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REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 401k Plan overview

Plan NameREGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST
Plan identification number 504

REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

REGIONAL WEST HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name:REGIONAL WEST HEALTH SERVICES
Employer identification number (EIN):363314157
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01ALAN TOWNSEND2023-10-13
5042021-01-01MICHAEL ICKOWSKI2022-10-17
5042020-01-01MICHAEL ICKOWSKI2021-10-14
5042019-01-01
5042018-01-01
5042017-01-01MICHAEL ICKOWSKI MICHAEL ICKOWSKI2018-10-12
5042016-01-01MICHAEL ICKOWSKI STAN MOSER2017-10-16
5042015-01-01STAN MOSER STAN MOSER2016-10-17
5042014-01-01DAVID GRIFFITHS DAVID GRIFFTHS2015-10-13
5042013-01-01DAVID GRIFFITHS DAVID GRIFFTHS2014-10-15
5042012-01-01DAVID GRIFFITHS DAVID GRIFFTHS2013-10-15
5042011-01-01DAVID GRIFFITHS DAVID GRIFFTHS2012-10-12
5042009-01-01DAVID GRIFFITHS DAVID GRIFFTHS2010-10-15

Plan Statistics for REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST

401k plan membership statisitcs for REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST

Measure Date Value
2022: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-011,044
Total number of active participants reported on line 7a of the Form 55002022-01-01797
Number of retired or separated participants receiving benefits2022-01-012
Total of all active and inactive participants2022-01-01799
2021: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-011,085
Total number of active participants reported on line 7a of the Form 55002021-01-011,033
Number of retired or separated participants receiving benefits2021-01-0111
Total of all active and inactive participants2021-01-011,044
2020: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-011,112
Total number of active participants reported on line 7a of the Form 55002020-01-011,073
Number of retired or separated participants receiving benefits2020-01-0112
Total of all active and inactive participants2020-01-011,085
2019: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-011,266
Total number of active participants reported on line 7a of the Form 55002019-01-011,104
Number of retired or separated participants receiving benefits2019-01-018
Total of all active and inactive participants2019-01-011,112
2018: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011,272
Total number of active participants reported on line 7a of the Form 55002018-01-011,195
Number of retired or separated participants receiving benefits2018-01-015
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,200
Total participants2018-01-011,200
2017: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-011,309
Total number of active participants reported on line 7a of the Form 55002017-01-011,272
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,275
2016: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-011,255
Total number of active participants reported on line 7a of the Form 55002016-01-011,309
Number of retired or separated participants receiving benefits2016-01-0120
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,329
2015: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-011,288
Total number of active participants reported on line 7a of the Form 55002015-01-011,255
Number of retired or separated participants receiving benefits2015-01-0118
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,273
2014: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-011,285
Total number of active participants reported on line 7a of the Form 55002014-01-011,288
Number of retired or separated participants receiving benefits2014-01-019
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,297
2013: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-011,353
Total number of active participants reported on line 7a of the Form 55002013-01-011,285
Number of retired or separated participants receiving benefits2013-01-016
Total of all active and inactive participants2013-01-011,291
2012: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-011,328
Total number of active participants reported on line 7a of the Form 55002012-01-011,348
Number of retired or separated participants receiving benefits2012-01-0110
Total of all active and inactive participants2012-01-011,358
2011: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-011,289
Total number of active participants reported on line 7a of the Form 55002011-01-011,328
Number of retired or separated participants receiving benefits2011-01-0111
Total of all active and inactive participants2011-01-011,339
2009: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-011,203
Total number of active participants reported on line 7a of the Form 55002009-01-011,213
Number of retired or separated participants receiving benefits2009-01-013
Total of all active and inactive participants2009-01-011,216

Financial Data on REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST

Measure Date Value
2022 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$206,932
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,111,372
Total income from all sources (including contributions)2022-12-31$21,939,431
Total of all expenses incurred2022-12-31$22,466,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$22,042,029
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$22,212,264
Value of total assets at end of year2022-12-31$1,937,887
Value of total assets at beginning of year2022-12-31$5,369,125
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$424,200
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$29,651
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$29,651
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$3,445,861
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$188,218
Assets. Other investments not covered elsewhere at end of year2022-12-31$426,042
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$3,361,107
Administrative expenses (other) incurred2022-12-31$28,186
Liabilities. Value of operating payables at end of year2022-12-31$206,932
Liabilities. Value of operating payables at beginning of year2022-12-31$1,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-526,798
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,730,955
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,257,753
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,229,872
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,502,705
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$281,973
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$317,095
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$317,095
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,012,247
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-302,484
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$18,766,403
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$20,029,782
Contract administrator fees2022-12-31$396,014
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$3,110,372
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31EIDE BAILLY, LLP
Accountancy firm EIN2022-12-31450250958
2021 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3,111,372
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$2,830,672
Total income from all sources (including contributions)2021-12-31$34,524,065
Total of all expenses incurred2021-12-31$31,592,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$31,096,455
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$34,296,440
Value of total assets at end of year2021-12-31$5,369,125
Value of total assets at beginning of year2021-12-31$2,156,496
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$495,681
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$26,757
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$26,757
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$4,141,442
Participant contributions at end of year2021-12-31$188,218
Participant contributions at beginning of year2021-12-31$6,822
Assets. Other investments not covered elsewhere at end of year2021-12-31$3,361,107
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$272,095
Administrative expenses (other) incurred2021-12-31$45,669
Liabilities. Value of operating payables at end of year2021-12-31$1,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,931,929
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,257,753
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$-674,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,502,705
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,275,081
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$317,095
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$411,186
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$411,186
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,756,961
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$200,868
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$30,154,998
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$191,312
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$29,339,494
Contract administrator fees2021-12-31$450,012
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$3,110,372
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$2,830,672
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31EIDE BAILLY, LLP
Accountancy firm EIN2021-12-31450250958
2020 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$29,275,373
Total of all expenses incurred2020-12-31$29,578,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$28,880,341
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$29,123,139
Value of total assets at end of year2020-12-31$2,156,496
Value of total assets at beginning of year2020-12-31$2,459,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$698,490
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$26,732
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$26,732
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$4,115,148
Participant contributions at end of year2020-12-31$6,822
Assets. Other investments not covered elsewhere at end of year2020-12-31$272,095
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$791,515
Administrative expenses (other) incurred2020-12-31$228,374
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-303,458
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,156,496
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,459,954
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,275,081
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,122,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$411,186
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$545,592
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$545,592
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,902,885
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$125,502
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$25,007,991
Employer contributions (assets) at end of year2020-12-31$191,312
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$26,977,456
Contract administrator fees2020-12-31$470,116
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31SEIM JOHNSON, LLP
Accountancy firm EIN2020-12-31476097913
2019 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 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$272,371
Total income from all sources (including contributions)2019-12-31$34,222,765
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$35,318,306
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$34,568,211
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$30,336,524
Value of total assets at end of year2019-12-31$2,459,954
Value of total assets at beginning of year2019-12-31$3,827,866
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$750,095
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$25,639
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$25,639
Administrative expenses professional fees incurred2019-12-31$12,775
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$4,390,912
Assets. Other investments not covered elsewhere at end of year2019-12-31$791,515
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$999,398
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$272,371
Other income not declared elsewhere2019-12-31$3,683,093
Administrative expenses (other) incurred2019-12-31$244,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-1,095,541
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,459,954
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,555,495
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$1,122,847
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$919,699
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$545,592
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,908,769
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,908,769
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,702,049
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$177,509
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$25,945,612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$32,866,162
Contract administrator fees2019-12-31$493,205
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)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31LUTZ & COMPANY P.C.
Accountancy firm EIN2019-12-31470625816
2018 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 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$272,371
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$245,886
Total income from all sources (including contributions)2018-12-31$31,276,462
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$29,048,318
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$28,501,169
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$29,781,456
Value of total assets at end of year2018-12-31$3,827,866
Value of total assets at beginning of year2018-12-31$1,573,237
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$547,149
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$24,132
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$24,132
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,790,328
Assets. Other investments not covered elsewhere at end of year2018-12-31$999,398
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$469,979
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$285,725
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$272,371
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$245,886
Other income not declared elsewhere2018-12-31$1,538,516
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$2,228,144
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,555,495
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,327,351
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$919,699
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$963,048
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,908,769
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$140,210
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$140,210
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,516,291
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-67,642
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$26,991,128
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$26,699,153
Contract administrator fees2018-12-31$547,149
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)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31COUNTRYMAN ASSOCIATES, P.C.
Accountancy firm EIN2018-12-31470623143
2017 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$245,886
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$254,251
Total income from all sources (including contributions)2017-12-31$31,163,956
Total of all expenses incurred2017-12-31$31,623,083
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$31,092,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$28,712,958
Value of total assets at end of year2017-12-31$1,573,237
Value of total assets at beginning of year2017-12-31$2,040,729
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$530,462
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$21,549
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$21,549
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,822,658
Assets. Other investments not covered elsewhere at end of year2017-12-31$469,979
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$1,184,424
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$313,525
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$245,886
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$254,251
Other income not declared elsewhere2017-12-31$2,331,592
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-459,127
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,327,351
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,786,478
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$963,048
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$843,643
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$140,210
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$12,662
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$12,662
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,039,915
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$97,857
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$25,890,300
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$29,739,181
Contract administrator fees2017-12-31$530,462
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)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31CONTRYMAN ASSOCIATES, P.C.
Accountancy firm EIN2017-12-31470623143
2016 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$254,251
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$236,401
Total income from all sources (including contributions)2016-12-31$29,319,735
Total of all expenses incurred2016-12-31$28,191,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$27,635,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$27,974,197
Value of total assets at end of year2016-12-31$2,040,729
Value of total assets at beginning of year2016-12-31$894,902
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$556,562
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$21,530
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$21,530
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,851,225
Assets. Other investments not covered elsewhere at end of year2016-12-31$1,184,424
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$275,025
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$254,251
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$236,401
Other income not declared elsewhere2016-12-31$1,282,705
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,127,977
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,786,478
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$658,501
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$843,643
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$780,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$12,662
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$114,091
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$114,091
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,016,626
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$41,303
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$25,122,972
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$26,343,545
Contract administrator fees2016-12-31$556,562
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)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31CONTRYMAN ASSOCIATES, P.C.
Accountancy firm EIN2016-12-31470623143
2015 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$236,401
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$245,581
Total income from all sources (including contributions)2015-12-31$23,905,604
Total of all expenses incurred2015-12-31$23,941,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$23,409,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$23,872,936
Value of total assets at end of year2015-12-31$894,902
Value of total assets at beginning of year2015-12-31$940,307
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$532,602
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$18,416
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$18,416
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,806,460
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$127,919
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$236,401
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$245,581
Other income not declared elsewhere2015-12-31$31,812
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-36,225
Value of net assets at end of year (total assets less liabilities)2015-12-31$658,501
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$694,726
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$780,811
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$779,955
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$114,091
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$32,433
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$32,433
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,025,432
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-17,560
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$21,066,476
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$22,383,795
Contract administrator fees2015-12-31$532,602
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)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31CONTRYMAN ASSOCIATES, P.C.
Accountancy firm EIN2015-12-31470623143
2014 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$245,581
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$373,454
Total income from all sources (including contributions)2014-12-31$19,334,588
Total of all expenses incurred2014-12-31$19,080,028
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$18,499,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$19,075,196
Value of total assets at end of year2014-12-31$940,307
Value of total assets at beginning of year2014-12-31$813,620
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$580,228
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$16,917
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$16,917
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,944,743
Assets. Other investments not covered elsewhere at end of year2014-12-31$127,919
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$86,703
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$245,581
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$373,454
Other income not declared elsewhere2014-12-31$185,457
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$254,560
Value of net assets at end of year (total assets less liabilities)2014-12-31$694,726
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$440,166
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$779,955
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$706,020
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$32,433
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$20,897
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$20,897
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$980,768
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$57,018
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
Contributions received in cash from employer2014-12-31$16,130,453
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$17,519,032
Contract administrator fees2014-12-31$580,228
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)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31CONTRYMAN ASSOCIATES, P.C.
Accountancy firm EIN2014-12-31470623143
2013 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$373,454
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$544,407
Total income from all sources (including contributions)2013-12-31$22,665,650
Total of all expenses incurred2013-12-31$22,397,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$21,844,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$22,361,934
Value of total assets at end of year2013-12-31$813,620
Value of total assets at beginning of year2013-12-31$716,739
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$553,486
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$3,671,441
Assets. Other investments not covered elsewhere at end of year2013-12-31$86,703
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$82,824
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$373,454
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$544,407
Other income not declared elsewhere2013-12-31$201,918
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$267,834
Value of net assets at end of year (total assets less liabilities)2013-12-31$440,166
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$172,332
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$706,020
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$604,222
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$20,897
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$29,693
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$29,693
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,013,481
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$101,798
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
Contributions received in cash from employer2013-12-31$18,690,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$20,830,849
Contract administrator fees2013-12-31$553,486
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)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31CONTRYMAN ASSOCIATES, P.C.
Accountancy firm EIN2013-12-31470623143
2012 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$544,407
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$277,819
Total income from all sources (including contributions)2012-12-31$23,755,244
Total of all expenses incurred2012-12-31$24,406,806
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$23,878,375
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$22,627,554
Value of total assets at end of year2012-12-31$716,739
Value of total assets at beginning of year2012-12-31$1,101,713
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$528,431
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$3,478,143
Assets. Other investments not covered elsewhere at end of year2012-12-31$82,824
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$544,407
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$277,819
Other income not declared elsewhere2012-12-31$1,065,297
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-651,562
Value of net assets at end of year (total assets less liabilities)2012-12-31$172,332
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$823,894
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$604,222
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$541,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$29,693
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$559,883
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$559,883
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$912,821
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$62,393
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
Contributions received in cash from employer2012-12-31$19,149,411
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$22,965,554
Contract administrator fees2012-12-31$528,431
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)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31CONTRYMAN ASSOCIATES, P.C.
Accountancy firm EIN2012-12-31470623143
2011 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$277,819
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$257,661
Total income from all sources (including contributions)2011-12-31$18,859,624
Total of all expenses incurred2011-12-31$19,276,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$18,765,414
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$18,711,725
Value of total assets at end of year2011-12-31$1,101,713
Value of total assets at beginning of year2011-12-31$1,498,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$510,688
Total interest from all sources2011-12-31$24,274
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$3,593,449
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$45,647
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$349,011
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$277,819
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$257,661
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-416,478
Value of net assets at end of year (total assets less liabilities)2011-12-31$823,894
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,240,372
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$541,830
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,042,555
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$559,883
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$60,820
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$60,820
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$24,274
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$888,864
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$123,625
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
Contributions received in cash from employer2011-12-31$15,118,276
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$17,876,550
Contract administrator fees2011-12-31$510,688
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)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31CONTRYMAN ASSOCIATES, P.C.
Accountancy firm EIN2011-12-31470623143
2010 : REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$257,661
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$272,369
Total income from all sources (including contributions)2010-12-31$18,724,915
Total of all expenses incurred2010-12-31$19,056,577
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$18,280,203
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$17,332,141
Value of total assets at end of year2010-12-31$1,498,033
Value of total assets at beginning of year2010-12-31$1,844,403
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$776,374
Total interest from all sources2010-12-31$36,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$3,354,864
Assets. Other investments not covered elsewhere at end of year2010-12-31$45,647
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$349,011
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$80,438
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$257,661
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$272,369
Other income not declared elsewhere2010-12-31$1,239,636
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-331,662
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,240,372
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,572,034
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$1,042,555
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,209,416
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$60,820
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$554,549
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$554,549
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$36,000
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$848,632
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$117,138
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
Contributions received in cash from employer2010-12-31$13,977,277
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$17,431,571
Contract administrator fees2010-12-31$776,374
Did the plan have assets held for investment2010-12-31No
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)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31CONTRYMAN ASSOCIATES, P.C.
Accountancy firm EIN2010-12-31470623143

Form 5500 Responses for REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST

2022: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 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: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 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: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 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: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
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: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
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: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
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: REGIONAL WEST HEALTH SERVICES & AFFILIATES EMPLOYEE BENEFIT TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
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

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40540
Policy instance 2
Insurance contract or identification numberHCCLOT40540
Number of Individuals Covered878
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $22,935
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $229,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,935
Amount paid for insurance broker fees0
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4063230010SSLS
Policy instance 1
Insurance contract or identification number4063230010SSLS
Number of Individuals Covered882
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,542,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40540
Policy instance 2
Insurance contract or identification numberHCCLOT40540
Number of Individuals Covered971
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $22,460
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $224,662
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,460
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4063230010SSLS
Policy instance 1
Insurance contract or identification number4063230010SSLS
Number of Individuals Covered975
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,363,614
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4063230010SSLS
Policy instance 1
Insurance contract or identification number4063230010SSLS
Number of Individuals Covered1085
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $1,412,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40540
Policy instance 2
Insurance contract or identification numberHCCLOT40540
Number of Individuals Covered1085
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $24,163
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $241,592
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,163
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCCLOT40540
Policy instance 2
Insurance contract or identification numberHCCLOT40540
Number of Individuals Covered1158
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $25,848
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $258,474
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,848
Amount paid for insurance broker fees0
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4063230010SSLS
Policy instance 1
Insurance contract or identification number4063230010SSLS
Number of Individuals Covered1165
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?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
Welfare Benefit Premiums Paid to CarrierUSD $1,228,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number406323 001 SSLS
Policy instance 1
Insurance contract or identification number406323 001 SSLS
Number of Individuals Covered1156
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?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
Welfare Benefit Premiums Paid to CarrierUSD $1,034,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-6505
Policy instance 2
Insurance contract or identification number947-6505
Number of Individuals Covered1142
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $31,384
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $313,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,384
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-4936
Policy instance 2
Insurance contract or identification number947-4936
Number of Individuals Covered1259
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $31,119
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $311,192
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,119
Insurance broker nameREGIONAL CARE INC
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number406323 001 SSLS
Policy instance 1
Insurance contract or identification number406323 001 SSLS
Number of Individuals Covered1279
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Welfare Benefit Premiums Paid to CarrierUSD $622,537
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameREGIONAL CARE INC
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-7808
Policy instance 2
Insurance contract or identification number949-7808
Number of Individuals Covered1274
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-HA-009-4
Policy instance 1
Insurance contract or identification numberGER-HA-009-4
Number of Individuals Covered1303
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-HA-009-4
Policy instance 1
Insurance contract or identification numberGER-HA-009-4
Number of Individuals Covered1289
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-7808
Policy instance 2
Insurance contract or identification number949-7808
Number of Individuals Covered1299
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-HA-009-3
Policy instance 1
Insurance contract or identification numberGER-HA-009-3
Number of Individuals Covered1298
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-5687
Policy instance 2
Insurance contract or identification number949-5687
Number of Individuals Covered1297
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-HA-009-2
Policy instance 1
Insurance contract or identification numberGER-HA-009-2
Number of Individuals Covered1365
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-HA-009
Policy instance 1
Insurance contract or identification numberGER-HA-009
Number of Individuals Covered1160
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number9960-8223
Policy instance 1
Insurance contract or identification number9960-8223
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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