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| Plan Name | PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| 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
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2017-01-01 | JOHN KRYSTOWSKI | |||
| 503 | 2016-01-01 | JOHN KRYSTOWSKI | |||
| 503 | 2015-01-01 | JOHN KRYSTOWSKI | |||
| 503 | 2014-01-01 | ||||
| 503 | 2013-01-01 | ||||
| 503 | 2010-01-01 | JOHN KRYSTOWSKI |
| Measure | Date | Value |
|---|---|---|
| 2017: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 6,278 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 0 |
| 2016: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 5,964 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 6,278 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 6,278 |
| Total participants | 2016-01-01 | 6,278 |
| 2015: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 7,226 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 5,964 |
| Total of all active and inactive participants | 2015-01-01 | 5,964 |
| Total participants | 2015-01-01 | 5,964 |
| 2014: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 2,816 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 7,226 |
| Total of all active and inactive participants | 2014-01-01 | 7,226 |
| 2013: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 3,147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 2,816 |
| Total of all active and inactive participants | 2013-01-01 | 2,816 |
| 2010: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 2,867 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 2,827 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 0 |
| Total of all active and inactive participants | 2010-01-01 | 2,827 |
| 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 incurred | 2017-12-31 | $1,974,182 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $1,968,515 |
| Value of total assets at end of year | 2017-12-31 | $0 |
| Value of total assets at beginning of year | 2017-12-31 | $2,013,658 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $5,667 |
| Total interest from all sources | 2017-12-31 | $5,139 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2017-12-31 | $0 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Administrative expenses (other) incurred | 2017-12-31 | $5,667 |
| Liabilities. Value of operating payables at end of year | 2017-12-31 | $0 |
| Liabilities. Value of operating payables at beginning of year | 2017-12-31 | $1,750 |
| Total non interest bearing cash at end of year | 2017-12-31 | $0 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $2 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $-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) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $2,013,656 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $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 assets | 2017-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $1,968,515 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $0 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $42,865 |
| Did the plan have assets held for investment | 2017-12-31 | 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 | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Disclaimer |
| Accountancy firm name | 2017-12-31 | CORRIGAN KRAUSE |
| Accountancy firm EIN | 2017-12-31 | 371574855 |
| 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 incurred | 2016-12-31 | $247,058 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $239,988 |
| Value of total assets at end of year | 2016-12-31 | $2,013,658 |
| Value of total assets at beginning of year | 2016-12-31 | $3,137,743 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $7,070 |
| Total interest from all sources | 2016-12-31 | $37 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Administrative expenses (other) incurred | 2016-12-31 | $7,070 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $1,750 |
| Total non interest bearing cash at end of year | 2016-12-31 | $2 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $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 appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $-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) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $2,013,656 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $6,800 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $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 assets | 2016-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $239,988 |
| Liabilities. Value of benefit claims payable at end of year | 2016-12-31 | $42,865 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-12-31 | $921,679 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| 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 | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Disclaimer |
| Accountancy firm name | 2016-12-31 | CORRIGAN KRAUSE |
| Accountancy firm EIN | 2016-12-31 | 371574855 |
| 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 incurred | 2015-12-31 | $928,679 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $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 year | 2015-12-31 | $3,137,743 |
| Value of total assets at beginning of year | 2015-12-31 | $13,801 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $7,000 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Total non interest bearing cash at end of year | 2015-12-31 | $3,130,943 |
| Total non interest bearing cash at beginning of year | 2015-12-31 | $2 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $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) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Investment advisory and management fees | 2015-12-31 | $7,000 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $6,800 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $13,799 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $13,799 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Contributions received in cash from employer | 2015-12-31 | $3,130,942 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-12-31 | $921,679 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2015-12-31 | $921,679 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| 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 | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Disclaimer |
| Accountancy firm name | 2015-12-31 | CORRIGAN KRAUSE |
| Accountancy firm EIN | 2015-12-31 | 371574855 |
| 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 incurred | 2014-12-31 | $21,696,766 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $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 year | 2014-12-31 | $13,801 |
| Value of total assets at beginning of year | 2014-12-31 | $4,010,615 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $8,750 |
| Total interest from all sources | 2014-12-31 | $959 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Total non interest bearing cash at end of year | 2014-12-31 | $2 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $72 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $-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) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Investment advisory and management fees | 2014-12-31 | $8,750 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $13,799 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $4,010,543 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $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 assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $17,698,993 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-12-31 | $21,688,016 |
| Contract administrator fees | 2014-12-31 | $0 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-12-31 | No |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| 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 | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Disclaimer |
| Accountancy firm name | 2014-12-31 | CORRIGAN KRAUSE |
| Accountancy firm EIN | 2014-12-31 | 371574855 |
| 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 incurred | 2013-12-31 | $28,885,298 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $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 year | 2013-12-31 | $4,010,615 |
| Value of total assets at beginning of year | 2013-12-31 | $13,407,187 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $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 year | 2013-12-31 | No |
| Assets. Corporate prefeered stocks other than exployer securities at end of year | 2013-12-31 | $0 |
| Assets. Corporate prefeered stocks other than exployer securities at beginning of year | 2013-12-31 | $3,111,418 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $8,175 |
| Total non interest bearing cash at end of year | 2013-12-31 | $72 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $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 appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $-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) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Investment advisory and management fees | 2013-12-31 | $3,047 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $503,628 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $4,010,543 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $9,779,773 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $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 assets | 2013-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $19,305,070 |
| Income. Dividends from common stock | 2013-12-31 | $7,430 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $28,874,271 |
| Contract administrator fees | 2013-12-31 | $7,980 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-12-31 | No |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| 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 | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Disclaimer |
| Accountancy firm name | 2013-12-31 | CORRIGAN KRAUSE |
| Accountancy firm EIN | 2013-12-31 | 371574855 |
| 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 incurred | 2010-12-31 | $15,987,142 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $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 year | 2010-12-31 | $3,000,668 |
| Total interest from all sources | 2010-12-31 | $197 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $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) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $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 benefits | 2010-12-31 | $17,942,665 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $18,987,613 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $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 2520.101-3 | 2010-12-31 | No |
| Liabilities. Value of benefit claims payable at end of year | 2010-12-31 | $1,955,523 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| 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 | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Disclaimer |
| Accountancy firm name | 2010-12-31 | CORRIGAN KRAUSE |
| Accountancy firm EIN | 2010-12-31 | 371574855 |
| 2017: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2017 form 5500 responses | ||
|---|---|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | This submission is the final filing | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: PROVIDER SERVICES HOLDINGS, LLC VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | First time form 5500 has been submitted | Yes |
| 2010-01-01 | Submission has been amended | Yes |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement - Trust | Yes |
| 2010-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 ) | |
| Policy contract number | 672166 |
| Policy instance | 1 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) | |
| Policy contract number | 9830100 |
| Policy instance | 3 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 701308 |
| Policy instance | 2 |
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 ) | |
| Policy contract number | 672166 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 701308 |
| Policy instance | 2 |
| FIDELITY SECURITY LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 67288 ) | |
| Policy contract number | 9830100 |
| Policy instance | 3 |
| MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 ) | |
| Policy contract number | 672166 |
| Policy instance | 1 |
| COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 ) | |
| Policy contract number | 170708 |
| Policy instance | 2 |