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PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 401k Plan overview

Plan NamePROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION
Plan identification number 503

PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION Benefits

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

401k Sponsoring company profile

PROVIDER SERVICES has sponsored the creation of one or more 401k plans.

Company Name:PROVIDER SERVICES
Employer identification number (EIN):810681796
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about PROVIDER SERVICES

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 2005-11-16
Company Identification Number: 1581849
Legal Registered Office Address: 2500 COUNTRY CLUB BLVD
SUITE 255
NORTH OLMSTED
United States of America (USA)
44070

More information about PROVIDER SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-01-01JOHN KRYSTOWSKI
5032016-01-01JOHN KRYSTOWSKI
5032015-01-01JOHN KRYSTOWSKI
5032014-01-01
5032013-01-01
5032010-01-01JOHN KRYSTOWSKI

Plan Statistics for PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

401k plan membership statisitcs for PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

Measure Date Value
2017: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2017 401k membership
Total participants, beginning-of-year2017-01-016,278
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
2016: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2016 401k membership
Total participants, beginning-of-year2016-01-015,964
Total number of active participants reported on line 7a of the Form 55002016-01-016,278
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-016,278
Total participants2016-01-016,278
2015: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2015 401k membership
Total participants, beginning-of-year2015-01-017,226
Total number of active participants reported on line 7a of the Form 55002015-01-015,964
Total of all active and inactive participants2015-01-015,964
Total participants2015-01-015,964
2014: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2014 401k membership
Total participants, beginning-of-year2014-01-012,816
Total number of active participants reported on line 7a of the Form 55002014-01-017,226
Total of all active and inactive participants2014-01-017,226
2013: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2013 401k membership
Total participants, beginning-of-year2013-01-013,147
Total number of active participants reported on line 7a of the Form 55002013-01-012,816
Total of all active and inactive participants2013-01-012,816
2010: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2010 401k membership
Total participants, beginning-of-year2010-01-012,867
Total number of active participants reported on line 7a of the Form 55002010-01-012,827
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-012,827

Financial Data on PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

Measure Date Value
2017 : PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$44,615
Total income from all sources (including contributions)2017-12-31$5,139
Total of all expenses incurred2017-12-31$1,974,182
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,968,515
Value of total assets at end of year2017-12-31$0
Value of total assets at beginning of year2017-12-31$2,013,658
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,667
Total interest from all sources2017-12-31$5,139
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Administrative expenses (other) incurred2017-12-31$5,667
Liabilities. Value of operating payables at end of year2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$1,750
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-1,969,043
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,969,043
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$2,013,656
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$2,013,656
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$5,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,968,515
Liabilities. Value of benefit claims payable at end of year2017-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$42,865
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CORRIGAN KRAUSE
Accountancy firm EIN2017-12-31371574855
2016 : PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$44,615
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$921,679
Total income from all sources (including contributions)2016-12-31$37
Total of all expenses incurred2016-12-31$247,058
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$239,988
Value of total assets at end of year2016-12-31$2,013,658
Value of total assets at beginning of year2016-12-31$3,137,743
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$7,070
Total interest from all sources2016-12-31$37
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Administrative expenses (other) incurred2016-12-31$7,070
Liabilities. Value of operating payables at end of year2016-12-31$1,750
Total non interest bearing cash at end of year2016-12-31$2
Total non interest bearing cash at beginning of year2016-12-31$3,130,943
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-247,021
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,969,043
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,216,064
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$2,013,656
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$6,800
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$6,800
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$37
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$239,988
Liabilities. Value of benefit claims payable at end of year2016-12-31$42,865
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$921,679
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CORRIGAN KRAUSE
Accountancy firm EIN2016-12-31371574855
2015 : PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$921,679
Total income from all sources (including contributions)2015-12-31$3,130,942
Total of all expenses incurred2015-12-31$928,679
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$921,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,130,942
Value of total assets at end of year2015-12-31$3,137,743
Value of total assets at beginning of year2015-12-31$13,801
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$7,000
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Total non interest bearing cash at end of year2015-12-31$3,130,943
Total non interest bearing cash at beginning of year2015-12-31$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$2,202,263
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,216,064
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$13,801
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$7,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$6,800
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$13,799
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$13,799
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$3,130,942
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$921,679
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$921,679
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CORRIGAN KRAUSE
Accountancy firm EIN2015-12-31371574855
2014 : PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$17,699,952
Total of all expenses incurred2014-12-31$21,696,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$21,688,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$17,698,993
Value of total assets at end of year2014-12-31$13,801
Value of total assets at beginning of year2014-12-31$4,010,615
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$8,750
Total interest from all sources2014-12-31$959
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Total non interest bearing cash at end of year2014-12-31$2
Total non interest bearing cash at beginning of year2014-12-31$72
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-3,996,814
Value of net assets at end of year (total assets less liabilities)2014-12-31$13,801
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,010,615
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$8,750
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$13,799
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$4,010,543
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$4,010,543
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$959
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$17,698,993
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$21,688,016
Contract administrator fees2014-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CORRIGAN KRAUSE
Accountancy firm EIN2014-12-31371574855
2013 : PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$19,488,726
Total of all expenses incurred2013-12-31$28,885,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$28,874,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$19,305,070
Value of total assets at end of year2013-12-31$4,010,615
Value of total assets at beginning of year2013-12-31$13,407,187
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$11,027
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$7,430
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-12-31$3,111,418
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$8,175
Total non interest bearing cash at end of year2013-12-31$72
Total non interest bearing cash at beginning of year2013-12-31$4,193
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-9,396,572
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,010,615
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$13,407,187
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$3,047
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$503,628
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$4,010,543
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$9,779,773
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$9,779,773
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$176,226
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$19,305,070
Income. Dividends from common stock2013-12-31$7,430
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$28,874,271
Contract administrator fees2013-12-31$7,980
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31CORRIGAN KRAUSE
Accountancy firm EIN2013-12-31371574855
2010 : PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,955,523
Total income from all sources (including contributions)2010-12-31$18,987,810
Total of all expenses incurred2010-12-31$15,987,142
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$15,987,142
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$18,987,613
Value of total assets at end of year2010-12-31$3,000,668
Total interest from all sources2010-12-31$197
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$3,000,668
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,000,668
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$3,000,668
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$197
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$17,942,665
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$18,987,613
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$15,987,142
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,955,523
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31CORRIGAN KRAUSE
Accountancy firm EIN2010-12-31371574855

Form 5500 Responses for PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

2017: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01First time form 5500 has been submittedYes
2010-01-01Submission has been amendedYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number672166
Policy instance 1
Insurance contract or identification number672166
Number of Individuals Covered1558
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $502,929
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,507
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees502929
Insurance broker name
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9830100
Policy instance 3
Insurance contract or identification number9830100
Number of Individuals Covered6005
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $31,757
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees31757
Insurance broker name
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number701308
Policy instance 2
Insurance contract or identification number701308
Number of Individuals Covered1316
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $758,235
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees758235
Insurance broker name
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number672166
Policy instance 1
Insurance contract or identification number672166
Number of Individuals Covered1678
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $482,923
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees482923
Insurance broker name
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number701308
Policy instance 2
Insurance contract or identification number701308
Number of Individuals Covered1392
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $587,405
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,035
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees587405
Insurance broker name
FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 )
Policy contract number9830100
Policy instance 3
Insurance contract or identification number9830100
Number of Individuals Covered5030
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $21,274
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees21274
Insurance broker name
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract number672166
Policy instance 1
Insurance contract or identification number672166
Number of Individuals Covered2007
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $49,998
Total amount of fees paid to insurance companyUSD $38,858
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number170708
Policy instance 2
Insurance contract or identification number170708
Number of Individuals Covered772
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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