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IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501) 401k Plan overview

Plan NameIV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501)
Plan identification number 501

IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501) Benefits

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

401k Sponsoring company profile

IV CARE OF MIDDLE GA, INC. has sponsored the creation of one or more 401k plans.

Company Name:IV CARE OF MIDDLE GA, INC.
Employer identification number (EIN):581814364
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01

Plan Statistics for IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501)

401k plan membership statisitcs for IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501)

Measure Date Value
2023: IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501) 2023 401k membership
Total participants, beginning-of-year2023-01-0160
Total number of active participants reported on line 7a of the Form 55002023-01-0144
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-0144
2022: IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501) 2022 401k membership
Total participants, beginning-of-year2022-01-0146
Total number of active participants reported on line 7a of the Form 55002022-01-0160
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0160

Financial Data on IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501)

Measure Date Value
2023 : IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501) 2023 401k financial data
Total plan liabilities at end of year2023-12-31$276,365
Total plan liabilities at beginning of year2023-12-31$347,763
Total income from all sources2023-12-31$782,684
Expenses. Total of all expenses incurred2023-12-31$660,353
Benefits paid (including direct rollovers)2023-12-31$297,604
Total plan assets at end of year2023-12-31$51,019
Total plan assets at beginning of year2023-12-31$86
Value of fidelity bond covering the plan2023-12-31$250,000
Total contributions received or receivable from participants2023-12-31$91,784
Expenses. Other expenses not covered elsewhere2023-12-31$330,002
Contributions received from other sources (not participants or employers)2023-12-31$418
Other income received2023-12-31$375
Net income (gross income less expenses)2023-12-31$122,331
Net plan assets at end of year (total assets less liabilities)2023-12-31$-225,346
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$-347,677
Total contributions received or receivable from employer(s)2023-12-31$690,107
Value of corrective distributions2023-12-31$9,029
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$23,718
2022 : IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501) 2022 401k financial data
Total plan liabilities at end of year2022-12-31$347,763
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$694,233
Expenses. Total of all expenses incurred2022-12-31$1,041,910
Benefits paid (including direct rollovers)2022-12-31$736,537
Total plan assets at end of year2022-12-31$86
Total plan assets at beginning of year2022-12-31$0
Value of fidelity bond covering the plan2022-12-31$250,000
Total contributions received or receivable from participants2022-12-31$68,056
Expenses. Other expenses not covered elsewhere2022-12-31$282,449
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-347,677
Net plan assets at end of year (total assets less liabilities)2022-12-31$-347,677
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$626,177
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$22,924

Form 5500 Responses for IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501)

2023: IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501) 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: IV CARE OF MIDDLE GA EMPLOYEE BENEFIT PLAN (501) 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01First time form 5500 has been submittedYes
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

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500898
Policy instance 1
Insurance contract or identification number30500898
Number of Individuals Covered44
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $287,996
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500898
Policy instance 1
Insurance contract or identification number30500898
Number of Individuals Covered61
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $243,358
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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