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FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 401k Plan overview

Plan NameFIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN
Plan identification number 007

FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

FIRSTHEALTH OF THE CAROLINAS has sponsored the creation of one or more 401k plans.

Company Name:FIRSTHEALTH OF THE CAROLINAS
Employer identification number (EIN):561936354
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0072022-01-01
0072021-01-01
0072020-01-01
0072019-01-01
0072018-01-01
0072017-01-01DANIEL BIEDIGER
0072016-01-01DAN BIEDIGER
0072015-01-01DAN BIEDIGER
0072014-01-01DAN BIEDIGER
0072013-01-01DAN BIEDIGER
0072012-01-01DANIEL BIEDIGER DANIEL BIEDIGER2013-10-04
0072011-01-01DANIEL BIEDIGER
0072010-01-01DANIEL BIEDIGER
0072009-01-01 DANIEL BIEDIGER2010-10-06
0072009-01-01DANIEL BIEDIGER

Plan Statistics for FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN

401k plan membership statisitcs for FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN

Measure Date Value
2022: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0165
Total number of active participants reported on line 7a of the Form 55002022-01-0138
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0121
Total of all active and inactive participants2022-01-0159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-011
Total participants2022-01-0160
Number of participants with account balances2022-01-0143
2021: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01105
Total number of active participants reported on line 7a of the Form 55002021-01-0144
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0120
Total of all active and inactive participants2021-01-0164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-011
Total participants2021-01-0165
Number of participants with account balances2021-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0173
Total number of active participants reported on line 7a of the Form 55002020-01-0194
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0110
Total of all active and inactive participants2020-01-01104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-01105
Number of participants with account balances2020-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0174
Total number of active participants reported on line 7a of the Form 55002019-01-0157
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0114
Total of all active and inactive participants2019-01-0171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-012
Total participants2019-01-0173
Number of participants with account balances2019-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0175
Total number of active participants reported on line 7a of the Form 55002018-01-0160
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-0113
Total of all active and inactive participants2018-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0174
Number of participants with account balances2018-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0177
Total number of active participants reported on line 7a of the Form 55002017-01-0162
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0112
Total of all active and inactive participants2017-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0175
Number of participants with account balances2017-01-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0161
Total number of active participants reported on line 7a of the Form 55002016-01-0165
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-0111
Total of all active and inactive participants2016-01-0177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0177
Number of participants with account balances2016-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0156
Total number of active participants reported on line 7a of the Form 55002015-01-0151
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0110
Total of all active and inactive participants2015-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0161
Number of participants with account balances2015-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0147
Total number of active participants reported on line 7a of the Form 55002014-01-0147
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0156
Number of participants with account balances2014-01-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0139
Total number of active participants reported on line 7a of the Form 55002013-01-0138
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-019
Total of all active and inactive participants2013-01-0147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0147
Number of participants with account balances2013-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0142
Total number of active participants reported on line 7a of the Form 55002012-01-0132
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-018
Total of all active and inactive participants2012-01-0140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0140
Number of participants with account balances2012-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0141
Total number of active participants reported on line 7a of the Form 55002011-01-0134
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-018
Total of all active and inactive participants2011-01-0142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0142
Number of participants with account balances2011-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0153
Total number of active participants reported on line 7a of the Form 55002010-01-0133
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-018
Total of all active and inactive participants2010-01-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0141
Number of participants with account balances2010-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0151
Total number of active participants reported on line 7a of the Form 55002009-01-0148
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-015
Total of all active and inactive participants2009-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0153
Number of participants with account balances2009-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN

Measure Date Value
2022 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$1
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-641,882
Expenses. Total of all expenses incurred2022-12-31$1,270,535
Benefits paid (including direct rollovers)2022-12-31$1,267,498
Total plan assets at end of year2022-12-31$1,750,158
Total plan assets at beginning of year2022-12-31$3,662,574
Value of fidelity bond covering the plan2022-12-31$2,000,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$0
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-641,882
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-1,912,417
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,750,157
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$3,662,574
Assets. Value of participant loans2022-12-31$5
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$0
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$3,037
2021 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$4
Total income from all sources2021-12-31$531,050
Expenses. Total of all expenses incurred2021-12-31$2,271,680
Benefits paid (including direct rollovers)2021-12-31$2,267,067
Total plan assets at end of year2021-12-31$3,662,574
Total plan assets at beginning of year2021-12-31$5,403,208
Value of fidelity bond covering the plan2021-12-31$2,000,000
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$0
Assets. Value of loans (other than to participants)2021-12-31$0
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$531,050
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$-1,740,630
Net plan assets at end of year (total assets less liabilities)2021-12-31$3,662,574
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$5,403,204
Assets. Value of participant loans2021-12-31$119
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$0
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$4,613
2020 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$-158,669
Total plan liabilities at end of year2020-12-31$4
Total plan liabilities at beginning of year2020-12-31$1
Total income from all sources2020-12-31$984,861
Expenses. Total of all expenses incurred2020-12-31$422,829
Benefits paid (including direct rollovers)2020-12-31$420,381
Total plan assets at end of year2020-12-31$5,403,208
Total plan assets at beginning of year2020-12-31$4,999,842
Value of fidelity bond covering the plan2020-12-31$2,000,000
Total contributions received or receivable from participants2020-12-31$70,854
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$828,959
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$562,032
Net plan assets at end of year (total assets less liabilities)2020-12-31$5,403,204
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$4,999,841
Assets. Value of participant loans2020-12-31$1,008
Total contributions received or receivable from employer(s)2020-12-31$85,048
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$2,448
2019 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$11,413
Total plan liabilities at end of year2019-12-31$1
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$1,401,633
Expenses. Total of all expenses incurred2019-12-31$1,093,585
Benefits paid (including direct rollovers)2019-12-31$1,085,755
Total plan assets at end of year2019-12-31$4,999,842
Total plan assets at beginning of year2019-12-31$4,680,380
Value of fidelity bond covering the plan2019-12-31$2,000,000
Assets. Value of tangible personal property2019-12-31$0
Total contributions received or receivable from participants2019-12-31$238,139
Assets. Value of loans (other than to participants)2019-12-31$0
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$1,085,062
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$308,048
Net plan assets at end of year (total assets less liabilities)2019-12-31$4,999,841
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$4,680,380
Assets. Value of participant loans2019-12-31$116,917
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2019-12-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2019-12-31$0
Assets. Value of assets in partnership/joint-venture interests2019-12-31$0
Assets. Value of real-estate (other than employer real property)2019-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022019-12-31$0
Assets. Value of employer securities2019-12-31$0
Assets. Value of employer real property2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$78,432
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$4,052
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$3,778
2018 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$17,000
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$37,284
Expenses. Total of all expenses incurred2018-12-31$66,675
Benefits paid (including direct rollovers)2018-12-31$44,767
Total plan assets at end of year2018-12-31$4,680,380
Total plan assets at beginning of year2018-12-31$4,692,771
Value of fidelity bond covering the plan2018-12-31$2,000,000
Total contributions received or receivable from participants2018-12-31$221,879
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-268,664
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-29,391
Net plan assets at end of year (total assets less liabilities)2018-12-31$4,680,380
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$4,692,771
Assets. Value of participant loans2018-12-31$75,131
Total contributions received or receivable from employer(s)2018-12-31$84,069
Value of certain deemed distributions of participant loans2018-12-31$16,263
Value of corrective distributions2018-12-31$872
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$4,773
2017 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$367,062
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$9,801
Total income from all sources2017-12-31$999,135
Expenses. Total of all expenses incurred2017-12-31$186,721
Benefits paid (including direct rollovers)2017-12-31$178,127
Total plan assets at end of year2017-12-31$4,692,771
Total plan assets at beginning of year2017-12-31$3,523,096
Value of fidelity bond covering the plan2017-12-31$2,000,000
Total contributions received or receivable from participants2017-12-31$230,807
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$18,737
Other income received2017-12-31$680,151
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$812,414
Net plan assets at end of year (total assets less liabilities)2017-12-31$4,692,771
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,513,295
Assets. Value of participant loans2017-12-31$108,014
Total contributions received or receivable from employer(s)2017-12-31$69,440
Value of certain deemed distributions of participant loans2017-12-31$2,874
Value of corrective distributions2017-12-31$3,978
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,742
2016 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$9,801
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$477,744
Expenses. Total of all expenses incurred2016-12-31$166,113
Benefits paid (including direct rollovers)2016-12-31$163,372
Total plan assets at end of year2016-12-31$3,523,096
Total plan assets at beginning of year2016-12-31$3,201,664
Value of fidelity bond covering the plan2016-12-31$2,000,000
Total contributions received or receivable from participants2016-12-31$197,676
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$5,782
Other income received2016-12-31$203,556
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$311,631
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,513,295
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,201,664
Assets. Value of participant loans2016-12-31$81,728
Total contributions received or receivable from employer(s)2016-12-31$70,730
Value of certain deemed distributions of participant loans2016-12-31$-3,790
Value of corrective distributions2016-12-31$4,906
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$1,625
2015 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$125,798
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$447,273
Expenses. Total of all expenses incurred2015-12-31$278,720
Benefits paid (including direct rollovers)2015-12-31$271,812
Total plan assets at end of year2015-12-31$3,201,664
Total plan assets at beginning of year2015-12-31$2,907,313
Value of fidelity bond covering the plan2015-12-31$2,000,000
Total contributions received or receivable from participants2015-12-31$198,228
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$154,059
Other income received2015-12-31$35,626
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$168,553
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,201,664
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,907,313
Assets. Value of participant loans2015-12-31$99,288
Total contributions received or receivable from employer(s)2015-12-31$59,360
Value of certain deemed distributions of participant loans2015-12-31$3,790
Value of corrective distributions2015-12-31$3,023
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$95
2014 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$414,435
Expenses. Total of all expenses incurred2014-12-31$42,902
Benefits paid (including direct rollovers)2014-12-31$31,237
Total plan assets at end of year2014-12-31$2,907,313
Total plan assets at beginning of year2014-12-31$2,535,780
Value of fidelity bond covering the plan2014-12-31$2,000,000
Total contributions received or receivable from participants2014-12-31$176,639
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$190,914
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$371,533
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,907,313
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,535,780
Assets. Value of participant loans2014-12-31$59,069
Total contributions received or receivable from employer(s)2014-12-31$46,882
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$11,972
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$-307
2013 : FIRSTHEALTH OF THE CAROLINAS, INC. 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 income from all sources2013-12-31$626,707
Expenses. Total of all expenses incurred2013-12-31$33,501
Benefits paid (including direct rollovers)2013-12-31$18,694
Total plan assets at end of year2013-12-31$2,535,780
Total plan assets at beginning of year2013-12-31$1,942,574
Value of fidelity bond covering the plan2013-12-31$2,000,000
Total contributions received or receivable from participants2013-12-31$131,820
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$446,466
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$593,206
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,535,780
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,942,574
Assets. Value of participant loans2013-12-31$66,020
Total contributions received or receivable from employer(s)2013-12-31$48,421
Value of certain deemed distributions of participant loans2013-12-31$8,858
Value of corrective distributions2013-12-31$5,368
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$581
2012 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$381,358
Expenses. Total of all expenses incurred2012-12-31$101,404
Benefits paid (including direct rollovers)2012-12-31$100,810
Total plan assets at end of year2012-12-31$1,942,574
Total plan assets at beginning of year2012-12-31$1,662,620
Value of fidelity bond covering the plan2012-12-31$2,000,000
Total contributions received or receivable from participants2012-12-31$124,384
Other income received2012-12-31$210,619
Net income (gross income less expenses)2012-12-31$279,954
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,942,574
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,662,620
Assets. Value of participant loans2012-12-31$83,245
Total contributions received or receivable from employer(s)2012-12-31$46,355
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$594
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$2
Total income from all sources2011-12-31$152,989
Expenses. Total of all expenses incurred2011-12-31$15,238
Benefits paid (including direct rollovers)2011-12-31$5,409
Total plan assets at end of year2011-12-31$1,662,620
Total plan assets at beginning of year2011-12-31$1,524,871
Value of fidelity bond covering the plan2011-12-31$2,000,000
Total contributions received or receivable from participants2011-12-31$130,455
Other income received2011-12-31$-23,321
Net income (gross income less expenses)2011-12-31$137,751
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,662,620
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,524,869
Assets. Value of participant loans2011-12-31$66,235
Total contributions received or receivable from employer(s)2011-12-31$45,855
Value of corrective distributions2011-12-31$9,279
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$550
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$2
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$346,529
Expenses. Total of all expenses incurred2010-12-31$24,765
Benefits paid (including direct rollovers)2010-12-31$7,069
Total plan assets at end of year2010-12-31$1,524,871
Total plan assets at beginning of year2010-12-31$1,203,105
Value of fidelity bond covering the plan2010-12-31$2,000,000
Total contributions received or receivable from participants2010-12-31$141,170
Other income received2010-12-31$157,353
Net income (gross income less expenses)2010-12-31$321,764
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,524,869
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,203,105
Assets. Value of participant loans2010-12-31$70,607
Total contributions received or receivable from employer(s)2010-12-31$48,006
Value of corrective distributions2010-12-31$16,939
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$757
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN

2022: FIRSTHEALTH OF THE CAROLINAS, INC. 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: FIRSTHEALTH OF THE CAROLINAS, INC. 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: FIRSTHEALTH OF THE CAROLINAS, INC. 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: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
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: FIRSTHEALTH OF THE CAROLINAS, INC. 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: FIRSTHEALTH OF THE CAROLINAS, INC. 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: FIRSTHEALTH OF THE CAROLINAS, INC. 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: FIRSTHEALTH OF THE CAROLINAS, INC. 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: FIRSTHEALTH OF THE CAROLINAS, INC. 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: FIRSTHEALTH OF THE CAROLINAS, INC. 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
2012: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) 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 funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: FIRSTHEALTH OF THE CAROLINAS, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan 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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85197
Policy instance 1
Insurance contract or identification numberGA85197
Number of Individuals Covered9
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85197
Policy instance 1
Insurance contract or identification numberGA85197
Number of Individuals Covered10
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA85197
Policy instance 2
Insurance contract or identification numberGA85197
Number of Individuals Covered19
Insurance policy start date2020-10-19
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered22
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered22
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered20
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered17
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered17
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered19
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered19
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered20
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60174
Policy instance 1
Insurance contract or identification number60174
Number of Individuals Covered20
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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