HELENA LABORATORIES CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan HELENA LABORATORIES CORP CAFETERIA
Measure | Date | Value |
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2021: HELENA LABORATORIES CORP CAFETERIA 2021 401k membership |
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Total participants, beginning-of-year | 2021-12-01 | 227 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 340 |
Number of retired or separated participants receiving benefits | 2021-12-01 | 15 |
Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
Total of all active and inactive participants | 2021-12-01 | 355 |
2020: HELENA LABORATORIES CORP CAFETERIA 2020 401k membership |
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Total participants, beginning-of-year | 2020-12-01 | 227 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-12-01 | 225 |
Total of all active and inactive participants | 2020-12-01 | 225 |
2019: HELENA LABORATORIES CORP CAFETERIA 2019 401k membership |
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Total participants, beginning-of-year | 2019-12-01 | 231 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-12-01 | 227 |
Total of all active and inactive participants | 2019-12-01 | 227 |
2018: HELENA LABORATORIES CORP CAFETERIA 2018 401k membership |
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Total participants, beginning-of-year | 2018-12-01 | 190 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 231 |
Number of retired or separated participants receiving benefits | 2018-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-12-01 | 0 |
Total of all active and inactive participants | 2018-12-01 | 231 |
2017: HELENA LABORATORIES CORP CAFETERIA 2017 401k membership |
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Total participants, beginning-of-year | 2017-12-01 | 197 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-12-01 | 190 |
Number of retired or separated participants receiving benefits | 2017-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-12-01 | 0 |
Total of all active and inactive participants | 2017-12-01 | 190 |
2016: HELENA LABORATORIES CORP CAFETERIA 2016 401k membership |
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Total participants, beginning-of-year | 2016-12-01 | 198 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-12-01 | 197 |
Number of retired or separated participants receiving benefits | 2016-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-12-01 | 0 |
Total of all active and inactive participants | 2016-12-01 | 197 |
2015: HELENA LABORATORIES CORP CAFETERIA 2015 401k membership |
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Total participants, beginning-of-year | 2015-12-01 | 200 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-12-01 | 198 |
Number of retired or separated participants receiving benefits | 2015-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-12-01 | 0 |
Total of all active and inactive participants | 2015-12-01 | 198 |
Total participants, beginning-of-year | 2015-01-01 | 229 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 222 |
Total of all active and inactive participants | 2015-01-01 | 222 |
2014: HELENA LABORATORIES CORP CAFETERIA 2014 401k membership |
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Total participants, beginning-of-year | 2014-12-01 | 205 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-12-01 | 200 |
Number of retired or separated participants receiving benefits | 2014-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-12-01 | 0 |
Total of all active and inactive participants | 2014-12-01 | 200 |
2013: HELENA LABORATORIES CORP CAFETERIA 2013 401k membership |
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Total participants, beginning-of-year | 2013-12-01 | 202 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-12-01 | 205 |
Total of all active and inactive participants | 2013-12-01 | 205 |
2012: HELENA LABORATORIES CORP CAFETERIA 2012 401k membership |
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Total participants, beginning-of-year | 2012-12-01 | 207 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-12-01 | 202 |
Total of all active and inactive participants | 2012-12-01 | 202 |
Total participants | 2012-12-01 | 0 |
2011: HELENA LABORATORIES CORP CAFETERIA 2011 401k membership |
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Total participants, beginning-of-year | 2011-12-01 | 216 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-12-01 | 207 |
Total of all active and inactive participants | 2011-12-01 | 207 |
Total participants | 2011-12-01 | 207 |
2009: HELENA LABORATORIES CORP CAFETERIA 2009 401k membership |
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Total participants, beginning-of-year | 2009-12-01 | 202 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-12-01 | 207 |
Total of all active and inactive participants | 2009-12-01 | 207 |
Total participants | 2009-12-01 | 207 |
Measure | Date | Value |
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2019 : HELENA LABORATORIES CORP CAFETERIA 2019 401k financial data |
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Total income from all sources (including contributions) | 2019-11-30 | $2,400,468 |
Total of all expenses incurred | 2019-11-30 | $2,400,468 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-11-30 | $2,301,583 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-11-30 | $2,400,468 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-11-30 | $98,885 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-11-30 | No |
Was this plan covered by a fidelity bond | 2019-11-30 | Yes |
Value of fidelity bond cover | 2019-11-30 | $500,000 |
If this is an individual account plan, was there a blackout period | 2019-11-30 | No |
Were there any nonexempt tranactions with any party-in-interest | 2019-11-30 | No |
Contributions received from participants | 2019-11-30 | $1,455,975 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-11-30 | No |
Value of net assets at end of year (total assets less liabilities) | 2019-11-30 | $0 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-11-30 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2019-11-30 | No |
Were any leases to which the plan was party in default or uncollectible | 2019-11-30 | No |
Expenses. Payments to insurance carriers foe the provision of benefits | 2019-11-30 | $386,870 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-11-30 | No |
Was there a failure to transmit to the plan any participant contributions | 2019-11-30 | No |
Has the plan failed to provide any benefit when due under the plan | 2019-11-30 | No |
Contributions received in cash from employer | 2019-11-30 | $944,493 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-11-30 | $1,914,713 |
Contract administrator fees | 2019-11-30 | $98,885 |
Did the plan have assets held for investment | 2019-11-30 | No |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-11-30 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-11-30 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-11-30 | No |
Opinion of an independent qualified public accountant for this plan | 2019-11-30 | Unqualified |
Accountancy firm name | 2019-11-30 | FMW, P.C., CPA'S |
Accountancy firm EIN | 2019-11-30 | 760154479 |
2018 : HELENA LABORATORIES CORP CAFETERIA 2018 401k financial data |
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Total income from all sources (including contributions) | 2018-11-30 | $2,355,675 |
Total of all expenses incurred | 2018-11-30 | $2,355,675 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-11-30 | $2,235,082 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-11-30 | $2,355,675 |
Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-11-30 | $120,593 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-11-30 | No |
Was this plan covered by a fidelity bond | 2018-11-30 | Yes |
Value of fidelity bond cover | 2018-11-30 | $500,000 |
If this is an individual account plan, was there a blackout period | 2018-11-30 | No |
Were there any nonexempt tranactions with any party-in-interest | 2018-11-30 | No |
Contributions received from participants | 2018-11-30 | $1,364,892 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-11-30 | No |
Value of net assets at end of year (total assets less liabilities) | 2018-11-30 | $0 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-11-30 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2018-11-30 | No |
Were any leases to which the plan was party in default or uncollectible | 2018-11-30 | No |
Expenses. Payments to insurance carriers foe the provision of benefits | 2018-11-30 | $328,975 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-11-30 | No |
Was there a failure to transmit to the plan any participant contributions | 2018-11-30 | No |
Has the plan failed to provide any benefit when due under the plan | 2018-11-30 | No |
Contributions received in cash from employer | 2018-11-30 | $990,783 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-11-30 | $1,906,107 |
Contract administrator fees | 2018-11-30 | $120,593 |
Did the plan have assets held for investment | 2018-11-30 | No |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-11-30 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-11-30 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-11-30 | No |
Opinion of an independent qualified public accountant for this plan | 2018-11-30 | Unqualified |
Accountancy firm name | 2018-11-30 | FMW, P.C., CPA'S |
Accountancy firm EIN | 2018-11-30 | 760154479 |
2017 : HELENA LABORATORIES CORP CAFETERIA 2017 401k financial data |
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Total income from all sources (including contributions) | 2017-11-30 | $2,322,609 |
Total of all expenses incurred | 2017-11-30 | $2,322,609 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-11-30 | $2,322,609 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-11-30 | $2,322,609 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-11-30 | No |
Was this plan covered by a fidelity bond | 2017-11-30 | Yes |
Value of fidelity bond cover | 2017-11-30 | $500,000 |
If this is an individual account plan, was there a blackout period | 2017-11-30 | No |
Were there any nonexempt tranactions with any party-in-interest | 2017-11-30 | No |
Contributions received from participants | 2017-11-30 | $1,348,175 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-11-30 | No |
Value of net assets at end of year (total assets less liabilities) | 2017-11-30 | $0 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-11-30 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2017-11-30 | No |
Were any leases to which the plan was party in default or uncollectible | 2017-11-30 | No |
Expenses. Payments to insurance carriers foe the provision of benefits | 2017-11-30 | $445,957 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-11-30 | No |
Was there a failure to transmit to the plan any participant contributions | 2017-11-30 | No |
Has the plan failed to provide any benefit when due under the plan | 2017-11-30 | No |
Contributions received in cash from employer | 2017-11-30 | $974,434 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-11-30 | $1,876,652 |
Did the plan have assets held for investment | 2017-11-30 | No |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-11-30 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-11-30 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-11-30 | No |
Opinion of an independent qualified public accountant for this plan | 2017-11-30 | Unqualified |
Accountancy firm name | 2017-11-30 | FMW, P.C., CPA'S |
Accountancy firm EIN | 2017-11-30 | 760154479 |
2016 : HELENA LABORATORIES CORP CAFETERIA 2016 401k financial data |
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Total income from all sources (including contributions) | 2016-11-30 | $2,254,793 |
Total of all expenses incurred | 2016-11-30 | $2,254,793 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-11-30 | $2,254,793 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-11-30 | $2,254,793 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-11-30 | No |
Was this plan covered by a fidelity bond | 2016-11-30 | Yes |
Value of fidelity bond cover | 2016-11-30 | $500,000 |
If this is an individual account plan, was there a blackout period | 2016-11-30 | No |
Were there any nonexempt tranactions with any party-in-interest | 2016-11-30 | No |
Contributions received from participants | 2016-11-30 | $1,334,803 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-11-30 | $150 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-11-30 | No |
Value of net assets at end of year (total assets less liabilities) | 2016-11-30 | $0 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-11-30 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2016-11-30 | No |
Were any leases to which the plan was party in default or uncollectible | 2016-11-30 | No |
Expenses. Payments to insurance carriers foe the provision of benefits | 2016-11-30 | $417,593 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-11-30 | No |
Was there a failure to transmit to the plan any participant contributions | 2016-11-30 | No |
Has the plan failed to provide any benefit when due under the plan | 2016-11-30 | No |
Contributions received in cash from employer | 2016-11-30 | $919,990 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-11-30 | $1,837,050 |
Did the plan have assets held for investment | 2016-11-30 | No |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-11-30 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-11-30 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-11-30 | No |
Opinion of an independent qualified public accountant for this plan | 2016-11-30 | Unqualified |
Accountancy firm name | 2016-11-30 | FMW, P.C., CPA'S |
Accountancy firm EIN | 2016-11-30 | 760154479 |
2015 : HELENA LABORATORIES CORP CAFETERIA 2015 401k financial data |
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Total income from all sources (including contributions) | 2015-11-30 | $2,385,833 |
Total of all expenses incurred | 2015-11-30 | $2,385,833 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-11-30 | $2,385,833 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-11-30 | $2,385,833 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-11-30 | No |
Was this plan covered by a fidelity bond | 2015-11-30 | Yes |
Value of fidelity bond cover | 2015-11-30 | $500,000 |
If this is an individual account plan, was there a blackout period | 2015-11-30 | No |
Were there any nonexempt tranactions with any party-in-interest | 2015-11-30 | No |
Contributions received from participants | 2015-11-30 | $1,446,884 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-11-30 | No |
Value of net assets at end of year (total assets less liabilities) | 2015-11-30 | $0 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-11-30 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2015-11-30 | No |
Were any leases to which the plan was party in default or uncollectible | 2015-11-30 | No |
Expenses. Payments to insurance carriers foe the provision of benefits | 2015-11-30 | $420,247 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-11-30 | No |
Was there a failure to transmit to the plan any participant contributions | 2015-11-30 | No |
Has the plan failed to provide any benefit when due under the plan | 2015-11-30 | No |
Contributions received in cash from employer | 2015-11-30 | $938,949 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-11-30 | $1,965,586 |
Did the plan have assets held for investment | 2015-11-30 | No |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-11-30 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-11-30 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-11-30 | No |
Opinion of an independent qualified public accountant for this plan | 2015-11-30 | Unqualified |
Accountancy firm name | 2015-11-30 | FMW, P.C., CPA'S |
Accountancy firm EIN | 2015-11-30 | 760154479 |
2014 : HELENA LABORATORIES CORP CAFETERIA 2014 401k financial data |
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Total income from all sources (including contributions) | 2014-11-30 | $2,107,282 |
Total of all expenses incurred | 2014-11-30 | $2,107,282 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-11-30 | $2,107,282 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-11-30 | $2,107,282 |
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-11-30 | No |
Was this plan covered by a fidelity bond | 2014-11-30 | Yes |
Value of fidelity bond cover | 2014-11-30 | $500,000 |
If this is an individual account plan, was there a blackout period | 2014-11-30 | No |
Were there any nonexempt tranactions with any party-in-interest | 2014-11-30 | No |
Contributions received from participants | 2014-11-30 | $880,354 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-11-30 | $148 |
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-11-30 | No |
Value of net assets at end of year (total assets less liabilities) | 2014-11-30 | $0 |
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-11-30 | No |
Were any loans by the plan or fixed income obligations due to the plan in default | 2014-11-30 | No |
Were any leases to which the plan was party in default or uncollectible | 2014-11-30 | No |
Expenses. Payments to insurance carriers foe the provision of benefits | 2014-11-30 | $381,502 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-11-30 | No |
Was there a failure to transmit to the plan any participant contributions | 2014-11-30 | No |
Has the plan failed to provide any benefit when due under the plan | 2014-11-30 | No |
Contributions received in cash from employer | 2014-11-30 | $1,226,928 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-11-30 | $1,725,632 |
Did the plan have assets held for investment | 2014-11-30 | No |
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-11-30 | No |
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-11-30 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-11-30 | No |
Opinion of an independent qualified public accountant for this plan | 2014-11-30 | Unqualified |
Accountancy firm name | 2014-11-30 | FMW, P.C., CPA'S |
Accountancy firm EIN | 2014-11-30 | 760154479 |
2013 : HELENA LABORATORIES CORP CAFETERIA 2013 401k financial data |
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Total income from all sources (including contributions) | 2013-11-30 | $2,029,932 |
Total of all expenses incurred | 2013-11-30 | $2,029,932 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-11-30 | $2,029,932 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-11-30 | $2,029,932 |
Value of total assets at end of year | 2013-11-30 | $0 |
Were there any nonexempt tranactions with any party-in-interest | 2013-11-30 | No |
Contributions received from participants | 2013-11-30 | $823,302 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-11-30 | $1,262 |
Were any loans by the plan or fixed income obligations due to the plan in default | 2013-11-30 | No |
Were any leases to which the plan was party in default or uncollectible | 2013-11-30 | No |
Value of interest in common/collective trusts at end of year | 2013-11-30 | $0 |
Expenses. Payments to insurance carriers foe the provision of benefits | 2013-11-30 | $361,152 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-11-30 | No |
Has the plan failed to provide any benefit when due under the plan | 2013-11-30 | No |
Contributions received in cash from employer | 2013-11-30 | $1,206,630 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-11-30 | $1,667,518 |
Did the plan have assets held for investment | 2013-11-30 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-11-30 | No |
Opinion of an independent qualified public accountant for this plan | 2013-11-30 | Unqualified |
Accountancy firm name | 2013-11-30 | BYRD SMITHEY & ASSOCIATES |
Accountancy firm EIN | 2013-11-30 | 760283386 |
2012 : HELENA LABORATORIES CORP CAFETERIA 2012 401k financial data |
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Total income from all sources (including contributions) | 2012-11-30 | $1,986,900 |
Total of all expenses incurred | 2012-11-30 | $1,986,900 |
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-11-30 | $1,986,900 |
Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-11-30 | $1,986,900 |
Were there any nonexempt tranactions with any party-in-interest | 2012-11-30 | No |
Contributions received from participants | 2012-11-30 | $779,451 |
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-11-30 | $710 |
Were any loans by the plan or fixed income obligations due to the plan in default | 2012-11-30 | No |
Were any leases to which the plan was party in default or uncollectible | 2012-11-30 | No |
Expenses. Payments to insurance carriers foe the provision of benefits | 2012-11-30 | $367,673 |
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-11-30 | No |
Has the plan failed to provide any benefit when due under the plan | 2012-11-30 | No |
Contributions received in cash from employer | 2012-11-30 | $1,207,449 |
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-11-30 | $1,618,517 |
Did the plan have assets held for investment | 2012-11-30 | No |
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-11-30 | No |
Opinion of an independent qualified public accountant for this plan | 2012-11-30 | Unqualified |
Accountancy firm name | 2012-11-30 | BYRD SMITHEY & ASSOCIATES |
Accountancy firm EIN | 2012-11-30 | 760283386 |
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | G25386 |
Policy instance | 2 |
Insurance contract or identification number | G25386 | Number of Individuals Covered | 355 | Insurance policy start date | 2021-12-01 | Insurance policy end date | 2022-11-30 | Total amount of commissions paid to insurance broker | USD $2,150 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | AD&D | 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 Carrier | USD $21,503 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,150 | Insurance broker organization code? | 3 |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 25386 |
Policy instance | 1 |
Insurance contract or identification number | 25386 | Number of Individuals Covered | 225 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $43,366 | Total amount of fees paid to insurance company | USD $1,392 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $542,645 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $43,366 | Amount paid for insurance broker fees | 1392 | Additional information about fees paid to insurance broker | SPECIAL PROGRAM FEES | Insurance broker organization code? | 3 |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | G25386 |
Policy instance | 2 |
Insurance contract or identification number | G25386 | Number of Individuals Covered | 358 | Insurance policy start date | 2020-12-01 | Insurance policy end date | 2021-11-30 | Total amount of commissions paid to insurance broker | USD $2,380 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,380 | Insurance broker organization code? | 3 |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 25386 |
Policy instance | 1 |
Insurance contract or identification number | 25386 | Number of Individuals Covered | 225 | Insurance policy start date | 2021-01-01 | Insurance policy end date | 2021-12-31 | Total amount of commissions paid to insurance broker | USD $43,366 | Total amount of fees paid to insurance company | USD $1,392 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $542,645 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $43,366 | Amount paid for insurance broker fees | 1392 | Additional information about fees paid to insurance broker | SPECIAL PROGRAM FEES | Insurance broker organization code? | 3 |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | G25386 |
Policy instance | 2 |
Insurance contract or identification number | G25386 | Number of Individuals Covered | 361 | Insurance policy start date | 2019-12-01 | Insurance policy end date | 2020-11-30 | Total amount of commissions paid to insurance broker | USD $2,416 | Total amount of fees paid to insurance company | USD $0 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 25386 |
Policy instance | 1 |
Insurance contract or identification number | 25386 | Number of Individuals Covered | 227 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $44,079 | Total amount of fees paid to insurance company | USD $2,100 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $397,337 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 25386 |
Policy instance | 2 |
Insurance contract or identification number | 25386 | Number of Individuals Covered | 231 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $46,615 | Total amount of fees paid to insurance company | USD $2,328 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $390,201 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $46,615 | Amount paid for insurance broker fees | 2328 | Additional information about fees paid to insurance broker | SPECIAL PROGRAM FEES | Insurance broker organization code? | 3 |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | G25386 |
Policy instance | 1 |
Insurance contract or identification number | G25386 | Number of Individuals Covered | 366 | Insurance policy start date | 2018-12-01 | Insurance policy end date | 2019-11-30 | Total amount of commissions paid to insurance broker | USD $2,479 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | OTHER (SPECIFY) - A.D.& D. | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,479 | Insurance broker organization code? | 3 |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 25386 |
Policy instance | 2 |
Insurance contract or identification number | 25386 | Number of Individuals Covered | 267 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $48,208 | Total amount of fees paid to insurance company | USD $2,340 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $329,551 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | G25386 |
Policy instance | 1 |
Insurance contract or identification number | G25386 | Number of Individuals Covered | 378 | Insurance policy start date | 2017-12-01 | Insurance policy end date | 2018-11-30 | Total amount of commissions paid to insurance broker | USD $2,511 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | OTHER (SPECIFY) - A.D.& D. | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 025386 |
Policy instance | 1 |
Insurance contract or identification number | 025386 | Number of Individuals Covered | 280 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $51,981 | Total amount of fees paid to insurance company | USD $2,460 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | Yes | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Carrier | USD $265,296 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $51,981 | Amount paid for insurance broker fees | 2460 | Additional information about fees paid to insurance broker | SPECIAL PROGRAMS | Insurance broker organization code? | 3 | Insurance broker name | SHERLOCK INSURANCE AGENCY, INC. |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 25386 |
Policy instance | 2 |
Insurance contract or identification number | 25386 | Number of Individuals Covered | 280 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $51,981 | Total amount of fees paid to insurance company | USD $2,460 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $265,296 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $51,981 | Amount paid for insurance broker fees | 2460 | Additional information about fees paid to insurance broker | SPECIAL PROGRAM FEES | Insurance broker organization code? | 3 | Insurance broker name | SHERLOCK INSURANCE AGENCY, INC. |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | G25386 |
Policy instance | 1 |
Insurance contract or identification number | G25386 | Number of Individuals Covered | 380 | Insurance policy start date | 2014-12-01 | Insurance policy end date | 2015-11-30 | Total amount of commissions paid to insurance broker | USD $2,441 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | OTHER (SPECIFY) - A.D.& D. | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,441 | Insurance broker organization code? | 3 | Insurance broker name | CRAIG J. SHERLOCK |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | G25386 |
Policy instance | 1 |
Insurance contract or identification number | G25386 | Number of Individuals Covered | 374 | Insurance policy start date | 2013-12-01 | Insurance policy end date | 2014-11-30 | Total amount of commissions paid to insurance broker | USD $2,495 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | OTHER (SPECIFY) - A.D.& D. | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,495 | Insurance broker organization code? | 3 | Insurance broker name | CRAIG J. SHERLOCK |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 25386 |
Policy instance | 2 |
Insurance contract or identification number | 25386 | Number of Individuals Covered | 284 | Insurance policy start date | 2014-02-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $36,357 | Total amount of fees paid to insurance company | USD $2,448 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $220,889 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $36,357 | Amount paid for insurance broker fees | 2448 | Additional information about fees paid to insurance broker | SPECIAL PROGRAM FEES | Insurance broker organization code? | 3 | Insurance broker name | SHERLOCK INSURANCE AGENCY, INC. |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 25386 |
Policy instance | 1 |
Insurance contract or identification number | 25386 | Number of Individuals Covered | 280 | Insurance policy start date | 2013-02-01 | Insurance policy end date | 2014-01-31 | Total amount of commissions paid to insurance broker | USD $41,438 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $219,060 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $41,438 | Insurance broker organization code? | 3 | Insurance broker name | SHERLOCK INSURANCE AGENCY, INC. |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | G25386 |
Policy instance | 2 |
Insurance contract or identification number | G25386 | Number of Individuals Covered | 394 | Insurance policy start date | 2012-12-01 | Insurance policy end date | 2013-11-30 | Total amount of commissions paid to insurance broker | USD $2,518 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $2,518 | Insurance broker organization code? | 3 | Insurance broker name | CRAIG J SHERLOCK |
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DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 ) |
Policy contract number | G25386 |
Policy instance | 2 |
Insurance contract or identification number | G25386 | Number of Individuals Covered | 395 | Insurance policy start date | 2011-12-01 | Insurance policy end date | 2012-11-30 | Total amount of commissions paid to insurance broker | USD $2,353 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
Policy contract number | 25386 |
Policy instance | 1 |
Insurance contract or identification number | 25386 | Number of Individuals Covered | 266 | Insurance policy start date | 2012-02-01 | Insurance policy end date | 2013-01-31 | Total amount of commissions paid to insurance broker | USD $42,109 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $232,798 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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