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H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 401k Plan overview

Plan NameH.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST
Plan identification number 501

H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Other welfare benefit cover

401k Sponsoring company profile

H.N. FERNANDEZ, INC has sponsored the creation of one or more 401k plans.

Company Name:H.N. FERNANDEZ, INC
Employer identification number (EIN):720975491
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-02-01LEANNA MCGEE2024-02-15
5012020-02-01
5012019-02-01
5012018-02-01JAY ROMAN2019-11-14
5012017-02-01JAY ROMAN2019-08-16
5012016-02-01JAY ROMAN2019-08-16
5012015-02-01
5012014-02-01
5012013-02-01
5012012-02-01JAY ROMAN
5012011-02-01JAY ROMAN
5012010-02-01JAY ROMAN
5012009-02-01JAY ROMAN

Plan Statistics for H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST

401k plan membership statisitcs for H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST

Measure Date Value
2022: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2022 401k membership
Total participants, beginning-of-year2022-02-01125
Total number of active participants reported on line 7a of the Form 55002022-02-01129
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-01129
2020: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2020 401k membership
Total participants, beginning-of-year2020-02-01144
Total number of active participants reported on line 7a of the Form 55002020-02-01148
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01148
2019: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2019 401k membership
Total participants, beginning-of-year2019-02-01131
Total number of active participants reported on line 7a of the Form 55002019-02-01131
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01131
2018: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2018 401k membership
Total participants, beginning-of-year2018-02-01130
Total number of active participants reported on line 7a of the Form 55002018-02-01131
Total of all active and inactive participants2018-02-01131
2017: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2017 401k membership
Total participants, beginning-of-year2017-02-01129
Total number of active participants reported on line 7a of the Form 55002017-02-01130
Total of all active and inactive participants2017-02-01130
2016: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2016 401k membership
Total participants, beginning-of-year2016-02-01193
Total number of active participants reported on line 7a of the Form 55002016-02-01192
Total of all active and inactive participants2016-02-01192
2015: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2015 401k membership
Total participants, beginning-of-year2015-02-01216
Total number of active participants reported on line 7a of the Form 55002015-02-01193
Total of all active and inactive participants2015-02-01193
2014: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2014 401k membership
Total participants, beginning-of-year2014-02-01204
Total number of active participants reported on line 7a of the Form 55002014-02-01216
Total of all active and inactive participants2014-02-01216
2013: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2013 401k membership
Total participants, beginning-of-year2013-02-01212
Total number of active participants reported on line 7a of the Form 55002013-02-01204
Total of all active and inactive participants2013-02-01204
2012: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2012 401k membership
Total participants, beginning-of-year2012-02-01204
Total number of active participants reported on line 7a of the Form 55002012-02-01212
Total of all active and inactive participants2012-02-01212
2011: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2011 401k membership
Total participants, beginning-of-year2011-02-01200
Total number of active participants reported on line 7a of the Form 55002011-02-01204
Total of all active and inactive participants2011-02-01204
Total participants2011-02-01204
2010: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2010 401k membership
Total participants, beginning-of-year2010-02-01184
Total number of active participants reported on line 7a of the Form 55002010-02-01200
Total of all active and inactive participants2010-02-01200
Total participants2010-02-01200
2009: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2009 401k membership
Total participants, beginning-of-year2009-02-01167
Total number of active participants reported on line 7a of the Form 55002009-02-01184
Total of all active and inactive participants2009-02-01184
Total participants2009-02-01184

Financial Data on H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST

Measure Date Value
2023 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-31$0
Total income from all sources (including contributions)2023-01-31$78,933
Total loss/gain on sale of assets2023-01-31$0
Total of all expenses incurred2023-01-31$977,281
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-31$977,281
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-31$78,933
Value of total assets at end of year2023-01-31$1,179,280
Value of total assets at beginning of year2023-01-31$2,077,628
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-31$0
Total interest from all sources2023-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2023-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-31No
Was this plan covered by a fidelity bond2023-01-31No
If this is an individual account plan, was there a blackout period2023-01-31No
Were there any nonexempt tranactions with any party-in-interest2023-01-31No
Contributions received from participants2023-01-31$25,158
Income. Received or receivable in cash from other sources (including rollovers)2023-01-31$3,933
Total non interest bearing cash at end of year2023-01-31$1,179,280
Total non interest bearing cash at beginning of year2023-01-31$2,077,628
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-31No
Value of net income/loss2023-01-31$-898,348
Value of net assets at end of year (total assets less liabilities)2023-01-31$1,179,280
Value of net assets at beginning of year (total assets less liabilities)2023-01-31$2,077,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-31No
Were any leases to which the plan was party in default or uncollectible2023-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-31$945,861
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-31No
Was there a failure to transmit to the plan any participant contributions2023-01-31No
Has the plan failed to provide any benefit when due under the plan2023-01-31No
Contributions received in cash from employer2023-01-31$49,842
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-31$31,420
Did the plan have assets held for investment2023-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-31No
Opinion of an independent qualified public accountant for this plan2023-01-31Unqualified
Accountancy firm name2023-01-31EISNERAMPER LLP
Accountancy firm EIN2023-01-31871363769
2021 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2021 401k financial data
Total income from all sources (including contributions)2021-01-31$834,710
Total of all expenses incurred2021-01-31$1,020,923
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-01-31$1,020,923
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-01-31$829,130
Value of total assets at end of year2021-01-31$2,077,628
Value of total assets at beginning of year2021-01-31$2,263,841
Total interest from all sources2021-01-31$5,580
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-01-31No
Was this plan covered by a fidelity bond2021-01-31No
If this is an individual account plan, was there a blackout period2021-01-31No
Were there any nonexempt tranactions with any party-in-interest2021-01-31No
Contributions received from participants2021-01-31$115,969
Income. Received or receivable in cash from other sources (including rollovers)2021-01-31$4,130
Total non interest bearing cash at end of year2021-01-31$2,077,628
Total non interest bearing cash at beginning of year2021-01-31$304,427
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-31No
Value of net income/loss2021-01-31$-186,213
Value of net assets at end of year (total assets less liabilities)2021-01-31$2,077,628
Value of net assets at beginning of year (total assets less liabilities)2021-01-31$2,263,841
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-01-31No
Were any leases to which the plan was party in default or uncollectible2021-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-01-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-01-31$1,959,414
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-01-31$1,959,414
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-01-31$5,580
Expenses. Payments to insurance carriers foe the provision of benefits2021-01-31$997,471
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-01-31No
Was there a failure to transmit to the plan any participant contributions2021-01-31No
Has the plan failed to provide any benefit when due under the plan2021-01-31No
Contributions received in cash from employer2021-01-31$709,031
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-01-31$23,452
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-01-31No
Did the plan have assets held for investment2021-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-01-31No
Opinion of an independent qualified public accountant for this plan2021-01-31Unqualified
Accountancy firm name2021-01-31POSTLETHWAITE & NETTERVILLE
Accountancy firm EIN2021-01-31721202445
2020 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2020 401k financial data
Total income from all sources (including contributions)2020-01-31$931,946
Total income from all sources (including contributions)2020-01-31$931,946
Total of all expenses incurred2020-01-31$871,394
Total of all expenses incurred2020-01-31$871,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-01-31$871,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-01-31$871,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-01-31$900,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-01-31$900,000
Value of total assets at end of year2020-01-31$2,263,841
Value of total assets at end of year2020-01-31$2,263,841
Value of total assets at beginning of year2020-01-31$2,203,289
Value of total assets at beginning of year2020-01-31$2,203,289
Total interest from all sources2020-01-31$31,946
Total interest from all sources2020-01-31$31,946
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-01-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-01-31No
Was this plan covered by a fidelity bond2020-01-31No
Was this plan covered by a fidelity bond2020-01-31No
If this is an individual account plan, was there a blackout period2020-01-31No
If this is an individual account plan, was there a blackout period2020-01-31No
Were there any nonexempt tranactions with any party-in-interest2020-01-31No
Were there any nonexempt tranactions with any party-in-interest2020-01-31No
Contributions received from participants2020-01-31$118,872
Contributions received from participants2020-01-31$118,872
Total non interest bearing cash at end of year2020-01-31$304,427
Total non interest bearing cash at end of year2020-01-31$304,427
Total non interest bearing cash at beginning of year2020-01-31$275,822
Total non interest bearing cash at beginning of year2020-01-31$275,822
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Value of net income/loss2020-01-31$60,552
Value of net income/loss2020-01-31$60,552
Value of net assets at end of year (total assets less liabilities)2020-01-31$2,263,841
Value of net assets at end of year (total assets less liabilities)2020-01-31$2,263,841
Value of net assets at beginning of year (total assets less liabilities)2020-01-31$2,203,289
Value of net assets at beginning of year (total assets less liabilities)2020-01-31$2,203,289
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-01-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-01-31No
Were any leases to which the plan was party in default or uncollectible2020-01-31No
Were any leases to which the plan was party in default or uncollectible2020-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-01-31$1,959,414
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-01-31$1,927,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-01-31$1,927,467
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-01-31$1,927,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-01-31$1,927,467
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-01-31$31,946
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-01-31$31,946
Expenses. Payments to insurance carriers foe the provision of benefits2020-01-31$871,394
Expenses. Payments to insurance carriers foe the provision of benefits2020-01-31$871,394
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-01-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-01-31No
Was there a failure to transmit to the plan any participant contributions2020-01-31No
Was there a failure to transmit to the plan any participant contributions2020-01-31No
Has the plan failed to provide any benefit when due under the plan2020-01-31No
Has the plan failed to provide any benefit when due under the plan2020-01-31No
Contributions received in cash from employer2020-01-31$781,128
Contributions received in cash from employer2020-01-31$781,128
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-01-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-01-31No
Did the plan have assets held for investment2020-01-31Yes
Did the plan have assets held for investment2020-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-01-31No
Opinion of an independent qualified public accountant for this plan2020-01-31Unqualified
Opinion of an independent qualified public accountant for this plan2020-01-31Unqualified
Accountancy firm name2020-01-31POSTLETHWAITE & NETTERVILE
Accountancy firm name2020-01-31POSTLETHWAITE & NETTERVILE
Accountancy firm EIN2020-01-31721202445
Accountancy firm EIN2020-01-31721202445
2019 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2019 401k financial data
Total income from all sources (including contributions)2019-01-31$979,777
Total of all expenses incurred2019-01-31$685,147
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-01-31$685,147
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-01-31$950,000
Value of total assets at end of year2019-01-31$2,203,289
Value of total assets at beginning of year2019-01-31$1,908,659
Total interest from all sources2019-01-31$29,777
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-01-31No
Was this plan covered by a fidelity bond2019-01-31No
If this is an individual account plan, was there a blackout period2019-01-31No
Were there any nonexempt tranactions with any party-in-interest2019-01-31No
Contributions received from participants2019-01-31$121,818
Total non interest bearing cash at end of year2019-01-31$275,822
Total non interest bearing cash at beginning of year2019-01-31$10,968
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-31No
Value of net income/loss2019-01-31$294,630
Value of net assets at end of year (total assets less liabilities)2019-01-31$2,203,289
Value of net assets at beginning of year (total assets less liabilities)2019-01-31$1,908,659
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-01-31No
Were any leases to which the plan was party in default or uncollectible2019-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-01-31$1,927,467
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-01-31$1,897,691
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-01-31$1,897,691
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-01-31$29,777
Expenses. Payments to insurance carriers foe the provision of benefits2019-01-31$685,147
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-01-31No
Was there a failure to transmit to the plan any participant contributions2019-01-31No
Has the plan failed to provide any benefit when due under the plan2019-01-31No
Contributions received in cash from employer2019-01-31$828,182
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-01-31No
Did the plan have assets held for investment2019-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-01-31No
Opinion of an independent qualified public accountant for this plan2019-01-31Unqualified
Accountancy firm name2019-01-31CARR, RIGGS AND INGRAM, LLC
Accountancy firm EIN2019-01-31721396621
2018 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2018 401k financial data
Total income from all sources (including contributions)2018-01-31$1,210,034
Total of all expenses incurred2018-01-31$751,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-01-31$751,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-01-31$1,200,001
Value of total assets at end of year2018-01-31$1,908,659
Value of total assets at beginning of year2018-01-31$1,450,243
Total interest from all sources2018-01-31$10,033
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-01-31No
Was this plan covered by a fidelity bond2018-01-31Yes
Value of fidelity bond cover2018-01-31$100,000
If this is an individual account plan, was there a blackout period2018-01-31No
Were there any nonexempt tranactions with any party-in-interest2018-01-31No
Contributions received from participants2018-01-31$126,745
Total non interest bearing cash at end of year2018-01-31$10,968
Total non interest bearing cash at beginning of year2018-01-31$4,754
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Value of net income/loss2018-01-31$458,416
Value of net assets at end of year (total assets less liabilities)2018-01-31$1,908,659
Value of net assets at beginning of year (total assets less liabilities)2018-01-31$1,450,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-01-31No
Were any leases to which the plan was party in default or uncollectible2018-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-01-31$1,897,691
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-01-31$1,445,489
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-01-31$1,445,489
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-01-31$10,033
Expenses. Payments to insurance carriers foe the provision of benefits2018-01-31$751,618
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-01-31No
Was there a failure to transmit to the plan any participant contributions2018-01-31No
Has the plan failed to provide any benefit when due under the plan2018-01-31No
Contributions received in cash from employer2018-01-31$1,073,256
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-01-31No
Did the plan have assets held for investment2018-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-01-31No
Opinion of an independent qualified public accountant for this plan2018-01-31Unqualified
Accountancy firm name2018-01-31CARR, RIGGS & INGRAM LLC
Accountancy firm EIN2018-01-31721396621
2017 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2017 401k financial data
Total income from all sources (including contributions)2017-01-31$801,930
Total of all expenses incurred2017-01-31$756,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-01-31$756,996
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-01-31$800,000
Value of total assets at end of year2017-01-31$1,450,243
Value of total assets at beginning of year2017-01-31$1,405,309
Total interest from all sources2017-01-31$1,930
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-01-31No
Was this plan covered by a fidelity bond2017-01-31Yes
Value of fidelity bond cover2017-01-31$100,000
If this is an individual account plan, was there a blackout period2017-01-31No
Were there any nonexempt tranactions with any party-in-interest2017-01-31No
Contributions received from participants2017-01-31$117,278
Total non interest bearing cash at end of year2017-01-31$4,754
Total non interest bearing cash at beginning of year2017-01-31$1,886
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Value of net income/loss2017-01-31$44,934
Value of net assets at end of year (total assets less liabilities)2017-01-31$1,450,243
Value of net assets at beginning of year (total assets less liabilities)2017-01-31$1,405,309
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-01-31No
Were any leases to which the plan was party in default or uncollectible2017-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-01-31$1,445,489
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-01-31$1,403,423
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-01-31$1,403,423
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-01-31$1,930
Expenses. Payments to insurance carriers foe the provision of benefits2017-01-31$756,996
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-01-31No
Was there a failure to transmit to the plan any participant contributions2017-01-31No
Has the plan failed to provide any benefit when due under the plan2017-01-31No
Contributions received in cash from employer2017-01-31$682,722
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-01-31No
Did the plan have assets held for investment2017-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-01-31No
Opinion of an independent qualified public accountant for this plan2017-01-31Unqualified
Accountancy firm name2017-01-31CARR, RIGGA & INGRAM LLC
Accountancy firm EIN2017-01-31721396621
2016 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2016 401k financial data
Total income from all sources (including contributions)2016-01-31$1,203,028
Total of all expenses incurred2016-01-31$812,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-01-31$812,921
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-01-31$1,202,802
Value of total assets at end of year2016-01-31$1,405,309
Value of total assets at beginning of year2016-01-31$1,015,202
Total interest from all sources2016-01-31$226
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-01-31No
Was this plan covered by a fidelity bond2016-01-31Yes
Value of fidelity bond cover2016-01-31$100,000
If this is an individual account plan, was there a blackout period2016-01-31No
Were there any nonexempt tranactions with any party-in-interest2016-01-31No
Contributions received from participants2016-01-31$111,207
Total non interest bearing cash at end of year2016-01-31$1,886
Total non interest bearing cash at beginning of year2016-01-31$8,644
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Value of net income/loss2016-01-31$390,107
Value of net assets at end of year (total assets less liabilities)2016-01-31$1,405,309
Value of net assets at beginning of year (total assets less liabilities)2016-01-31$1,015,202
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-01-31No
Were any leases to which the plan was party in default or uncollectible2016-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-01-31$1,403,423
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-01-31$1,006,558
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-01-31$1,006,558
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-01-31$226
Expenses. Payments to insurance carriers foe the provision of benefits2016-01-31$812,921
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-01-31No
Was there a failure to transmit to the plan any participant contributions2016-01-31No
Has the plan failed to provide any benefit when due under the plan2016-01-31No
Contributions received in cash from employer2016-01-31$1,091,595
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-01-31No
Did the plan have assets held for investment2016-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-01-31No
Opinion of an independent qualified public accountant for this plan2016-01-31Unqualified
Accountancy firm name2016-01-31CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN2016-01-31721396621
2015 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2015 401k financial data
Total income from all sources (including contributions)2015-01-31$907,610
Total of all expenses incurred2015-01-31$824,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-01-31$824,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-01-31$907,495
Value of total assets at end of year2015-01-31$1,015,202
Value of total assets at beginning of year2015-01-31$931,992
Total interest from all sources2015-01-31$115
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-01-31No
Was this plan covered by a fidelity bond2015-01-31Yes
Value of fidelity bond cover2015-01-31$100,000
If this is an individual account plan, was there a blackout period2015-01-31No
Were there any nonexempt tranactions with any party-in-interest2015-01-31No
Contributions received from participants2015-01-31$118,776
Total non interest bearing cash at end of year2015-01-31$8,644
Total non interest bearing cash at beginning of year2015-01-31$10,328
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Value of net income/loss2015-01-31$83,210
Value of net assets at end of year (total assets less liabilities)2015-01-31$1,015,202
Value of net assets at beginning of year (total assets less liabilities)2015-01-31$931,992
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-01-31No
Were any leases to which the plan was party in default or uncollectible2015-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-01-31$1,006,558
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-01-31$921,664
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-01-31$921,664
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-01-31$115
Expenses. Payments to insurance carriers foe the provision of benefits2015-01-31$824,400
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-01-31No
Was there a failure to transmit to the plan any participant contributions2015-01-31No
Has the plan failed to provide any benefit when due under the plan2015-01-31No
Contributions received in cash from employer2015-01-31$788,719
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-01-31No
Did the plan have assets held for investment2015-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-01-31No
Opinion of an independent qualified public accountant for this plan2015-01-31Unqualified
Accountancy firm name2015-01-31CARR, RIGGS, & INGRAM, LLC
Accountancy firm EIN2015-01-31721396621
2014 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2014 401k financial data
Total income from all sources (including contributions)2014-01-31$1,290,055
Total of all expenses incurred2014-01-31$826,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-01-31$826,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-01-31$1,290,000
Value of total assets at end of year2014-01-31$931,992
Value of total assets at beginning of year2014-01-31$467,998
Total interest from all sources2014-01-31$55
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-01-31No
Was this plan covered by a fidelity bond2014-01-31Yes
Value of fidelity bond cover2014-01-31$100,000
If this is an individual account plan, was there a blackout period2014-01-31No
Were there any nonexempt tranactions with any party-in-interest2014-01-31No
Contributions received from participants2014-01-31$116,626
Total non interest bearing cash at end of year2014-01-31$10,328
Total non interest bearing cash at beginning of year2014-01-31$2,179
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Value of net income/loss2014-01-31$463,994
Value of net assets at end of year (total assets less liabilities)2014-01-31$931,992
Value of net assets at beginning of year (total assets less liabilities)2014-01-31$467,998
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-01-31No
Were any leases to which the plan was party in default or uncollectible2014-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-01-31$921,664
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-01-31$465,819
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-01-31$465,819
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-01-31$55
Expenses. Payments to insurance carriers foe the provision of benefits2014-01-31$826,061
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-01-31No
Was there a failure to transmit to the plan any participant contributions2014-01-31No
Has the plan failed to provide any benefit when due under the plan2014-01-31No
Contributions received in cash from employer2014-01-31$1,173,374
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-01-31No
Did the plan have assets held for investment2014-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-01-31No
Opinion of an independent qualified public accountant for this plan2014-01-31Unqualified
Accountancy firm name2014-01-31CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN2014-01-31721396621
2013 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2013 401k financial data
Total income from all sources (including contributions)2013-01-31$1,070,020
Total of all expenses incurred2013-01-31$719,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-01-31$719,359
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-01-31$1,070,000
Value of total assets at end of year2013-01-31$467,998
Value of total assets at beginning of year2013-01-31$117,337
Total interest from all sources2013-01-31$20
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-01-31No
Was this plan covered by a fidelity bond2013-01-31Yes
Value of fidelity bond cover2013-01-31$100,000
If this is an individual account plan, was there a blackout period2013-01-31No
Were there any nonexempt tranactions with any party-in-interest2013-01-31No
Contributions received from participants2013-01-31$114,604
Total non interest bearing cash at end of year2013-01-31$2,179
Total non interest bearing cash at beginning of year2013-01-31$12,575
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Value of net income/loss2013-01-31$350,661
Value of net assets at end of year (total assets less liabilities)2013-01-31$467,998
Value of net assets at beginning of year (total assets less liabilities)2013-01-31$117,337
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-01-31No
Were any leases to which the plan was party in default or uncollectible2013-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-01-31$465,819
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-01-31$104,762
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-01-31$104,762
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-01-31$20
Expenses. Payments to insurance carriers foe the provision of benefits2013-01-31$719,359
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-01-31No
Was there a failure to transmit to the plan any participant contributions2013-01-31No
Has the plan failed to provide any benefit when due under the plan2013-01-31No
Contributions received in cash from employer2013-01-31$955,396
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-01-31No
Did the plan have assets held for investment2013-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-01-31No
Opinion of an independent qualified public accountant for this plan2013-01-31Unqualified
Accountancy firm name2013-01-31CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN2013-01-31721396621
2012 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2012 401k financial data
Total income from all sources (including contributions)2012-01-31$720,016
Total of all expenses incurred2012-01-31$724,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-31$724,529
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-31$720,000
Value of total assets at end of year2012-01-31$222,099
Value of total assets at beginning of year2012-01-31$238,349
Total interest from all sources2012-01-31$16
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-31No
Was this plan covered by a fidelity bond2012-01-31Yes
Value of fidelity bond cover2012-01-31$100,000
If this is an individual account plan, was there a blackout period2012-01-31No
Were there any nonexempt tranactions with any party-in-interest2012-01-31No
Contributions received from participants2012-01-31$110,300
Assets. Other investments not covered elsewhere at end of year2012-01-31$104,762
Assets. Other investments not covered elsewhere at beginning of year2012-01-31$116,499
Total non interest bearing cash at end of year2012-01-31$12,575
Total non interest bearing cash at beginning of year2012-01-31$5,351
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Value of net income/loss2012-01-31$-4,513
Value of net assets at end of year (total assets less liabilities)2012-01-31$222,099
Value of net assets at beginning of year (total assets less liabilities)2012-01-31$238,349
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-31No
Were any leases to which the plan was party in default or uncollectible2012-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-01-31$104,762
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-01-31$116,499
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-01-31$116,499
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-01-31$16
Expenses. Payments to insurance carriers foe the provision of benefits2012-01-31$724,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-31No
Was there a failure to transmit to the plan any participant contributions2012-01-31No
Has the plan failed to provide any benefit when due under the plan2012-01-31No
Contributions received in cash from employer2012-01-31$609,700
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-01-31No
Did the plan have assets held for investment2012-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-31No
Opinion of an independent qualified public accountant for this plan2012-01-31Unqualified
Accountancy firm name2012-01-31CARR, RIGGS & INGRAM, LLC
Accountancy firm EIN2012-01-31721396621
2011 : H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2011 401k financial data
Total income from all sources (including contributions)2011-01-31$590,088
Total of all expenses incurred2011-01-31$660,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-01-31$660,962
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-01-31$590,000
Value of total assets at end of year2011-01-31$121,850
Value of total assets at beginning of year2011-01-31$192,724
Total interest from all sources2011-01-31$88
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-01-31No
Was this plan covered by a fidelity bond2011-01-31Yes
Value of fidelity bond cover2011-01-31$100,000
Were there any nonexempt tranactions with any party-in-interest2011-01-31No
Contributions received from participants2011-01-31$89,827
Total non interest bearing cash at end of year2011-01-31$5,351
Total non interest bearing cash at beginning of year2011-01-31$4,052
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Value of net income/loss2011-01-31$-70,874
Value of net assets at end of year (total assets less liabilities)2011-01-31$121,850
Value of net assets at beginning of year (total assets less liabilities)2011-01-31$192,724
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-01-31No
Were any leases to which the plan was party in default or uncollectible2011-01-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-01-31$116,499
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-01-31$188,672
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-01-31$188,672
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-01-31$88
Expenses. Payments to insurance carriers foe the provision of benefits2011-01-31$660,962
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-01-31No
Was there a failure to transmit to the plan any participant contributions2011-01-31No
Has the plan failed to provide any benefit when due under the plan2011-01-31No
Contributions received in cash from employer2011-01-31$500,173
Did the plan have assets held for investment2011-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-01-31No
Opinion of an independent qualified public accountant for this plan2011-01-31Unqualified
Accountancy firm name2011-01-31REBOWE & COMPANY, CPAS
Accountancy firm EIN2011-01-31720843795

Form 5500 Responses for H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST

2022: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Submission has been amendedNo
2022-02-01This submission is the final filingNo
2022-02-01This return/report is a short plan year return/report (less than 12 months)No
2022-02-01Plan is a collectively bargained planNo
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan funding arrangement – TrustYes
2022-02-01Plan benefit arrangement – InsuranceYes
2022-02-01Plan benefit arrangement - TrustYes
2020: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – TrustYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement - TrustYes
2019: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – TrustYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement - TrustYes
2018: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – TrustYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement - TrustYes
2017: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan funding arrangement – TrustYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement - TrustYes
2016: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan funding arrangement – TrustYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement - TrustYes
2015: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – TrustYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement - TrustYes
2014: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – TrustYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement - TrustYes
2013: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – TrustYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement - TrustYes
2012: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement - TrustYes
2011: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement - TrustYes
2010: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan funding arrangement – TrustYes
2010-02-01Plan benefit arrangement – InsuranceYes
2010-02-01Plan benefit arrangement - TrustYes
2009: H.N. FERNANDEZ, INC EMPLOYEE HEALTH BENEFITS TRUST 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 1
Insurance contract or identification number78987ERC
Number of Individuals Covered199
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $37,763
Total amount of fees paid to insurance companyUSD $10,385
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,763
Amount paid for insurance broker fees10385
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 1
Insurance contract or identification number78987ERC
Number of Individuals Covered185
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of commissions paid to insurance brokerUSD $34,394
Total amount of fees paid to insurance companyUSD $15,155
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,394
Amount paid for insurance broker fees15155
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 1
Insurance contract or identification number78987ERC
Number of Individuals Covered198
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $29,040
Total amount of fees paid to insurance companyUSD $17,051
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,040
Amount paid for insurance broker fees17051
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 1
Insurance contract or identification number78987ERC
Number of Individuals Covered131
Insurance policy start date2018-03-01
Insurance policy end date2019-03-01
Total amount of commissions paid to insurance brokerUSD $27,080
Total amount of fees paid to insurance companyUSD $18,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,958
Amount paid for insurance broker fees4241
Insurance broker organization code?3
SOUTHERN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60009 )
Policy contract number78987ERC
Policy instance 2
Insurance contract or identification number78987ERC
Number of Individuals Covered130
Insurance policy start date2018-03-01
Insurance policy end date2019-03-01
Total amount of commissions paid to insurance brokerUSD $185
Total amount of fees paid to insurance companyUSD $123
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $133
Amount paid for insurance broker fees42
Insurance broker organization code?3
SOUTHERN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60009 )
Policy contract number78987ERC
Policy instance 2
Insurance contract or identification number78987ERC
Number of Individuals Covered132
Insurance policy start date2017-03-01
Insurance policy end date2018-03-01
Total amount of commissions paid to insurance brokerUSD $544
Total amount of fees paid to insurance companyUSD $155
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 1
Insurance contract or identification number78987ERC
Number of Individuals Covered130
Insurance policy start date2017-03-01
Insurance policy end date2018-03-01
Total amount of commissions paid to insurance brokerUSD $27,490
Total amount of fees paid to insurance companyUSD $17,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 1
Insurance contract or identification number78987ERC
Number of Individuals Covered193
Insurance policy start date2015-03-01
Insurance policy end date2016-03-01
Total amount of commissions paid to insurance brokerUSD $26,632
Total amount of fees paid to insurance companyUSD $10,714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,536
Amount paid for insurance broker fees8973
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
Insurance broker nameGEORGE THOMAS JR
SOUTHERN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60009 )
Policy contract number78987ERC
Policy instance 2
Insurance contract or identification number78987ERC
Number of Individuals Covered133
Insurance policy start date2015-03-01
Insurance policy end date2016-03-01
Total amount of commissions paid to insurance brokerUSD $546
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $546
Insurance broker organization code?3
Insurance broker nameGEORGE THOMAS
SOUTHERN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60009 )
Policy contract number78987ERC
Policy instance 2
Insurance contract or identification number78987ERC
Number of Individuals Covered139
Insurance policy start date2014-07-01
Insurance policy end date2015-03-01
Total amount of commissions paid to insurance brokerUSD $560
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $560
Insurance broker nameGEORGE THOMAS
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 1
Insurance contract or identification number78987ERC
Number of Individuals Covered216
Insurance policy start date2014-03-01
Insurance policy end date2015-03-01
Total amount of commissions paid to insurance brokerUSD $22,712
Total amount of fees paid to insurance companyUSD $10,376
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,330
Amount paid for insurance broker fees8857
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
Insurance broker name
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number065814
Policy instance 1
Insurance contract or identification number065814
Number of Individuals Covered136
Insurance policy start date2013-02-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $208
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $208
Insurance broker organization code?3
Insurance broker nameGEORGE THOMAS
SOUTHERN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60009 )
Policy contract number78987ERC
Policy instance 3
Insurance contract or identification number78987ERC
Number of Individuals Covered138
Insurance policy start date2013-07-01
Insurance policy end date2014-03-01
Total amount of commissions paid to insurance brokerUSD $393
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
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH
Welfare Benefit Premiums Paid to CarrierUSD $3,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $393
Insurance broker nameGEORGE THOMAS
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 2
Insurance contract or identification number78987ERC
Number of Individuals Covered204
Insurance policy start date2013-03-01
Insurance policy end date2014-03-01
Total amount of commissions paid to insurance brokerUSD $21,564
Total amount of fees paid to insurance companyUSD $8,387
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $718,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,844
Amount paid for insurance broker fees7338
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
Insurance broker nameGEORGE THOMAS
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number065814
Policy instance 1
Insurance contract or identification number065814
Number of Individuals Covered136
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Total amount of commissions paid to insurance brokerUSD $208
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $208
Insurance broker organization code?3
Insurance broker nameGEORGE THOMAS
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 2
Insurance contract or identification number78987ERC
Number of Individuals Covered212
Insurance policy start date2012-03-01
Insurance policy end date2013-03-01
Total amount of commissions paid to insurance brokerUSD $21,745
Total amount of fees paid to insurance companyUSD $6,081
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $724,823
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,596
Amount paid for insurance broker fees5319
Additional information about fees paid to insurance brokerINDIRECT COMPENSATION
Insurance broker organization code?3
Insurance broker nameGEORGE THOMAS
BLUE CROSS BLUE SHIELD OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 81200 )
Policy contract number78987ERC
Policy instance 2
Insurance contract or identification number78987ERC
Number of Individuals Covered204
Insurance policy start date2011-03-01
Insurance policy end date2012-03-01
Total amount of commissions paid to insurance brokerUSD $20,038
Total amount of fees paid to insurance companyUSD $2,058
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $667,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number065814
Policy instance 1
Insurance contract or identification number065814
Number of Individuals Covered146
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $660
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COVENTRY HEALTH CARE OF LOUISIANA (National Association of Insurance Commissioners NAIC id number: 95173 )
Policy contract number1502200000
Policy instance 1
Insurance contract or identification number1502200000
Number of Individuals Covered200
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $18,273
Total amount of fees paid to insurance companyUSD $6,019
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $609,104
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number065814
Policy instance 2
Insurance contract or identification number065814
Number of Individuals Covered140
Insurance policy start date2010-02-01
Insurance policy end date2011-01-31
Total amount of commissions paid to insurance brokerUSD $879
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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