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HURST FAMILY MEDICAL 401(K) PLAN 401k Plan overview

Plan NameHURST FAMILY MEDICAL 401(K) PLAN
Plan identification number 001

HURST FAMILY MEDICAL 401(K) PLAN Benefits

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

401k Sponsoring company profile

BAZE MEDICAL, P.L.L.C. DBA HURST FAMILY MEDICAL has sponsored the creation of one or more 401k plans.

Company Name:BAZE MEDICAL, P.L.L.C. DBA HURST FAMILY MEDICAL
Employer identification number (EIN):463537898
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HURST FAMILY MEDICAL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01SHARON WAKE SHARON WAKE2018-10-12
0012016-01-01CHRISTY BAZE CHRISTY BAZE2017-10-11
0012015-01-01CHRISTY BAZE CHRISTY BAZE2016-10-15
0012014-01-01SHARON WAKE CHRISTY BAZE2015-10-12
0012014-01-01SHARON WAKE CHRISTY BAZE2016-10-15
0012013-01-01SHARON WAKE CHRISTY BAZE2014-06-06

Plan Statistics for HURST FAMILY MEDICAL 401(K) PLAN

401k plan membership statisitcs for HURST FAMILY MEDICAL 401(K) PLAN

Measure Date Value
2023: HURST FAMILY MEDICAL 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0116
Total number of active participants reported on line 7a of the Form 55002023-01-018
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-016
Total of all active and inactive participants2023-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-0114
Number of participants with account balances2023-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: HURST FAMILY MEDICAL 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0113
Total number of active participants reported on line 7a of the Form 55002022-01-016
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-018
Total of all active and inactive participants2022-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0114
Number of participants with account balances2022-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: HURST FAMILY MEDICAL 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0113
Total number of active participants reported on line 7a of the Form 55002021-01-014
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-018
Total of all active and inactive participants2021-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0112
Number of participants with account balances2021-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: HURST FAMILY MEDICAL 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0116
Total number of active participants reported on line 7a of the Form 55002020-01-016
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-016
Total of all active and inactive participants2020-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0113
Number of participants with account balances2020-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: HURST FAMILY MEDICAL 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0117
Total number of active participants reported on line 7a of the Form 55002019-01-018
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-018
Total of all active and inactive participants2019-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0118
Number of participants with account balances2019-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: HURST FAMILY MEDICAL 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0116
Total number of active participants reported on line 7a of the Form 55002018-01-018
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-019
Total of all active and inactive participants2018-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0117
Number of participants with account balances2018-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: HURST FAMILY MEDICAL 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0114
Total number of active participants reported on line 7a of the Form 55002017-01-018
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-016
Total of all active and inactive participants2017-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0114
Number of participants with account balances2017-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: HURST FAMILY MEDICAL 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0116
Total number of active participants reported on line 7a of the Form 55002016-01-0110
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0114
Number of participants with account balances2016-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: HURST FAMILY MEDICAL 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0114
Total number of active participants reported on line 7a of the Form 55002015-01-017
Number of retired or separated participants receiving benefits2015-01-014
Number of other retired or separated participants entitled to future benefits2015-01-014
Total of all active and inactive participants2015-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0115
Number of participants with account balances2015-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: HURST FAMILY MEDICAL 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0115
Total number of active participants reported on line 7a of the Form 55002014-01-018
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-016
Total of all active and inactive participants2014-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0115
Number of participants with account balances2014-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: HURST FAMILY MEDICAL 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0112
Total number of active participants reported on line 7a of the Form 55002013-01-0110
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0112
Number of participants with account balances2013-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010

Financial Data on HURST FAMILY MEDICAL 401(K) PLAN

Measure Date Value
2023 : HURST FAMILY MEDICAL 401(K) PLAN 2023 401k financial data
Transfers to/from the plan2023-12-31$0
Total plan liabilities at beginning of year2023-12-31$62
Total income from all sources2023-12-31$88,526
Expenses. Total of all expenses incurred2023-12-31$17,934
Benefits paid (including direct rollovers)2023-12-31$15,531
Total plan assets at end of year2023-12-31$460,259
Total plan assets at beginning of year2023-12-31$389,729
Value of fidelity bond covering the plan2023-12-31$45,000
Total contributions received or receivable from participants2023-12-31$10,321
Expenses. Other expenses not covered elsewhere2023-12-31$0
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$73,953
Noncash contributions received2023-12-31$0
Net income (gross income less expenses)2023-12-31$70,592
Net plan assets at end of year (total assets less liabilities)2023-12-31$460,259
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$389,667
Assets. Value of participant loans2023-12-31$51,807
Total contributions received or receivable from employer(s)2023-12-31$4,252
Value of certain deemed distributions of participant loans2023-12-31$0
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$2,403
2022 : HURST FAMILY MEDICAL 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$62
Total income from all sources2022-12-31$-65,166
Expenses. Total of all expenses incurred2022-12-31$2,136
Benefits paid (including direct rollovers)2022-12-31$0
Total plan assets at end of year2022-12-31$389,729
Total plan assets at beginning of year2022-12-31$456,969
Value of fidelity bond covering the plan2022-12-31$45,000
Total contributions received or receivable from participants2022-12-31$8,679
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-78,520
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-67,302
Net plan assets at end of year (total assets less liabilities)2022-12-31$389,667
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$456,969
Assets. Value of participant loans2022-12-31$68,942
Total contributions received or receivable from employer(s)2022-12-31$4,675
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$2,136
2021 : HURST FAMILY MEDICAL 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$47
Total income from all sources2021-12-31$60,574
Expenses. Total of all expenses incurred2021-12-31$40,217
Benefits paid (including direct rollovers)2021-12-31$37,827
Total plan assets at end of year2021-12-31$456,969
Total plan assets at beginning of year2021-12-31$436,659
Value of fidelity bond covering the plan2021-12-31$45,000
Total contributions received or receivable from participants2021-12-31$1,511
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$58,056
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$20,357
Net plan assets at end of year (total assets less liabilities)2021-12-31$456,969
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$436,612
Assets. Value of participant loans2021-12-31$45,142
Total contributions received or receivable from employer(s)2021-12-31$1,007
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$2,390
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : HURST FAMILY MEDICAL 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$47
Total plan liabilities at beginning of year2020-12-31$12,352
Total income from all sources2020-12-31$81,257
Expenses. Total of all expenses incurred2020-12-31$18,363
Benefits paid (including direct rollovers)2020-12-31$16,544
Total plan assets at end of year2020-12-31$436,659
Total plan assets at beginning of year2020-12-31$386,070
Value of fidelity bond covering the plan2020-12-31$30,000
Total contributions received or receivable from participants2020-12-31$3,279
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$75,792
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$62,894
Net plan assets at end of year (total assets less liabilities)2020-12-31$436,612
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$373,718
Total contributions received or receivable from employer(s)2020-12-31$2,186
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$1,819
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : HURST FAMILY MEDICAL 401(K) PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$12,352
Total plan liabilities at beginning of year2019-12-31$5,440
Total income from all sources2019-12-31$104,747
Expenses. Total of all expenses incurred2019-12-31$34,357
Benefits paid (including direct rollovers)2019-12-31$32,572
Total plan assets at end of year2019-12-31$386,070
Total plan assets at beginning of year2019-12-31$308,768
Value of fidelity bond covering the plan2019-12-31$30,000
Total contributions received or receivable from participants2019-12-31$41,269
Other income received2019-12-31$59,617
Net income (gross income less expenses)2019-12-31$70,390
Net plan assets at end of year (total assets less liabilities)2019-12-31$373,718
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$303,328
Total contributions received or receivable from employer(s)2019-12-31$3,861
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$1,785
2018 : HURST FAMILY MEDICAL 401(K) PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$48,981
Expenses. Total of all expenses incurred2018-12-31$1,473
Total plan assets at end of year2018-12-31$303,582
Total plan assets at beginning of year2018-12-31$256,074
Value of fidelity bond covering the plan2018-12-31$30,000
Total contributions received or receivable from participants2018-12-31$42,187
Contributions received from other sources (not participants or employers)2018-12-31$16,165
Other income received2018-12-31$-21,445
Net income (gross income less expenses)2018-12-31$47,508
Net plan assets at end of year (total assets less liabilities)2018-12-31$303,582
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$256,074
Total contributions received or receivable from employer(s)2018-12-31$12,074
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$1,473
2017 : HURST FAMILY MEDICAL 401(K) PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$82,882
Expenses. Total of all expenses incurred2017-12-31$1,146
Total plan assets at end of year2017-12-31$256,074
Total plan assets at beginning of year2017-12-31$174,338
Value of fidelity bond covering the plan2017-12-31$30,000
Total contributions received or receivable from participants2017-12-31$39,330
Other income received2017-12-31$31,484
Net income (gross income less expenses)2017-12-31$81,736
Net plan assets at end of year (total assets less liabilities)2017-12-31$256,074
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$174,338
Total contributions received or receivable from employer(s)2017-12-31$12,068
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,146
2016 : HURST FAMILY MEDICAL 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$546
Total income from all sources2016-12-31$55,266
Expenses. Total of all expenses incurred2016-12-31$12,770
Benefits paid (including direct rollovers)2016-12-31$11,929
Total plan assets at end of year2016-12-31$174,338
Total plan assets at beginning of year2016-12-31$132,388
Value of fidelity bond covering the plan2016-12-31$30,000
Total contributions received or receivable from participants2016-12-31$19,538
Contributions received from other sources (not participants or employers)2016-12-31$10,797
Other income received2016-12-31$11,236
Net income (gross income less expenses)2016-12-31$42,496
Net plan assets at end of year (total assets less liabilities)2016-12-31$174,338
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$131,842
Total contributions received or receivable from employer(s)2016-12-31$13,695
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$841
2015 : HURST FAMILY MEDICAL 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$546
Total plan liabilities at beginning of year2015-12-31$8,600
Total income from all sources2015-12-31$41,699
Expenses. Total of all expenses incurred2015-12-31$190,788
Benefits paid (including direct rollovers)2015-12-31$189,530
Total plan assets at end of year2015-12-31$132,388
Total plan assets at beginning of year2015-12-31$289,531
Value of fidelity bond covering the plan2015-12-31$30,000
Total contributions received or receivable from participants2015-12-31$27,564
Contributions received from other sources (not participants or employers)2015-12-31$8,056
Other income received2015-12-31$-2,266
Net income (gross income less expenses)2015-12-31$-149,089
Net plan assets at end of year (total assets less liabilities)2015-12-31$131,842
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$280,931
Total contributions received or receivable from employer(s)2015-12-31$8,345
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,258
2014 : HURST FAMILY MEDICAL 401(K) PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$8,609
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$64,083
Expenses. Total of all expenses incurred2014-12-31$6,736
Benefits paid (including direct rollovers)2014-12-31$5,258
Total plan assets at end of year2014-12-31$289,663
Total plan assets at beginning of year2014-12-31$223,707
Value of fidelity bond covering the plan2014-12-31$30,000
Total contributions received or receivable from participants2014-12-31$45,889
Other income received2014-12-31$9,444
Net income (gross income less expenses)2014-12-31$57,347
Net plan assets at end of year (total assets less liabilities)2014-12-31$281,054
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$223,707
Total contributions received or receivable from employer(s)2014-12-31$8,750
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,478
2013 : HURST FAMILY MEDICAL 401(K) PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$155
Total income from all sources2013-12-31$97,387
Expenses. Total of all expenses incurred2013-12-31$21,110
Benefits paid (including direct rollovers)2013-12-31$19,914
Total plan assets at end of year2013-12-31$223,707
Total plan assets at beginning of year2013-12-31$147,585
Value of fidelity bond covering the plan2013-12-31$30,000
Total contributions received or receivable from participants2013-12-31$55,491
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$30,209
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$76,277
Net plan assets at end of year (total assets less liabilities)2013-12-31$223,707
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$147,430
Total contributions received or receivable from employer(s)2013-12-31$11,687
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,196
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$20,070

Form 5500 Responses for HURST FAMILY MEDICAL 401(K) PLAN

2023: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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: HURST FAMILY MEDICAL 401(K) 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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered10
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $1,754
Total amount of fees paid to insurance companyUSD $150
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered12
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,715
Total amount of fees paid to insurance companyUSD $100
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,715
Insurance broker organization code?3
Amount paid for insurance broker fees100
Additional information about fees paid to insurance brokerTPA FEES PAID
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered11
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,070
Total amount of fees paid to insurance companyUSD $200
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,070
Insurance broker organization code?3
Amount paid for insurance broker fees200
Additional information about fees paid to insurance brokerTPA FEES PAID
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered13
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,686
Total amount of fees paid to insurance companyUSD $50
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,686
Insurance broker organization code?3
Amount paid for insurance broker fees50
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered15
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,512
Total amount of fees paid to insurance companyUSD $150
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,512
Insurance broker organization code?3
Amount paid for insurance broker fees150
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered11
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,382
Total amount of fees paid to insurance companyUSD $10
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,382
Insurance broker organization code?3
Amount paid for insurance broker fees10
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered14
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,009
Total amount of fees paid to insurance companyUSD $101
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,009
Insurance broker organization code?3
Amount paid for insurance broker fees101
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker nameWAKE FINANCIAL GROUP INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered15
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $911
Total amount of fees paid to insurance companyUSD $300
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $911
Additional information about fees paid to insurance brokerCOMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees300
Insurance broker nameWAKE FINANCIAL GROUP INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered15
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,235
Total amount of fees paid to insurance companyUSD $152
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,235
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees152
Insurance broker nameWAKE FINANCIAL GROUP INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number67189
Policy instance 1
Insurance contract or identification number67189
Number of Individuals Covered12
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,171
Total amount of fees paid to insurance companyUSD $352
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,171
Insurance broker organization code?3
Amount paid for insurance broker fees352
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker nameWAKE FINANCIAL GROUP INC

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