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RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameRAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN
Plan identification number 002

RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:INTERNATIONAL FALLS MEMORIAL HOSPITAL ASSOCIATION
Employer identification number (EIN):410726171
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01KRIS FOSS2023-10-02
0022021-01-01KRIS FOSS2022-10-06
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01DAVID MONSON
0022016-01-01DMONSON
0022015-01-01DAVID MONSON
0022014-01-01MELISSA MARCOTTE
0022013-01-01MELISSA MARCOTTE
0022012-01-01MELISSA MARCOTTE
0022011-01-01VERA SCHUMANN VERA SCHUMANN2012-10-08
0022009-01-01VERA SCHUMANN VERA SCHUMANN2010-10-11

Plan Statistics for RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN

401k plan membership statisitcs for RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN

Measure Date Value
2022: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01187
Total number of active participants reported on line 7a of the Form 55002022-01-01194
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-0133
Total of all active and inactive participants2022-01-01228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01228
Number of participants with account balances2022-01-01211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0116
2021: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01226
Total number of active participants reported on line 7a of the Form 55002021-01-01183
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-014
Total of all active and inactive participants2021-01-01187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01187
Number of participants with account balances2021-01-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-012
2020: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01225
Total number of active participants reported on line 7a of the Form 55002020-01-01183
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0143
Total of all active and inactive participants2020-01-01226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01226
Number of participants with account balances2020-01-01166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-012
2019: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01223
Total number of active participants reported on line 7a of the Form 55002019-01-01187
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-0135
Total of all active and inactive participants2019-01-01224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-01225
Number of participants with account balances2019-01-01159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-014
2018: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01218
Total number of active participants reported on line 7a of the Form 55002018-01-01184
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-0136
Total of all active and inactive participants2018-01-01222
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01223
Number of participants with account balances2018-01-01166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-014
2017: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01206
Total number of active participants reported on line 7a of the Form 55002017-01-01179
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-0135
Total of all active and inactive participants2017-01-01216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01216
Number of participants with account balances2017-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-015
2016: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01189
Total number of active participants reported on line 7a of the Form 55002016-01-01176
Number of other retired or separated participants entitled to future benefits2016-01-0130
Total of all active and inactive participants2016-01-01206
Total participants2016-01-01206
Number of participants with account balances2016-01-01147
2015: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01181
Total number of active participants reported on line 7a of the Form 55002015-01-01162
Number of other retired or separated participants entitled to future benefits2015-01-0127
Total of all active and inactive participants2015-01-01189
Total participants2015-01-01189
Number of participants with account balances2015-01-01142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012
2014: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01208
Total number of active participants reported on line 7a of the Form 55002014-01-01139
Number of other retired or separated participants entitled to future benefits2014-01-0140
Total of all active and inactive participants2014-01-01179
Total participants2014-01-01179
Number of participants with account balances2014-01-01156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-015
2013: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01207
Total number of active participants reported on line 7a of the Form 55002013-01-01177
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0128
Total of all active and inactive participants2013-01-01205
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01205
Number of participants with account balances2013-01-01182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01203
Total number of active participants reported on line 7a of the Form 55002012-01-01181
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0122
Total of all active and inactive participants2012-01-01203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01203
Number of participants with account balances2012-01-01165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-014
2011: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01209
Total number of active participants reported on line 7a of the Form 55002011-01-01191
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0112
Total of all active and inactive participants2011-01-01203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01203
Number of participants with account balances2011-01-01168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2009: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01155
Total number of active participants reported on line 7a of the Form 55002009-01-01184
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0115
Total of all active and inactive participants2009-01-01199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01199
Number of participants with account balances2009-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN

Measure Date Value
2022 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$90,885
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$693,174
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$657,466
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,612,217
Value of total assets at end of year2022-12-31$9,736,062
Value of total assets at beginning of year2022-12-31$10,338,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$35,708
Total interest from all sources2022-12-31$16,532
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$272,392
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$272,392
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$967,140
Participant contributions at end of year2022-12-31$202,055
Participant contributions at beginning of year2022-12-31$137,057
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$216,727
Total non interest bearing cash at beginning of year2022-12-31$10,162,548
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-602,289
Value of net assets at end of year (total assets less liabilities)2022-12-31$9,736,062
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,338,351
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$8,493,455
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$34,751
Interest on participant loans2022-12-31$7,082
Interest earned on other investments2022-12-31$9,450
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,040,552
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$3,995
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,810,256
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$428,350
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$657,466
Contract administrator fees2022-12-31$35,708
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
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 name2022-12-31WIPFLI
Accountancy firm EIN2022-12-31390758449
2021 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,277,169
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,412,363
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,400,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,149,174
Value of total assets at end of year2021-12-31$10,338,351
Value of total assets at beginning of year2021-12-31$10,473,545
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$11,659
Total interest from all sources2021-12-31$15,206
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$101,322
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$101,322
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$938,187
Participant contributions at end of year2021-12-31$137,057
Participant contributions at beginning of year2021-12-31$108,018
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$26,016
Total non interest bearing cash at end of year2021-12-31$10,162,548
Total non interest bearing cash at beginning of year2021-12-31$3,038
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-135,194
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,338,351
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,473,545
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$34,751
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$9,512,231
Interest on participant loans2021-12-31$5,931
Interest earned on other investments2021-12-31$9,275
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$3,995
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$850,258
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,011,467
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$184,971
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,400,704
Contract administrator fees2021-12-31$11,659
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
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 name2021-12-31WIPFLI LLP
Accountancy firm EIN2021-12-31390758449
2020 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$2,409,385
Total of all expenses incurred2020-12-31$1,575,964
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,547,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,169,706
Value of total assets at end of year2020-12-31$10,473,545
Value of total assets at beginning of year2020-12-31$9,640,124
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$28,168
Total interest from all sources2020-12-31$8,078
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$151,287
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$151,287
Administrative expenses professional fees incurred2020-12-31$8,100
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$904,857
Participant contributions at end of year2020-12-31$108,018
Participant contributions at beginning of year2020-12-31$167,474
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$102,900
Administrative expenses (other) incurred2020-12-31$770
Total non interest bearing cash at end of year2020-12-31$3,038
Total non interest bearing cash at beginning of year2020-12-31$7,229
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$833,421
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,473,545
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$9,640,124
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$19,298
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$9,512,231
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$8,769,953
Interest on participant loans2020-12-31$8,078
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$850,258
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$695,468
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,080,314
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$161,949
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,547,796
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2020-12-31411656121
2019 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$2,484,385
Total income from all sources (including contributions)2019-12-31$2,484,385
Total of all expenses incurred2019-12-31$1,157,733
Total of all expenses incurred2019-12-31$1,157,733
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,127,149
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,127,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,021,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,021,356
Value of total assets at end of year2019-12-31$9,640,124
Value of total assets at end of year2019-12-31$9,640,124
Value of total assets at beginning of year2019-12-31$8,313,472
Value of total assets at beginning of year2019-12-31$8,313,472
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$30,584
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$30,584
Total interest from all sources2019-12-31$16,784
Total interest from all sources2019-12-31$16,784
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$140,014
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$140,014
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
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$140,014
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$140,014
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$829,556
Contributions received from participants2019-12-31$829,556
Participant contributions at end of year2019-12-31$167,474
Participant contributions at end of year2019-12-31$167,474
Participant contributions at beginning of year2019-12-31$134,912
Participant contributions at beginning of year2019-12-31$134,912
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$45,122
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$45,122
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$241
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$241
Administrative expenses (other) incurred2019-12-31$3,370
Administrative expenses (other) incurred2019-12-31$3,370
Total non interest bearing cash at end of year2019-12-31$7,229
Total non interest bearing cash at end of year2019-12-31$7,229
Total non interest bearing cash at beginning of year2019-12-31$3,616
Total non interest bearing cash at beginning of year2019-12-31$3,616
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
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$1,326,652
Value of net income/loss2019-12-31$1,326,652
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,640,124
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,640,124
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,313,472
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,313,472
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Investment advisory and management fees2019-12-31$27,214
Investment advisory and management fees2019-12-31$27,214
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,769,953
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,769,953
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$7,414,483
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$7,414,483
Interest on participant loans2019-12-31$7,244
Interest earned on other investments2019-12-31$9,540
Interest earned on other investments2019-12-31$9,540
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$695,468
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$695,468
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$760,220
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$760,220
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,306,231
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,306,231
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$146,678
Contributions received in cash from employer2019-12-31$146,678
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,127,149
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,127,149
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
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
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
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
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31SCHLENNER WENNER & CO
Accountancy firm name2019-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2019-12-31411656121
Accountancy firm EIN2019-12-31411656121
2018 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$624,074
Total of all expenses incurred2018-12-31$284,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$256,288
Expenses. Certain deemed distributions of participant loans2018-12-31$3,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$974,435
Value of total assets at end of year2018-12-31$8,313,472
Value of total assets at beginning of year2018-12-31$7,974,238
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$24,752
Total interest from all sources2018-12-31$14,048
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$136,407
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$136,407
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
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
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$734,353
Participant contributions at end of year2018-12-31$134,912
Participant contributions at beginning of year2018-12-31$119,925
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$100,711
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$241
Administrative expenses (other) incurred2018-12-31$2,310
Total non interest bearing cash at end of year2018-12-31$3,616
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$339,234
Value of net assets at end of year (total assets less liabilities)2018-12-31$8,313,472
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,974,238
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
Investment advisory and management fees2018-12-31$22,442
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$7,414,483
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$7,126,758
Interest on participant loans2018-12-31$6,276
Interest earned on other investments2018-12-31$7,772
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$760,220
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$727,555
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-500,816
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$139,371
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$256,288
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
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 name2018-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2018-12-31411656121
2017 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$1,753,804
Total of all expenses incurred2017-12-31$610,935
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$580,240
Expenses. Certain deemed distributions of participant loans2017-12-31$6,498
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$899,662
Value of total assets at end of year2017-12-31$7,974,238
Value of total assets at beginning of year2017-12-31$6,831,369
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$24,197
Total interest from all sources2017-12-31$5,250
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$117,512
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$117,512
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$684,763
Participant contributions at end of year2017-12-31$119,925
Participant contributions at beginning of year2017-12-31$166,975
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$81,908
Administrative expenses (other) incurred2017-12-31$3,090
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$1,142,869
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,974,238
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,831,369
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
Investment advisory and management fees2017-12-31$21,107
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$7,126,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,975,313
Interest on participant loans2017-12-31$5,250
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$727,555
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$689,081
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$731,380
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$132,991
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$580,240
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
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 name2017-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2017-12-31411656121
2016 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$1,130,844
Total of all expenses incurred2016-12-31$335,663
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$314,723
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$730,805
Value of total assets at end of year2016-12-31$6,831,369
Value of total assets at beginning of year2016-12-31$6,036,188
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$20,940
Total interest from all sources2016-12-31$7,488
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$76,289
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$76,289
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$594,226
Participant contributions at end of year2016-12-31$166,975
Participant contributions at beginning of year2016-12-31$189,576
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$20,802
Other income not declared elsewhere2016-12-31$20,013
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$795,181
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,831,369
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,036,188
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$5,975,313
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$5,250,645
Interest on participant loans2016-12-31$7,488
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$689,081
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$595,967
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$296,249
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$115,777
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$314,723
Contract administrator fees2016-12-31$20,940
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 name2016-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2016-12-31411656121
2015 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$803,026
Total of all expenses incurred2015-12-31$486,650
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$467,516
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$860,092
Value of total assets at end of year2015-12-31$6,036,188
Value of total assets at beginning of year2015-12-31$5,719,812
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$19,134
Total interest from all sources2015-12-31$7,783
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$402,942
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$402,942
Administrative expenses professional fees incurred2015-12-31$3,700
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
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$545,598
Participant contributions at end of year2015-12-31$189,576
Participant contributions at beginning of year2015-12-31$152,676
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$210,485
Other income not declared elsewhere2015-12-31$17,739
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$316,376
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,036,188
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,719,812
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
Investment advisory and management fees2015-12-31$15,434
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$5,250,645
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$5,076,679
Interest on participant loans2015-12-31$7,783
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$595,967
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$490,457
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-485,530
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$104,009
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$467,516
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 name2015-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2015-12-31411656121
2014 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$991,854
Total of all expenses incurred2014-12-31$1,201,236
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,175,804
Expenses. Certain deemed distributions of participant loans2014-12-31$4,616
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$644,929
Value of total assets at end of year2014-12-31$5,719,812
Value of total assets at beginning of year2014-12-31$5,929,194
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$20,816
Total interest from all sources2014-12-31$6,826
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$207,973
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$207,973
Administrative expenses professional fees incurred2014-12-31$5,850
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
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$484,969
Participant contributions at end of year2014-12-31$152,676
Participant contributions at beginning of year2014-12-31$194,621
Other income not declared elsewhere2014-12-31$17,994
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-209,382
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,719,812
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,929,194
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
Investment advisory and management fees2014-12-31$14,966
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$5,076,679
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$5,180,441
Interest on participant loans2014-12-31$6,826
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$490,457
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$554,132
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$114,132
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$159,960
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,175,804
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 name2014-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2014-12-31411656121
2013 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$1,444,155
Total of all expenses incurred2013-12-31$325,503
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$305,840
Expenses. Certain deemed distributions of participant loans2013-12-31$1,490
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$775,439
Value of total assets at end of year2013-12-31$5,929,194
Value of total assets at beginning of year2013-12-31$4,810,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$18,173
Total interest from all sources2013-12-31$6,497
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$98,397
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$98,397
Administrative expenses professional fees incurred2013-12-31$5,300
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$443,156
Participant contributions at end of year2013-12-31$194,621
Participant contributions at beginning of year2013-12-31$138,361
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$143,155
Other income not declared elsewhere2013-12-31$18,102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,118,652
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,929,194
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,810,542
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
Investment advisory and management fees2013-12-31$12,873
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$5,180,441
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$4,097,864
Interest on participant loans2013-12-31$6,497
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$554,132
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$574,317
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$545,720
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$189,128
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$305,840
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 name2013-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2013-12-31411656121
2012 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT 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$0
Total income from all sources (including contributions)2012-12-31$1,068,863
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$348,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$332,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$620,893
Value of total assets at end of year2012-12-31$4,810,542
Value of total assets at beginning of year2012-12-31$4,089,912
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$15,264
Total interest from all sources2012-12-31$3,972
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$48,699
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$48,699
Administrative expenses professional fees incurred2012-12-31$4,250
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$455,085
Participant contributions at end of year2012-12-31$138,361
Participant contributions at beginning of year2012-12-31$105,351
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$59,448
Other income not declared elsewhere2012-12-31$17,895
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$720,630
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,810,542
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,089,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$11,014
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$4,097,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$3,452,639
Interest on participant loans2012-12-31$3,972
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$574,317
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$531,922
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$377,404
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$106,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$332,969
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 name2012-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2012-12-31411656121
2011 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$729,277
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$261,386
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$257,590
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$686,206
Value of total assets at end of year2011-12-31$4,089,912
Value of total assets at beginning of year2011-12-31$3,622,021
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,796
Total interest from all sources2011-12-31$4,351
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$41,272
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$41,272
Administrative expenses professional fees incurred2011-12-31$1,800
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
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
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$518,698
Participant contributions at end of year2011-12-31$105,351
Participant contributions at beginning of year2011-12-31$99,144
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$48,023
Other income not declared elsewhere2011-12-31$7,540
Total non interest bearing cash at beginning of year2011-12-31$3,781
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$467,891
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,089,912
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,622,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$3,452,639
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$3,442,468
Interest on participant loans2011-12-31$4,351
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$531,922
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-10,092
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$119,485
Employer contributions (assets) at beginning of year2011-12-31$76,628
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$257,590
Contract administrator fees2011-12-31$1,996
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 name2011-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2011-12-31411656121
2010 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$7,773
Total income from all sources (including contributions)2010-12-31$1,230,614
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$153,132
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$149,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$891,828
Value of total assets at end of year2010-12-31$3,622,021
Value of total assets at beginning of year2010-12-31$2,552,312
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$4,044
Total interest from all sources2010-12-31$4,771
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
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$2,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$495,666
Participant contributions at end of year2010-12-31$99,144
Participant contributions at beginning of year2010-12-31$92,862
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$203,455
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$7,773
Total non interest bearing cash at end of year2010-12-31$3,781
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,077,482
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,622,021
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,544,539
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$3,442,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$2,316,238
Interest on participant loans2010-12-31$4,771
Net investment gain/loss from pooled separate accounts2010-12-31$334,015
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$192,707
Employer contributions (assets) at end of year2010-12-31$76,628
Employer contributions (assets) at beginning of year2010-12-31$143,212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$149,088
Contract administrator fees2010-12-31$4,044
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 name2010-12-31SCHLENNER WENNER & CO
Accountancy firm EIN2010-12-31411656121
2009 : RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN

2022: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
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: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
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: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT 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: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 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: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 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: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 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: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT PLAN 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: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT 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: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT 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: RAINY LAKE MEDICAL CENTER 401(K) RETIREMENT 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

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number815463
Policy instance 1
Insurance contract or identification number815463
Number of Individuals Covered228
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512907
Policy instance 2
Insurance contract or identification number512907
Number of Individuals Covered0
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
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?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
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number815463
Policy instance 1
Insurance contract or identification number815463
Number of Individuals Covered187
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
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512097
Policy instance 1
Insurance contract or identification number512097
Number of Individuals Covered166
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512097
Policy instance 1
Insurance contract or identification number512097
Number of Individuals Covered159
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512097
Policy instance 1
Insurance contract or identification number512097
Number of Individuals Covered166
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512097
Policy instance 1
Insurance contract or identification number512097
Number of Individuals Covered157
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512097-000
Policy instance 1
Insurance contract or identification number512097-000
Number of Individuals Covered142
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512097-000
Policy instance 1
Insurance contract or identification number512097-000
Number of Individuals Covered156
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512097-000
Policy instance 1
Insurance contract or identification number512097-000
Number of Individuals Covered182
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512097-000
Policy instance 1
Insurance contract or identification number512097-000
Number of Individuals Covered165
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 LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512097-000
Policy instance 2
Insurance contract or identification number512097-000
Number of Individuals Covered168
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48909
Policy instance 1
Insurance contract or identification number48909
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-08-01
Total amount of commissions paid to insurance brokerUSD $7,739
Total amount of fees paid to insurance companyUSD $2,765
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48909
Policy instance 1
Insurance contract or identification number48909
Number of Individuals Covered170
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $10,968
Total amount of fees paid to insurance companyUSD $4,878
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,968
Insurance broker organization code?3
Amount paid for insurance broker fees3420
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameRSM MCGLADREY, INC.

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