Total number of active participants reported on line 7a of the Form 55002014-01-011,545
Number of retired or separated participants receiving benefits2014-01-0152
Number of other retired or separated participants entitled to future benefits2014-01-01434
Total of all active and inactive participants2014-01-012,031
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-017
Total participants2014-01-012,038
Number of participants with account balances2014-01-012,038
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: PALOS HEALTH 401(A) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,338
Total number of active participants reported on line 7a of the Form 55002013-01-011,761
Number of retired or separated participants receiving benefits2013-01-0155
Number of other retired or separated participants entitled to future benefits2013-01-01401
Total of all active and inactive participants2013-01-012,217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-016
Total participants2013-01-012,223
Number of participants with account balances2013-01-012,223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: PALOS HEALTH 401(A) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,478
Total number of active participants reported on line 7a of the Form 55002012-01-011,884
Number of retired or separated participants receiving benefits2012-01-0138
Number of other retired or separated participants entitled to future benefits2012-01-01412
Total of all active and inactive participants2012-01-012,334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-014
Total participants2012-01-012,338
Number of participants with account balances2012-01-012,338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: PALOS HEALTH 401(A) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,578
Total number of active participants reported on line 7a of the Form 55002011-01-012,001
Number of retired or separated participants receiving benefits2011-01-0128
Number of other retired or separated participants entitled to future benefits2011-01-01445
Total of all active and inactive participants2011-01-012,474
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-014
Total participants2011-01-012,478
Number of participants with account balances2011-01-012,478
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: PALOS HEALTH 401(A) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013,153
Total number of active participants reported on line 7a of the Form 55002009-01-012,564
Number of retired or separated participants receiving benefits2009-01-0110
Number of other retired or separated participants entitled to future benefits2009-01-0194
Total of all active and inactive participants2009-01-012,668
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-012
Total participants2009-01-012,670
Number of participants with account balances2009-01-012,664
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on PALOS HEALTH 401(A) PLAN

Measure Date Value
2021 : PALOS HEALTH 401(A) PLAN 2021 401k financial data
Total transfer of assets from this plan2021-09-01$102,186,403
Total income from all sources (including contributions)2021-09-01$10,492,859
Total of all expenses incurred2021-09-01$12,073,671
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-01$12,011,260
Value of total assets at end of year2021-09-01$0
Value of total assets at beginning of year2021-09-01$103,767,215
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-01$62,411
Total dividends received (eg from common stock, registered investment company shares)2021-09-01$261,473
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-01Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-09-01$0
Total dividends received from registered investment company shares (eg mutual funds)2021-09-01$261,473
Administrative expenses professional fees incurred2021-09-01$11,050
Was this plan covered by a fidelity bond2021-09-01Yes
Value of fidelity bond cover2021-09-01$10,000,000
If this is an individual account plan, was there a blackout period2021-09-01No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-01$0
Were there any nonexempt tranactions with any party-in-interest2021-09-01No
Assets. Other investments not covered elsewhere at end of year2021-09-01$0
Assets. Other investments not covered elsewhere at beginning of year2021-09-01$21,181,491
Other income not declared elsewhere2021-09-01$355,312
Administrative expenses (other) incurred2021-09-01$37,798
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-01No
Value of net income/loss2021-09-01$-1,580,812
Value of net assets at end of year (total assets less liabilities)2021-09-01$0
Value of net assets at beginning of year (total assets less liabilities)2021-09-01$103,767,215
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-01No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-01No
Were any leases to which the plan was party in default or uncollectible2021-09-01No
Investment advisory and management fees2021-09-01$13,563
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-01$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-01$82,585,724
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-09-01$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-09-01$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-09-01$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-01$9,876,074
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-01No
Was there a failure to transmit to the plan any participant contributions2021-09-01No
Has the plan failed to provide any benefit when due under the plan2021-09-01No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-01$12,011,260
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-09-01No
Did the plan have assets held for investment2021-09-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-01Yes
Opinion of an independent qualified public accountant for this plan2021-09-01Disclaimer
Accountancy firm name2021-09-01WIPFLI LLP
Accountancy firm EIN2021-09-01390758449
2020 : PALOS HEALTH 401(A) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$10,503,462
Total of all expenses incurred2020-12-31$14,107,935
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$14,022,445
Value of total assets at end of year2020-12-31$103,767,215
Value of total assets at beginning of year2020-12-31$107,371,688
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$85,490
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,604,958
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$1,604,958
Administrative expenses professional fees incurred2020-12-31$11,350
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
If this is an individual account plan, was there a blackout period2020-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Funding deficiency by the employer to the plan for this plan year2020-12-31$0
Minimum employer required contribution for this plan year2020-12-31$0
Amount contributed by the employer to the plan for this plan year2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Assets. Other investments not covered elsewhere at end of year2020-12-31$21,181,491
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$20,313,606
Other income not declared elsewhere2020-12-31$571,854
Administrative expenses (other) incurred2020-12-31$58,821
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-3,604,473
Value of net assets at end of year (total assets less liabilities)2020-12-31$103,767,215
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$107,371,688
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
Investment advisory and management fees2020-12-31$11,119
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$82,585,724
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$85,281,017
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,777,065
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,777,065
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$8,326,650
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$14,022,445
Contract administrator fees2020-12-31$4,200
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31Yes
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 name2020-12-31WIPFLI LLP
Accountancy firm EIN2020-12-31390758449
2019 : PALOS HEALTH 401(A) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$18,250,786
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$8,913,441
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$8,893,441
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$0
Value of total assets at end of year2019-12-31$107,371,688
Value of total assets at beginning of year2019-12-31$98,034,343
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$20,000
Total interest from all sources2019-12-31$32,539
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$3,720,945
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$3,720,945
Administrative expenses professional fees incurred2019-12-31$15,500
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Funding deficiency by the employer to the plan for this plan year2019-12-31$0
Minimum employer required contribution for this plan year2019-12-31$0
Amount contributed by the employer to the plan for this plan year2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Assets. Other investments not covered elsewhere at end of year2019-12-31$20,313,606
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$21,864,689
Other income not declared elsewhere2019-12-31$444,520
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$9,337,345
Value of net assets at end of year (total assets less liabilities)2019-12-31$107,371,688
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$98,034,343
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$85,281,017
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$74,198,581
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,777,065
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,971,073
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,971,073
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$32,539
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$14,052,782
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$8,893,441
Contract administrator fees2019-12-31$4,500
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 name2019-12-31WIPFLI LLP
Accountancy firm EIN2019-12-31390758449
2018 : PALOS HEALTH 401(A) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$-3,769,102
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$9,398,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$9,369,688
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$0
Value of total assets at end of year2018-12-31$98,034,343
Value of total assets at beginning of year2018-12-31$111,201,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$28,350
Total interest from all sources2018-12-31$25,732
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$4,314,110
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$4,314,110
Administrative expenses professional fees incurred2018-12-31$19,650
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Funding deficiency by the employer to the plan for this plan year2018-12-31$0
Minimum employer required contribution for this plan year2018-12-31$0
Amount contributed by the employer to the plan for this plan year2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Assets. Other investments not covered elsewhere at end of year2018-12-31$21,864,689
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$23,652,756
Other income not declared elsewhere2018-12-31$416,978
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-13,167,140
Value of net assets at end of year (total assets less liabilities)2018-12-31$98,034,343
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$111,201,483
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$74,198,581
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$85,496,889
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,971,073
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$2,051,838
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$2,051,838
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$25,732
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-8,525,922
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$9,369,688
Contract administrator fees2018-12-31$8,700
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 name2018-12-31WIPFLI LLP
Accountancy firm EIN2018-12-31390758449
2017 : PALOS HEALTH 401(A) PLAN 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$14,962,015
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$7,343,139
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,326,839
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$0
Value of total assets at end of year2017-12-31$111,201,483
Value of total assets at beginning of year2017-12-31$103,582,607
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$16,300
Total interest from all sources2017-12-31$7,287
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$3,976,489
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$3,976,489
Administrative expenses professional fees incurred2017-12-31$10,000
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
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
Funding deficiency by the employer to the plan for this plan year2017-12-31$0
Minimum employer required contribution for this plan year2017-12-31$0
Amount contributed by the employer to the plan for this plan year2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Assets. Other investments not covered elsewhere at end of year2017-12-31$23,652,756
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$25,892,262
Other income not declared elsewhere2017-12-31$452,991
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$7,618,876
Value of net assets at end of year (total assets less liabilities)2017-12-31$111,201,483
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$103,582,607
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$85,496,889
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$75,477,300
Interest earned on other investments2017-12-31$58
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$2,051,838
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$2,213,045
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$2,213,045
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$7,229
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$10,525,248
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$7,326,839
Contract administrator fees2017-12-31$6,300
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 name2017-12-31WIPFLI LLP
Accountancy firm EIN2017-12-31390758449
2016 : PALOS HEALTH 401(A) 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$5,358,220
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$8,011,012
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$8,011,012
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$0
Value of total assets at end of year2016-12-31$103,582,607
Value of total assets at beginning of year2016-12-31$106,235,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$0
Total interest from all sources2016-12-31$1,767
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$2,073,586
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$2,073,586
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
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
Funding deficiency by the employer to the plan for this plan year2016-12-31$0
Minimum employer required contribution for this plan year2016-12-31$0
Amount contributed by the employer to the plan for this plan year2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Assets. Other investments not covered elsewhere at end of year2016-12-31$25,892,262
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$26,829,024
Other income not declared elsewhere2016-12-31$466,360
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-2,652,792
Value of net assets at end of year (total assets less liabilities)2016-12-31$103,582,607
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$106,235,399
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$75,477,300
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$77,075,204
Interest earned on other investments2016-12-31$11
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$2,213,045
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$2,331,171
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$2,331,171
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,756
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$2,816,507
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$8,011,012
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 name2016-12-31WIPFLI LLP
Accountancy firm EIN2016-12-31390758449
2015 : PALOS HEALTH 401(A) 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$71,510
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$9,986,849
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$9,986,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$0
Value of total assets at end of year2015-12-31$106,235,399
Value of total assets at beginning of year2015-12-31$116,150,738
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$0
Total interest from all sources2015-12-31$1,332
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,487,433
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,487,433
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
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
Funding deficiency by the employer to the plan for this plan year2015-12-31$0
Minimum employer required contribution for this plan year2015-12-31$0
Amount contributed by the employer to the plan for this plan year2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Assets. Other investments not covered elsewhere at end of year2015-12-31$26,829,024
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Other income not declared elsewhere2015-12-31$475,961
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-9,915,339
Value of net assets at end of year (total assets less liabilities)2015-12-31$106,235,399
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$116,150,738
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$77,075,204
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$84,607,102
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$2,331,171
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$3,109,205
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$3,109,205
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1,332
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$28,434,431
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-1,893,216
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$9,986,849
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 name2015-12-31BIK & CO, LLP
Accountancy firm EIN2015-12-31363244618
2014 : PALOS HEALTH 401(A) PLAN 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$0
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$6,135,829
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$11,704,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$11,704,601
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$116,150,738
Value of total assets at beginning of year2014-12-31$121,719,510
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$0
Total interest from all sources2014-12-31$520,646
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$2,459,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$2,459,007
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
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
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-5,568,772
Value of net assets at end of year (total assets less liabilities)2014-12-31$116,150,738
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$121,719,510
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$84,607,102
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$85,737,772
Interest earned on other investments2014-12-31$518,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$3,109,205
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$3,662,747
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$3,662,747
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1,799
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$28,434,431
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$32,318,991
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$3,156,176
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$11,704,601
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 name2014-12-31BIK & CO, LLP
Accountancy firm EIN2014-12-31363244618
2013 : PALOS HEALTH 401(A) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets from this plan2013-12-31$1,683
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$15,665,195
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$6,672,072
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$6,672,072
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$0
Value of total assets at end of year2013-12-31$121,719,510
Value of total assets at beginning of year2013-12-31$112,728,070
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$0
Total interest from all sources2013-12-31$553,298
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$1,942,578
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$1,942,578
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
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
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
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$8,993,123
Value of net assets at end of year (total assets less liabilities)2013-12-31$121,719,510
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$112,728,070
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$85,737,772
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$75,741,170
Interest earned on other investments2013-12-31$550,808
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$3,662,747
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$4,386,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$4,386,410
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$2,490
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$32,318,991
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$32,600,490
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$13,169,319
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$6,672,072
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 name2013-12-31BIK & CO, LLP
Accountancy firm EIN2013-12-31363244618
2012 : PALOS HEALTH 401(A) PLAN 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$47,738
Total income from all sources (including contributions)2012-12-31$10,072,705
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$6,463,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$6,460,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$0
Value of total assets at end of year2012-12-31$112,728,070
Value of total assets at beginning of year2012-12-31$109,166,346
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,478
Total interest from all sources2012-12-31$690,167
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$2,243,280
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$2,243,280
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$49,496
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$47,738
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$3,609,462
Value of net assets at end of year (total assets less liabilities)2012-12-31$112,728,070
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$109,118,608
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$75,741,170
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$70,355,632
Interest earned on other investments2012-12-31$669,360
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$4,386,410
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$4,962,902
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$4,962,902
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$20,807
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$32,600,490
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$33,798,316
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$7,139,258
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$6,460,765
Contract administrator fees2012-12-31$2,478
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 name2012-12-31BIK & CO, LLP
Accountancy firm EIN2012-12-31363244618
2011 : PALOS HEALTH 401(A) PLAN 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$47,738
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$37,587
Total income from all sources (including contributions)2011-12-31$718,852
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$3,902,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,902,336
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$0
Value of total assets at end of year2011-12-31$109,166,346
Value of total assets at beginning of year2011-12-31$112,339,679
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total interest from all sources2011-12-31$921,538
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$1,950,026
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$1,950,026
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$49,496
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$37,550
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$47,738
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$37,587
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-3,183,484
Value of net assets at end of year (total assets less liabilities)2011-12-31$109,118,608
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$112,302,092
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$70,355,632
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$74,727,924
Interest earned on other investments2011-12-31$917,510
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$4,962,902
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$5,865,587
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$5,865,587
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$4,028
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$33,798,316
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$31,708,618
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-2,152,712
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 contributions2011-12-31No
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$3,902,336
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31Yes
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 name2011-12-31BIK & CO, LLP
Accountancy firm EIN2011-12-31363244618
2010 : PALOS HEALTH 401(A) PLAN 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$37,587
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$9,785,057
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$3,957,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,957,404
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$0
Value of total assets at end of year2010-12-31$112,339,679
Value of total assets at beginning of year2010-12-31$106,474,439
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$895,303
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$1,847,359
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$1,847,359
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
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
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$4,224
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$37,550
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$7,104,201
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$37,587
Other income not declared elsewhere2010-12-31$315
Total non interest bearing cash at beginning of year2010-12-31$-83,805
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$5,827,653
Value of net assets at end of year (total assets less liabilities)2010-12-31$112,302,092
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$106,474,439
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$74,727,924
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$69,594,494
Interest on participant loans2010-12-31$137
Interest earned on other investments2010-12-31$892,359
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$5,865,587
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$8,749,928
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$8,749,928
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$2,807
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$31,708,618
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$21,105,397
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$7,042,080
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 contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,957,404
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 name2010-12-31BIK & CO, LLP
Accountancy firm EIN2010-12-31363244618
2009 : PALOS HEALTH 401(A) PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for PALOS HEALTH 401(A) PLAN

2021: PALOS HEALTH 401(A) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: PALOS HEALTH 401(A) 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: PALOS HEALTH 401(A) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PALOS HEALTH 401(A) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PALOS HEALTH 401(A) PLAN 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: PALOS HEALTH 401(A) 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: PALOS HEALTH 401(A) PLAN 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: PALOS HEALTH 401(A) PLAN 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: PALOS HEALTH 401(A) PLAN 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: PALOS HEALTH 401(A) PLAN 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: PALOS HEALTH 401(A) PLAN 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 – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: PALOS HEALTH 401(A) PLAN 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

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberTA080636
Policy instance 1
Insurance contract or identification numberTA080636
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-09-01
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberTA080636
Policy instance 2
Insurance contract or identification numberTA080636
Number of Individuals Covered1321
Insurance policy start date2020-03-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 1
Insurance contract or identification number893152-087
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-04-02
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 1
Insurance contract or identification number893152-087
Number of Individuals Covered610
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 1
Insurance contract or identification number893152-087
Number of Individuals Covered658
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 1
Insurance contract or identification number893152-087
Number of Individuals Covered707
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 1
Insurance contract or identification number893152-087
Number of Individuals Covered810
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 1
Insurance contract or identification number893152-087
Number of Individuals Covered872
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 1
Insurance contract or identification number893152-087
Number of Individuals Covered975
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTW080085
Policy instance 1
Insurance contract or identification numberTW080085
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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?Yes
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 2
Insurance contract or identification number893152-087
Number of Individuals Covered1027
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTW080085
Policy instance 2
Insurance contract or identification numberTW080085
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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?Yes
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 1
Insurance contract or identification number893152-087
Number of Individuals Covered1087
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WESTERN RESERVE LIFE ASSURANCE-NORTHWIND, LLC (National Association of Insurance Commissioners NAIC id number: 85561 )
Policy contract numberTW080085
Policy instance 2
Insurance contract or identification numberTW080085
Number of Individuals Covered1061
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?Yes
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number893152-087
Policy instance 1
Insurance contract or identification number893152-087
Number of Individuals Covered1099
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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