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MANATT'S INC. GROUP HEALTH PLAN 401k Plan overview

Plan NameMANATT'S INC. GROUP HEALTH PLAN
Plan identification number 502

MANATT'S INC. GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

MANATT'S INC. has sponsored the creation of one or more 401k plans.

Company Name:MANATT'S INC.
Employer identification number (EIN):421377409
NAIC Classification:237310
NAIC Description:Highway, Street, and Bridge Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MANATT'S INC. GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-01-01
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01ANDREW DAY
5022016-01-01ANDREW DAY
5022015-01-01ANDREW DAY
5022014-01-01ANDREW DAY
5022013-01-01VICKIE MCDONALD
5022012-01-01DAN BOYER
5022011-01-01DAN BOYER DAN BOYER2012-10-12
5022009-01-01DAN BOYER DAN BOYER2010-10-08

Plan Statistics for MANATT'S INC. GROUP HEALTH PLAN

401k plan membership statisitcs for MANATT'S INC. GROUP HEALTH PLAN

Measure Date Value
2023: MANATT'S INC. GROUP HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01786
Total number of active participants reported on line 7a of the Form 55002023-01-01776
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01776
2022: MANATT'S INC. GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01831
Total number of active participants reported on line 7a of the Form 55002022-01-01780
Number of retired or separated participants receiving benefits2022-01-016
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01786
2021: MANATT'S INC. GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01831
Total number of active participants reported on line 7a of the Form 55002021-01-01825
Number of retired or separated participants receiving benefits2021-01-016
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01831
2020: MANATT'S INC. GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01860
Total number of active participants reported on line 7a of the Form 55002020-01-01822
Number of retired or separated participants receiving benefits2020-01-018
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01830
2019: MANATT'S INC. GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01842
Total number of active participants reported on line 7a of the Form 55002019-01-01855
Number of retired or separated participants receiving benefits2019-01-015
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01860
2018: MANATT'S INC. GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01887
Total number of active participants reported on line 7a of the Form 55002018-01-01847
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01849
2017: MANATT'S INC. GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01858
Total number of active participants reported on line 7a of the Form 55002017-01-01883
Number of retired or separated participants receiving benefits2017-01-014
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01887
2016: MANATT'S INC. GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01802
Total number of active participants reported on line 7a of the Form 55002016-01-01856
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01858
2015: MANATT'S INC. GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01798
Total number of active participants reported on line 7a of the Form 55002015-01-01798
Number of retired or separated participants receiving benefits2015-01-014
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01802
2014: MANATT'S INC. GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01775
Total number of active participants reported on line 7a of the Form 55002014-01-01798
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01798
2013: MANATT'S INC. GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01845
Total number of active participants reported on line 7a of the Form 55002013-01-01775
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01775
2012: MANATT'S INC. GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01961
Total number of active participants reported on line 7a of the Form 55002012-01-01845
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01845
2011: MANATT'S INC. GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01969
Total number of active participants reported on line 7a of the Form 55002011-01-01961
Total of all active and inactive participants2011-01-01961
2009: MANATT'S INC. GROUP HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01929
Total number of active participants reported on line 7a of the Form 55002009-01-01991
Total of all active and inactive participants2009-01-01991

Financial Data on MANATT'S INC. GROUP HEALTH PLAN

Measure Date Value
2023 : MANATT'S INC. GROUP HEALTH PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,011,328
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,228,800
Total income from all sources (including contributions)2023-12-31$12,171,501
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$12,174,736
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$11,725,652
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$12,128,850
Value of total assets at end of year2023-12-31$3,261,444
Value of total assets at beginning of year2023-12-31$3,482,151
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$449,084
Total interest from all sources2023-12-31$42,651
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$2,478,228
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$174,482
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$436,136
Liabilities. Value of operating payables at end of year2023-12-31$0
Liabilities. Value of operating payables at beginning of year2023-12-31$297,847
Total non interest bearing cash at end of year2023-12-31$120,000
Total non interest bearing cash at beginning of year2023-12-31$120,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-3,235
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,250,116
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$2,253,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$2,944,065
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$2,926,015
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$2,926,015
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$42,651
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$1,139,806
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31Yes
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$9,650,622
Employer contributions (assets) at end of year2023-12-31$22,897
Employer contributions (assets) at beginning of year2023-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$10,585,846
Contract administrator fees2023-12-31$443,084
Liabilities. Value of benefit claims payable at end of year2023-12-31$1,011,328
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$930,953
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2023-12-31410746749
2022 : MANATT'S INC. GROUP HEALTH 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$1,228,800
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,275,575
Total income from all sources (including contributions)2022-12-31$12,172,250
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$12,846,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$12,299,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$12,156,307
Value of total assets at end of year2022-12-31$3,482,151
Value of total assets at beginning of year2022-12-31$4,203,237
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$547,290
Total interest from all sources2022-12-31$15,943
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$2,491,011
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$436,136
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$284,083
Liabilities. Value of operating payables at end of year2022-12-31$297,847
Liabilities. Value of operating payables at beginning of year2022-12-31$124,000
Total non interest bearing cash at end of year2022-12-31$120,000
Total non interest bearing cash at beginning of year2022-12-31$120,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-674,311
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,253,351
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,927,662
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 bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$2,926,015
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$3,799,154
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$3,799,154
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$15,943
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,074,617
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$9,665,296
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$11,224,654
Contract administrator fees2022-12-31$547,290
Liabilities. Value of benefit claims payable at end of year2022-12-31$930,953
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,151,575
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 name2022-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-12-31410746749
2021 : MANATT'S INC. GROUP HEALTH 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$1,275,575
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,095,022
Total income from all sources (including contributions)2021-12-31$13,220,530
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$13,361,557
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$12,814,215
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$13,206,264
Value of total assets at end of year2021-12-31$4,203,237
Value of total assets at beginning of year2021-12-31$4,163,711
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$547,342
Total interest from all sources2021-12-31$14,266
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,695,772
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$284,083
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$526,411
Liabilities. Value of operating payables at end of year2021-12-31$124,000
Liabilities. Value of operating payables at beginning of year2021-12-31$33,904
Total non interest bearing cash at end of year2021-12-31$120,000
Total non interest bearing cash at beginning of year2021-12-31$120,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-141,027
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,927,662
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$3,068,689
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 bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$3,799,154
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$3,517,300
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$3,517,300
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$14,266
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,060,832
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$10,510,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$11,753,383
Contract administrator fees2021-12-31$547,342
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,151,575
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,061,118
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 name2021-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-12-31410746749
2020 : MANATT'S INC. GROUP HEALTH PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,095,022
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,334,737
Total income from all sources (including contributions)2020-12-31$13,087,361
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$12,431,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$11,893,457
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$13,071,163
Value of total assets at end of year2020-12-31$4,163,711
Value of total assets at beginning of year2020-12-31$3,747,333
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$537,811
Total interest from all sources2020-12-31$16,198
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$130,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$2,672,050
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$526,411
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$292,848
Liabilities. Value of operating payables at end of year2020-12-31$33,904
Liabilities. Value of operating payables at beginning of year2020-12-31$351,835
Total non interest bearing cash at end of year2020-12-31$120,000
Total non interest bearing cash at beginning of year2020-12-31$120,000
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$656,093
Value of net assets at end of year (total assets less liabilities)2020-12-31$3,068,689
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,412,596
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$3,517,300
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$3,334,485
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$3,334,485
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$16,198
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,068,384
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$10,399,113
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$10,825,073
Contract administrator fees2020-12-31$537,811
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,061,118
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$982,902
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-12-31410746749
2019 : MANATT'S INC. GROUP HEALTH PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,334,737
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,385,105
Total income from all sources (including contributions)2019-12-31$12,897,922
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$11,975,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$11,546,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$12,882,924
Value of total assets at end of year2019-12-31$3,747,333
Value of total assets at beginning of year2019-12-31$2,874,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$428,081
Total interest from all sources2019-12-31$14,998
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$130,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$2,614,070
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$292,848
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$179,060
Liabilities. Value of operating payables at end of year2019-12-31$351,835
Liabilities. Value of operating payables at beginning of year2019-12-31$283,781
Total non interest bearing cash at end of year2019-12-31$120,000
Total non interest bearing cash at beginning of year2019-12-31$120,000
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$922,860
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,412,596
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,489,736
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$3,334,485
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$2,575,781
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$2,575,781
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$14,998
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$919,448
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$10,268,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$10,627,533
Contract administrator fees2019-12-31$428,081
Liabilities. Value of benefit claims payable at end of year2019-12-31$982,902
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,101,324
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2019-12-31410746749
2018 : MANATT'S INC. GROUP HEALTH PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,385,105
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,149,506
Total income from all sources (including contributions)2018-12-31$13,183,502
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$11,801,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$11,367,911
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$13,174,105
Value of total assets at end of year2018-12-31$2,874,841
Value of total assets at beginning of year2018-12-31$1,256,827
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$433,176
Total interest from all sources2018-12-31$9,397
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$130,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,643,455
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$179,060
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$77,641
Liabilities. Value of operating payables at end of year2018-12-31$283,781
Liabilities. Value of operating payables at beginning of year2018-12-31$186,480
Total non interest bearing cash at end of year2018-12-31$120,000
Total non interest bearing cash at beginning of year2018-12-31$120,000
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$1,382,415
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,489,736
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$107,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$2,575,781
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,059,186
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,059,186
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$9,397
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$845,483
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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$10,530,650
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$10,522,428
Contract administrator fees2018-12-31$433,176
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,101,324
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$963,026
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2018-12-31410746749
2017 : MANATT'S INC. GROUP HEALTH PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,149,506
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,574,246
Total income from all sources (including contributions)2017-12-31$13,000,436
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$12,075,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$11,641,620
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$12,998,488
Value of total assets at end of year2017-12-31$1,256,827
Value of total assets at beginning of year2017-12-31$756,415
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$433,664
Total interest from all sources2017-12-31$1,948
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$130,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,477,156
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$77,641
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$408,511
Liabilities. Value of operating payables at end of year2017-12-31$186,480
Liabilities. Value of operating payables at beginning of year2017-12-31$345,396
Total non interest bearing cash at end of year2017-12-31$120,000
Total non interest bearing cash at beginning of year2017-12-31$120,000
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$925,152
Value of net assets at end of year (total assets less liabilities)2017-12-31$107,321
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$-817,831
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,059,186
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$227,904
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$227,904
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,948
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$609,344
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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$10,521,332
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$11,032,276
Contract administrator fees2017-12-31$433,664
Liabilities. Value of benefit claims payable at end of year2017-12-31$963,026
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$1,228,850
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2017-12-31410746749
2016 : MANATT'S INC. GROUP HEALTH PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,574,246
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,635,116
Total income from all sources (including contributions)2016-12-31$10,632,072
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$10,908,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$10,490,183
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$10,630,254
Value of total assets at end of year2016-12-31$756,415
Value of total assets at beginning of year2016-12-31$1,094,067
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$418,671
Total interest from all sources2016-12-31$1,818
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$130,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,168,486
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$408,511
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$59,714
Liabilities. Value of operating payables at end of year2016-12-31$345,396
Liabilities. Value of operating payables at beginning of year2016-12-31$463,850
Total non interest bearing cash at end of year2016-12-31$120,000
Total non interest bearing cash at beginning of year2016-12-31$120,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-276,782
Value of net assets at end of year (total assets less liabilities)2016-12-31$-817,831
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$-541,049
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 bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$227,904
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$914,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$914,353
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,818
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$618,382
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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$8,461,768
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$9,871,801
Contract administrator fees2016-12-31$418,671
Liabilities. Value of benefit claims payable at end of year2016-12-31$1,228,850
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$1,171,266
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-12-31410746749
2015 : MANATT'S INC. GROUP HEALTH PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,575,402
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,667,838
Total income from all sources (including contributions)2015-12-31$9,520,964
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$9,890,190
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$9,533,644
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$9,515,215
Value of total assets at end of year2015-12-31$1,034,353
Value of total assets at beginning of year2015-12-31$1,496,015
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$356,546
Total interest from all sources2015-12-31$5,749
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$130,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,804,755
Liabilities. Value of operating payables at end of year2015-12-31$463,850
Liabilities. Value of operating payables at beginning of year2015-12-31$342,496
Total non interest bearing cash at end of year2015-12-31$120,000
Total non interest bearing cash at beginning of year2015-12-31$120,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-369,226
Value of net assets at end of year (total assets less liabilities)2015-12-31$-541,049
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$-171,823
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$914,353
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,376,015
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,376,015
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$5,749
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$588,432
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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$7,710,460
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$8,945,212
Contract administrator fees2015-12-31$356,546
Liabilities. Value of benefit claims payable at end of year2015-12-31$1,111,552
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$1,325,342
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2015-12-31410746749
2014 : MANATT'S INC. GROUP HEALTH PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,667,838
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,838,448
Total income from all sources (including contributions)2014-12-31$8,763,923
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$8,438,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$8,068,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$8,397,554
Value of total assets at end of year2014-12-31$1,496,015
Value of total assets at beginning of year2014-12-31$1,340,975
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$369,276
Total interest from all sources2014-12-31$5,076
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$130,000
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$1,728,842
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$194,169
Other income not declared elsewhere2014-12-31$361,293
Liabilities. Value of operating payables at end of year2014-12-31$342,496
Liabilities. Value of operating payables at beginning of year2014-12-31$401,312
Total non interest bearing cash at end of year2014-12-31$120,000
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$325,650
Value of net assets at end of year (total assets less liabilities)2014-12-31$-171,823
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$-497,473
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,376,015
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,146,806
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,146,806
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$5,076
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$607,387
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
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$6,668,712
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$7,461,610
Contract administrator fees2014-12-31$369,276
Liabilities. Value of benefit claims payable at end of year2014-12-31$1,325,342
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,437,136
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2014-12-31410746749
2013 : MANATT'S INC. GROUP HEALTH PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,838,448
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,903,512
Total income from all sources (including contributions)2013-12-31$7,876,690
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$8,603,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$8,337,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$7,861,889
Value of total assets at end of year2013-12-31$1,340,975
Value of total assets at beginning of year2013-12-31$2,133,261
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$265,923
Total interest from all sources2013-12-31$14,801
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$100,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,586,875
Participant contributions at end of year2013-12-31$194,169
Participant contributions at beginning of year2013-12-31$0
Liabilities. Value of operating payables at end of year2013-12-31$401,312
Liabilities. Value of operating payables at beginning of year2013-12-31$208,427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-727,222
Value of net assets at end of year (total assets less liabilities)2013-12-31$-497,473
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$229,749
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,146,806
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$2,133,261
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$2,133,261
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$14,801
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$587,493
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
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$6,275,014
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$7,750,496
Contract administrator fees2013-12-31$265,923
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,437,136
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,695,085
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2013-12-31410746749
2012 : MANATT'S INC. GROUP HEALTH 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$1,903,512
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,107,125
Total income from all sources (including contributions)2012-12-31$8,218,811
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$8,804,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$8,537,294
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$8,196,629
Value of total assets at end of year2012-12-31$2,133,261
Value of total assets at beginning of year2012-12-31$2,922,140
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$266,783
Total interest from all sources2012-12-31$22,182
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$100,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,724,853
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$123,757
Liabilities. Value of operating payables at end of year2012-12-31$208,427
Liabilities. Value of operating payables at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-585,266
Value of net assets at end of year (total assets less liabilities)2012-12-31$229,749
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$815,015
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$2,133,261
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$2,760,493
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$2,760,493
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$22,182
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$515,677
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
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$6,471,776
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$37,890
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$8,021,617
Contract administrator fees2012-12-31$266,783
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,695,085
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$2,107,125
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2012-12-31410746749
2011 : MANATT'S INC. GROUP HEALTH PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,107,125
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,280,287
Total income from all sources (including contributions)2011-12-31$8,926,029
Total of all expenses incurred2011-12-31$8,616,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$8,314,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$8,896,360
Value of total assets at end of year2011-12-31$2,922,140
Value of total assets at beginning of year2011-12-31$2,786,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$302,354
Total interest from all sources2011-12-31$29,669
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$100,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,608,296
Participant contributions at end of year2011-12-31$123,757
Participant contributions at beginning of year2011-12-31$198,296
Liabilities. Value of operating payables at end of year2011-12-31$0
Liabilities. Value of operating payables at beginning of year2011-12-31$112,204
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$309,302
Value of net assets at end of year (total assets less liabilities)2011-12-31$815,015
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$505,713
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 bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$2,760,493
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$2,587,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$2,587,704
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$29,669
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$367,668
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
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$7,288,064
Employer contributions (assets) at end of year2011-12-31$37,890
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$7,946,705
Contract administrator fees2011-12-31$302,354
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$2,107,125
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$2,168,083
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2011-12-31410746749
2010 : MANATT'S INC. GROUP HEALTH PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,280,287
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,527,167
Total income from all sources (including contributions)2010-12-31$9,066,967
Total of all expenses incurred2010-12-31$8,738,850
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$8,446,142
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$9,033,259
Value of total assets at end of year2010-12-31$2,786,000
Value of total assets at beginning of year2010-12-31$2,704,763
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$292,708
Total interest from all sources2010-12-31$33,708
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$100,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,877,653
Participant contributions at end of year2010-12-31$198,296
Liabilities. Value of operating payables at end of year2010-12-31$112,204
Liabilities. Value of operating payables at beginning of year2010-12-31$474,483
Total non interest bearing cash at beginning of year2010-12-31$2,047,386
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$328,117
Value of net assets at end of year (total assets less liabilities)2010-12-31$505,713
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$177,596
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 bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$2,587,704
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$552,652
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$552,652
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$33,708
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$377,854
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
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$7,155,606
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$104,725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$8,068,288
Contract administrator fees2010-12-31$292,708
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$2,168,083
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$2,052,684
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)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31CLIFTON GUNDERSON LLP
Accountancy firm EIN2010-12-31370802863

Form 5500 Responses for MANATT'S INC. GROUP HEALTH PLAN

2023: MANATT'S INC. GROUP HEALTH PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: MANATT'S INC. GROUP HEALTH 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: MANATT'S INC. GROUP HEALTH 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: MANATT'S INC. GROUP HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
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: MANATT'S INC. GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MANATT'S INC. GROUP HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MANATT'S INC. GROUP HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MANATT'S INC. GROUP HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MANATT'S INC. GROUP HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MANATT'S INC. GROUP HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MANATT'S INC. GROUP HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MANATT'S INC. GROUP HEALTH 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: MANATT'S INC. GROUP HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: MANATT'S INC. GROUP HEALTH PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
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

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number417004411571
Policy instance 1
Insurance contract or identification number417004411571
Number of Individuals Covered776
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,141,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number417004411571
Policy instance 1
Insurance contract or identification number417004411571
Number of Individuals Covered769
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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,075,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL30787
Policy instance 1
Insurance contract or identification numberHCL30787
Number of Individuals Covered783
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $-15
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,060,449
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,431
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417003411571
Policy instance 1
Insurance contract or identification number417003411571
Number of Individuals Covered831
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,069,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417003411571
Policy instance 1
Insurance contract or identification number417003411571
Number of Individuals Covered860
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $919,214
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417003411571
Policy instance 1
Insurance contract or identification number417003411571
Number of Individuals Covered850
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $846,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417002411571
Policy instance 1
Insurance contract or identification number417002411571
Number of Individuals Covered887
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $609,241
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417002411571
Policy instance 1
Insurance contract or identification number417002411571
Number of Individuals Covered802
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $525,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number417002411571
Policy instance 1
Insurance contract or identification number417002411571
Number of Individuals Covered799
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $519,591
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number50500-50595
Policy instance 1
Insurance contract or identification number50500-50595
Number of Individuals Covered775
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $46,375
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $578,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,144
Insurance broker organization code?4
Insurance broker nameFIRST ADMINISTRATORS INC
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )
Policy contract number50500-50595
Policy instance 2
Insurance contract or identification number50500-50595
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $-6
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $-50
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $-2
Insurance broker organization code?5
Insurance broker nameGALLAGHER BENEFIT SERVICES, INC
PRIVATE HEALTHCARE SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number50500-50595
Policy instance 3
Insurance contract or identification number50500-50595
Number of Individuals Covered10
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIVATE HEALTHCARE SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number50500-50590
Policy instance 3
Insurance contract or identification number50500-50590
Number of Individuals Covered11
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HEALTHCARE ALLIANCE (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number50500-50590
Policy instance 1
Insurance contract or identification number50500-50590
Number of Individuals Covered6
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $1,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )
Policy contract number50500-50590
Policy instance 2
Insurance contract or identification number50500-50590
Number of Individuals Covered844
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $54,128
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $515,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,085
Insurance broker organization code?4
Insurance broker nameFIRST ADMINISTRATORS
AMERICAN HEALTHCARE ALLIANCE (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number50500-50590
Policy instance 1
Insurance contract or identification number50500-50590
Number of Individuals Covered114
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $8,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )
Policy contract number50500-50590
Policy instance 2
Insurance contract or identification number50500-50590
Number of Individuals Covered962
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $60,780
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $367,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIVATE HEALTHCARE SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number50500-50590
Policy instance 3
Insurance contract or identification number50500-50590
Number of Individuals Covered14
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WELLMARK BLUE CROSS BLUE SHIELD OF SOUTH DAKOTA (National Association of Insurance Commissioners NAIC id number: 88848 )
Policy contract number50500-50590
Policy instance 3
Insurance contract or identification number50500-50590
Number of Individuals Covered979
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $61,839
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $373,982
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,227
Insurance broker organization code?4
Insurance broker nameFIRST ADMINISTRATORS
MULTIPLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number50500-50590
Policy instance 1
Insurance contract or identification number50500-50590
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $-24
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HEALTHCARE ALLIANCE (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number50500-50590
Policy instance 2
Insurance contract or identification number50500-50590
Number of Individuals Covered117
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $9,497
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIVATE HEALTHCARE SYSTEMS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number50500-50590
Policy instance 4
Insurance contract or identification number50500-50590
Number of Individuals Covered13
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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