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HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 401k Plan overview

Plan NameHANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN
Plan identification number 501

HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN Benefits

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

401k Sponsoring company profile

HANNIBAL CLINIC OPERATIONS LLC has sponsored the creation of one or more 401k plans.

Company Name:HANNIBAL CLINIC OPERATIONS LLC
Employer identification number (EIN):710893524
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012023-01-01STEPHANIE ERWIN
5012022-01-01
5012022-01-01STEPHANIE ERWIN
5012021-01-01
5012021-01-01STEPHANIE ERWIN
5012020-01-01
5012020-01-01
5012020-01-01
5012019-01-01
5012019-01-01
5012019-01-01STEPHANIE ERWIN
5012018-01-01
5012018-01-01
5012018-01-01STEPHANIE ERWIN
5012017-01-01MICHELE NELSON
5012017-01-01
5012017-01-01STEPHANIE ERWIN
5012016-01-01MICHELE NELSON
5012016-01-01
5012016-01-01STEPHANIE ERWIN
5012015-01-01MICHELE NELSON
5012015-01-01
5012015-01-01STEPHANIE ERWIN
5012014-01-01MICHELE NELSON
5012013-01-01MICHELE NELSON
5012012-01-01LAURA STEINMAN
5012011-01-01LAURA STEINMAN
5012010-01-01KIMBERLY CAPPS

Financial Data on HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN

Measure Date Value
2023 : HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2023 401k financial data
Total income from all sources2023-03-20$3
Expenses. Total of all expenses incurred2023-03-20$85,252
Benefits paid (including direct rollovers)2023-03-20$362
Total plan assets at end of year2023-03-20$0
Total plan assets at beginning of year2023-03-20$85,249
Value of fidelity bond covering the plan2023-03-20$2,000,000
Expenses. Other expenses not covered elsewhere2023-03-20$84,890
Other income received2023-03-20$3
Net income (gross income less expenses)2023-03-20$-85,249
Net plan assets at end of year (total assets less liabilities)2023-03-20$0
Net plan assets at beginning of year (total assets less liabilities)2023-03-20$85,249
2022 : HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2022 401k financial data
Total income from all sources2022-12-31$258,590
Expenses. Total of all expenses incurred2022-12-31$657,811
Benefits paid (including direct rollovers)2022-12-31$604,745
Total plan assets at end of year2022-12-31$85,249
Total plan assets at beginning of year2022-12-31$484,470
Value of fidelity bond covering the plan2022-12-31$2,000,000
Expenses. Other expenses not covered elsewhere2022-12-31$53,066
Other income received2022-12-31$590
Net income (gross income less expenses)2022-12-31$-399,221
Net plan assets at end of year (total assets less liabilities)2022-12-31$85,249
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$484,470
Total contributions received or receivable from employer(s)2022-12-31$258,000
2021 : HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$77,145
Total income from all sources (including contributions)2021-12-31$5,701,275
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$6,743,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$6,580,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$5,701,181
Value of total assets at end of year2021-12-31$484,470
Value of total assets at beginning of year2021-12-31$1,604,045
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$163,613
Total interest from all sources2021-12-31$94
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,111,013
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$259,568
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$254,969
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,070,319
Administrative expenses (other) incurred2021-12-31$163,613
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-1,042,430
Value of net assets at end of year (total assets less liabilities)2021-12-31$484,470
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,526,900
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$229,501
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$533,726
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$533,726
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$94
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$6,580,092
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$4,330,600
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$77,145
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BAKER TILLY US, LLP
Accountancy firm EIN2021-12-31390859910
2020 : HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$77,145
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$5,226,815
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$3,955,067
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,744,863
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$5,226,688
Value of total assets at end of year2020-12-31$1,604,045
Value of total assets at beginning of year2020-12-31$255,152
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$210,204
Total interest from all sources2020-12-31$127
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,194,058
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$276,262
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,070,319
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$227,650
Administrative expenses (other) incurred2020-12-31$210,204
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,271,748
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,526,900
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$255,152
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$533,726
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$27,502
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$27,502
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$127
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$3,744,863
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$3,756,368
Liabilities. Value of benefit claims payable at end of year2020-12-31$77,145
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BAKER TILLY US, LLP
Accountancy firm EIN2020-12-31390859910
Total unrealized appreciation/depreciation of assets2020-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-01$77,145
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-01-01$0
Total income from all sources (including contributions)2020-01-01$5,226,815
Total loss/gain on sale of assets2020-01-01$0
Total of all expenses incurred2020-01-01$3,955,067
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-01-01$3,744,863
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-01-01$5,226,688
Value of total assets at end of year2020-01-01$1,604,045
Value of total assets at beginning of year2020-01-01$255,152
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-01-01$210,204
Total interest from all sources2020-01-01$127
Total dividends received (eg from common stock, registered investment company shares)2020-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-01-01No
Was this plan covered by a fidelity bond2020-01-01Yes
Value of fidelity bond cover2020-01-01$2,000,000
If this is an individual account plan, was there a blackout period2020-01-01No
Were there any nonexempt tranactions with any party-in-interest2020-01-01No
Contributions received from participants2020-01-01$1,194,058
Income. Received or receivable in cash from other sources (including rollovers)2020-01-01$276,262
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-01-01$1,070,319
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-01-01$227,650
Administrative expenses (other) incurred2020-01-01$210,204
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-01No
Value of net income/loss2020-01-01$1,271,748
Value of net assets at end of year (total assets less liabilities)2020-01-01$1,526,900
Value of net assets at beginning of year (total assets less liabilities)2020-01-01$255,152
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-01-01No
Were any leases to which the plan was party in default or uncollectible2020-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-01-01$533,726
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-01-01$127
Expenses. Payments to insurance carriers foe the provision of benefits2020-01-01$3,744,863
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-01-01No
Was there a failure to transmit to the plan any participant contributions2020-01-01No
Has the plan failed to provide any benefit when due under the plan2020-01-01No
Contributions received in cash from employer2020-01-01$3,756,368
Liabilities. Value of benefit claims payable at end of year2020-01-01$77,145
Did the plan have assets held for investment2020-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-01-01No
Opinion of an independent qualified public accountant for this plan2020-01-011
Accountancy firm name2020-01-01BAKER TILLY US, LLP
Accountancy firm EIN2020-01-01390859910
2019 : HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$4,111,250
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$4,320,419
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,222,198
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$4,110,894
Value of total assets at end of year2019-12-31$255,152
Value of total assets at beginning of year2019-12-31$464,321
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$98,221
Total interest from all sources2019-12-31$356
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$945,558
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$159,496
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$227,650
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$226,290
Administrative expenses (other) incurred2019-12-31$98,221
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-209,169
Value of net assets at end of year (total assets less liabilities)2019-12-31$255,152
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$464,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$27,502
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$238,031
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$238,031
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$356
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,222,198
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,005,840
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BAKER TILLY US, LLP
Accountancy firm EIN2019-12-31390859910
Total unrealized appreciation/depreciation of assets2019-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-01-01$0
Total income from all sources (including contributions)2019-01-01$4,111,250
Total loss/gain on sale of assets2019-01-01$0
Total of all expenses incurred2019-01-01$4,320,419
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-01-01$4,222,198
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-01-01$4,110,894
Value of total assets at end of year2019-01-01$255,152
Value of total assets at beginning of year2019-01-01$464,321
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-01-01$98,221
Total interest from all sources2019-01-01$356
Total dividends received (eg from common stock, registered investment company shares)2019-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-01-01No
Was this plan covered by a fidelity bond2019-01-01Yes
Value of fidelity bond cover2019-01-01$2,000,000
If this is an individual account plan, was there a blackout period2019-01-01No
Were there any nonexempt tranactions with any party-in-interest2019-01-01No
Contributions received from participants2019-01-01$945,558
Income. Received or receivable in cash from other sources (including rollovers)2019-01-01$159,496
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-01-01$227,650
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-01-01$226,290
Administrative expenses (other) incurred2019-01-01$98,221
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-01No
Value of net income/loss2019-01-01$-209,169
Value of net assets at end of year (total assets less liabilities)2019-01-01$255,152
Value of net assets at beginning of year (total assets less liabilities)2019-01-01$464,321
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2019-01-01No
Were any leases to which the plan was party in default or uncollectible2019-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-01-01$27,502
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-01-01$356
Expenses. Payments to insurance carriers foe the provision of benefits2019-01-01$4,222,198
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-01-01No
Was there a failure to transmit to the plan any participant contributions2019-01-01No
Has the plan failed to provide any benefit when due under the plan2019-01-01No
Contributions received in cash from employer2019-01-01$3,005,840
Did the plan have assets held for investment2019-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-01-01No
Opinion of an independent qualified public accountant for this plan2019-01-011
Accountancy firm name2019-01-01BAKER TILLY US, LLP
Accountancy firm EIN2019-01-01390859910
2018 : HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$3,815,755
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$3,815,720
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,709,582
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,814,928
Value of total assets at end of year2018-12-31$464,321
Value of total assets at beginning of year2018-12-31$464,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$106,138
Total interest from all sources2018-12-31$827
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,064,245
Participant contributions at beginning of year2018-12-31$20,382
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$121,710
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$226,290
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$226,990
Administrative expenses (other) incurred2018-12-31$106,138
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$35
Value of net assets at end of year (total assets less liabilities)2018-12-31$464,321
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$464,286
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$238,031
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$122,003
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$122,003
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$827
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$3,709,582
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,628,973
Employer contributions (assets) at beginning of year2018-12-31$94,911
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BAKER TILLY US, LLP
Accountancy firm EIN2018-12-31390859910
Total unrealized appreciation/depreciation of assets2018-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-01-01$0
Total income from all sources (including contributions)2018-01-01$3,815,755
Total loss/gain on sale of assets2018-01-01$0
Total of all expenses incurred2018-01-01$3,815,720
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-01-01$3,709,582
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-01-01$3,814,928
Value of total assets at end of year2018-01-01$464,321
Value of total assets at beginning of year2018-01-01$464,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-01-01$106,138
Total interest from all sources2018-01-01$827
Total dividends received (eg from common stock, registered investment company shares)2018-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-01-01No
Was this plan covered by a fidelity bond2018-01-01Yes
Value of fidelity bond cover2018-01-01$2,000,000
If this is an individual account plan, was there a blackout period2018-01-01No
Were there any nonexempt tranactions with any party-in-interest2018-01-01No
Contributions received from participants2018-01-01$1,064,245
Participant contributions at beginning of year2018-01-01$20,382
Income. Received or receivable in cash from other sources (including rollovers)2018-01-01$121,710
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-01-01$226,290
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-01-01$226,990
Administrative expenses (other) incurred2018-01-01$106,138
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-01No
Value of net income/loss2018-01-01$35
Value of net assets at end of year (total assets less liabilities)2018-01-01$464,321
Value of net assets at beginning of year (total assets less liabilities)2018-01-01$464,286
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2018-01-01No
Were any leases to which the plan was party in default or uncollectible2018-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-01-01$238,031
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-01-01$827
Expenses. Payments to insurance carriers foe the provision of benefits2018-01-01$3,709,582
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-01-01No
Was there a failure to transmit to the plan any participant contributions2018-01-01No
Has the plan failed to provide any benefit when due under the plan2018-01-01No
Contributions received in cash from employer2018-01-01$2,628,973
Employer contributions (assets) at beginning of year2018-01-01$94,911
Did the plan have assets held for investment2018-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-01-01No
Opinion of an independent qualified public accountant for this plan2018-01-011
Accountancy firm name2018-01-01BAKER TILLY US, LLP
Accountancy firm EIN2018-01-01390859910
2017 : HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$82,138
Total income from all sources (including contributions)2017-12-31$4,439,366
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$4,582,653
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,498,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,438,801
Value of total assets at end of year2017-12-31$464,286
Value of total assets at beginning of year2017-12-31$689,711
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$84,338
Total interest from all sources2017-12-31$565
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$754,336
Participant contributions at end of year2017-12-31$20,382
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$226,990
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$277,951
Administrative expenses (other) incurred2017-12-31$84,338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-143,287
Value of net assets at end of year (total assets less liabilities)2017-12-31$464,286
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$607,573
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$122,003
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$260,173
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$260,173
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$565
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,498,315
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$3,684,465
Employer contributions (assets) at end of year2017-12-31$94,911
Employer contributions (assets) at beginning of year2017-12-31$151,587
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$82,138
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BAKER TILLY US, LLP
Accountancy firm EIN2017-12-31390859910
Total unrealized appreciation/depreciation of assets2017-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-01-01$82,138
Total income from all sources (including contributions)2017-01-01$4,439,366
Total loss/gain on sale of assets2017-01-01$0
Total of all expenses incurred2017-01-01$4,582,653
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-01-01$4,498,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-01-01$4,438,801
Value of total assets at end of year2017-01-01$464,286
Value of total assets at beginning of year2017-01-01$689,711
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-01-01$84,338
Total interest from all sources2017-01-01$565
Total dividends received (eg from common stock, registered investment company shares)2017-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-01-01No
Was this plan covered by a fidelity bond2017-01-01Yes
Value of fidelity bond cover2017-01-01$2,000,000
If this is an individual account plan, was there a blackout period2017-01-01No
Were there any nonexempt tranactions with any party-in-interest2017-01-01No
Contributions received from participants2017-01-01$754,336
Participant contributions at end of year2017-01-01$20,382
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-01-01$226,990
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-01-01$277,951
Administrative expenses (other) incurred2017-01-01$84,338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-01No
Value of net income/loss2017-01-01$-143,287
Value of net assets at end of year (total assets less liabilities)2017-01-01$464,286
Value of net assets at beginning of year (total assets less liabilities)2017-01-01$607,573
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2017-01-01No
Were any leases to which the plan was party in default or uncollectible2017-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-01-01$122,003
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-01-01$565
Expenses. Payments to insurance carriers foe the provision of benefits2017-01-01$4,498,315
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-01-01No
Was there a failure to transmit to the plan any participant contributions2017-01-01No
Has the plan failed to provide any benefit when due under the plan2017-01-01No
Contributions received in cash from employer2017-01-01$3,684,465
Employer contributions (assets) at end of year2017-01-01$94,911
Employer contributions (assets) at beginning of year2017-01-01$151,587
Liabilities. Value of benefit claims payable at beginning of year2017-01-01$82,138
Did the plan have assets held for investment2017-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-01-01No
Opinion of an independent qualified public accountant for this plan2017-01-011
Accountancy firm name2017-01-01BAKER TILLY US, LLP
Accountancy firm EIN2017-01-01390859910
2016 : HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$82,138
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$4,815,443
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$4,612,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,554,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,815,291
Value of total assets at end of year2016-12-31$689,711
Value of total assets at beginning of year2016-12-31$404,582
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$57,703
Total interest from all sources2016-12-31$152
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,054,231
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$7,305
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$277,951
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$311,545
Administrative expenses (other) incurred2016-12-31$57,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$202,991
Value of net assets at end of year (total assets less liabilities)2016-12-31$607,573
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$404,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$260,173
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$9,015
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$9,015
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$152
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$4,554,749
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$3,753,755
Employer contributions (assets) at end of year2016-12-31$151,587
Employer contributions (assets) at beginning of year2016-12-31$84,022
Liabilities. Value of benefit claims payable at end of year2016-12-31$82,138
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BAKER TILLY US, LLP
Accountancy firm EIN2016-12-31390859910
Total unrealized appreciation/depreciation of assets2016-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-01-01$82,138
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-01-01$0
Total income from all sources (including contributions)2016-01-01$4,815,443
Total loss/gain on sale of assets2016-01-01$0
Total of all expenses incurred2016-01-01$4,612,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-01-01$4,554,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-01-01$4,815,291
Value of total assets at end of year2016-01-01$689,711
Value of total assets at beginning of year2016-01-01$404,582
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-01-01$57,703
Total interest from all sources2016-01-01$152
Total dividends received (eg from common stock, registered investment company shares)2016-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-01-01No
Was this plan covered by a fidelity bond2016-01-01Yes
Value of fidelity bond cover2016-01-01$1,000,000
If this is an individual account plan, was there a blackout period2016-01-01No
Were there any nonexempt tranactions with any party-in-interest2016-01-01No
Contributions received from participants2016-01-01$1,054,231
Income. Received or receivable in cash from other sources (including rollovers)2016-01-01$7,305
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-01-01$277,951
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-01-01$311,545
Administrative expenses (other) incurred2016-01-01$57,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-01No
Value of net income/loss2016-01-01$202,991
Value of net assets at end of year (total assets less liabilities)2016-01-01$607,573
Value of net assets at beginning of year (total assets less liabilities)2016-01-01$404,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2016-01-01No
Were any leases to which the plan was party in default or uncollectible2016-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-01-01$260,173
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-01-01$152
Expenses. Payments to insurance carriers foe the provision of benefits2016-01-01$4,554,749
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-01-01No
Was there a failure to transmit to the plan any participant contributions2016-01-01No
Has the plan failed to provide any benefit when due under the plan2016-01-01No
Contributions received in cash from employer2016-01-01$3,753,755
Employer contributions (assets) at end of year2016-01-01$151,587
Employer contributions (assets) at beginning of year2016-01-01$84,022
Liabilities. Value of benefit claims payable at end of year2016-01-01$82,138
Did the plan have assets held for investment2016-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-01-01No
Opinion of an independent qualified public accountant for this plan2016-01-011
Accountancy firm name2016-01-01BAKER TILLY US, LLP
Accountancy firm EIN2016-01-01390859910
2015 : HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$34,810
Total income from all sources (including contributions)2015-12-31$3,668,833
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$3,562,309
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,415,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,668,410
Value of total assets at end of year2015-12-31$404,582
Value of total assets at beginning of year2015-12-31$332,868
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$147,279
Total interest from all sources2015-12-31$423
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$859,783
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$9,368
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$311,545
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$140,025
Administrative expenses (other) incurred2015-12-31$147,279
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$106,524
Value of net assets at end of year (total assets less liabilities)2015-12-31$404,582
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$298,058
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$9,015
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$192,843
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$192,843
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$423
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$3,415,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,799,259
Employer contributions (assets) at end of year2015-12-31$84,022
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$34,810
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BAKER TILLY US, LLP
Accountancy firm EIN2015-12-31390859910
Total unrealized appreciation/depreciation of assets2015-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-01$34,810
Total income from all sources (including contributions)2015-01-01$3,668,833
Total loss/gain on sale of assets2015-01-01$0
Total of all expenses incurred2015-01-01$3,562,309
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-01-01$3,415,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-01-01$3,668,410
Value of total assets at end of year2015-01-01$404,582
Value of total assets at beginning of year2015-01-01$332,868
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-01-01$147,279
Total interest from all sources2015-01-01$423
Total dividends received (eg from common stock, registered investment company shares)2015-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-01-01No
Was this plan covered by a fidelity bond2015-01-01Yes
Value of fidelity bond cover2015-01-01$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-01-01No
Contributions received from participants2015-01-01$859,783
Income. Received or receivable in cash from other sources (including rollovers)2015-01-01$9,368
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-01-01$311,545
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-01-01$140,025
Administrative expenses (other) incurred2015-01-01$147,279
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-01No
Value of net income/loss2015-01-01$106,524
Value of net assets at end of year (total assets less liabilities)2015-01-01$404,582
Value of net assets at beginning of year (total assets less liabilities)2015-01-01$298,058
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2015-01-01No
Were any leases to which the plan was party in default or uncollectible2015-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-01-01$9,015
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-01-01$423
Expenses. Payments to insurance carriers foe the provision of benefits2015-01-01$3,415,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-01-01No
Was there a failure to transmit to the plan any participant contributions2015-01-01No
Has the plan failed to provide any benefit when due under the plan2015-01-01No
Contributions received in cash from employer2015-01-01$2,799,259
Employer contributions (assets) at end of year2015-01-01$84,022
Liabilities. Value of benefit claims payable at beginning of year2015-01-01$34,810
Did the plan have assets held for investment2015-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-01-01No
Opinion of an independent qualified public accountant for this plan2015-01-011
Accountancy firm name2015-01-01BAKER TILLY US, LLP
Accountancy firm EIN2015-01-01390859910

Form 5500 Responses for HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN

2023: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingYes
2023-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: HANNIBAL CLINIC OPERATIONS LLC SELF FUNDED HEALTH 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 – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNIS1430 01
Policy instance 1
Insurance contract or identification numberNIS1430 01
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Welfare Benefit Premiums Paid to CarrierUSD $476,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNIS1430 01
Policy instance 1
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
Policy contract number01187400
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 3
SIHO (National Association of Insurance Commissioners NAIC id number: 95812 )
Policy contract numberHANNIB
Policy instance 4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberNIS1430 01
Policy instance 1
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS0149119
Policy instance 4
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 2
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
Policy contract number01187400
Policy instance 1
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS0149119
Policy instance 1
Insurance contract or identification numberLGS0149119
Number of Individuals Covered266
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $90,250
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 $601,666
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 2
DELTA DENTAL OF MISSOURI (National Association of Insurance Commissioners NAIC id number: 55697 )
Policy contract number01187400
Policy instance 3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01491-18
Policy instance 4
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01491-18
Policy instance 2
Insurance contract or identification numberLGS01491-18
Number of Individuals Covered263
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $76,993
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 $513,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 3
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number417003412441
Policy instance 4
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number417003412441
Policy instance 1
Insurance contract or identification number417003412441
Number of Individuals Covered258
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $46,167
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 $409,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number417002412441
Policy instance 1
Insurance contract or identification number417002412441
Number of Individuals Covered257
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $63,586
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 $423,461
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract number48381
Policy instance 1
Insurance contract or identification number48381
Number of Individuals Covered277
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $53,845
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 $358,967
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number93113
Policy instance 3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 5
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 4
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract number48381
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number93113
Policy instance 5
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number68271-3
Policy instance 6
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number93113
Policy instance 2
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number155825
Policy instance 4
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number226120
Policy instance 5
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number93113
Policy instance 6
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 3
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 4
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 5
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberPF00326403
Policy instance 1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberPF00326401
Policy instance 1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 4
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5321224
Policy instance 2
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberPF00326401
Policy instance 1

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