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LONGMONT UNITED HOSPITAL 403(B) PLAN 401k Plan overview

Plan NameLONGMONT UNITED HOSPITAL 403(B) PLAN
Plan identification number 001

LONGMONT UNITED HOSPITAL 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

LONGMONT UNITED HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:LONGMONT UNITED HOSPITAL
Employer identification number (EIN):840460697
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about LONGMONT UNITED HOSPITAL

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 1955-06-06
Company Identification Number: 19871231875
Legal Registered Office Address: 9100 E. Mineral Circle

Centennial
United States of America (USA)
80112

More information about LONGMONT UNITED HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONGMONT UNITED HOSPITAL 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-01-01DANIEL FRANK DANIEL FRANK2018-10-12
0012016-01-01DANIEL FRANK DANIEL FRANK2017-08-29
0012015-01-01WARREN LAUGHLIN WARREN LAUGHLIN2016-10-13
0012014-01-01WARREN LAUGHLIN
0012013-01-01WARREN LAUGHLIN
0012012-01-01WARREN LAUGHLIN WARREN LAUGHLIN2013-10-07
0012011-01-01WARREN LAUGHLIN
0012010-01-01WARREN LAUGHLIN
0012009-01-01WARREN LAUGHLIN

Plan Statistics for LONGMONT UNITED HOSPITAL 403(B) PLAN

401k plan membership statisitcs for LONGMONT UNITED HOSPITAL 403(B) PLAN

Measure Date Value
2019: LONGMONT UNITED HOSPITAL 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01105
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: LONGMONT UNITED HOSPITAL 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01112
Total number of active participants reported on line 7a of the Form 55002018-01-01105
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01105
Number of participants with account balances2018-01-01105
2017: LONGMONT UNITED HOSPITAL 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,750
Total number of active participants reported on line 7a of the Form 55002017-01-01112
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 participants2017-01-01112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01112
Number of participants with account balances2017-01-01112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: LONGMONT UNITED HOSPITAL 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,799
Total number of active participants reported on line 7a of the Form 55002016-01-01120
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-011,627
Total of all active and inactive participants2016-01-011,748
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-012
Total participants2016-01-011,750
Number of participants with account balances2016-01-011,756
2015: LONGMONT UNITED HOSPITAL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,721
Total number of active participants reported on line 7a of the Form 55002015-01-011,417
Number of retired or separated participants receiving benefits2015-01-0117
Number of other retired or separated participants entitled to future benefits2015-01-01364
Total of all active and inactive participants2015-01-011,798
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-011,799
Number of participants with account balances2015-01-011,641
2014: LONGMONT UNITED HOSPITAL 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,747
Total number of active participants reported on line 7a of the Form 55002014-01-011,252
Number of retired or separated participants receiving benefits2014-01-012
Number of other retired or separated participants entitled to future benefits2014-01-01447
Total of all active and inactive participants2014-01-011,701
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-012
Total participants2014-01-011,703
2013: LONGMONT UNITED HOSPITAL 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,747
Total number of active participants reported on line 7a of the Form 55002013-01-011,424
Number of retired or separated participants receiving benefits2013-01-012
Number of other retired or separated participants entitled to future benefits2013-01-01320
Total of all active and inactive participants2013-01-011,746
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-011,747
2012: LONGMONT UNITED HOSPITAL 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,613
Total number of active participants reported on line 7a of the Form 55002012-01-011,424
Number of retired or separated participants receiving benefits2012-01-012
Number of other retired or separated participants entitled to future benefits2012-01-01320
Total of all active and inactive participants2012-01-011,746
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-011,747
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-015
2011: LONGMONT UNITED HOSPITAL 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,408
Total number of active participants reported on line 7a of the Form 55002011-01-011,232
Number of retired or separated participants receiving benefits2011-01-0116
Number of other retired or separated participants entitled to future benefits2011-01-01363
Total of all active and inactive participants2011-01-011,611
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-012
Total participants2011-01-011,613
Number of participants with account balances2011-01-011,327
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0110
2010: LONGMONT UNITED HOSPITAL 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,319
Total number of active participants reported on line 7a of the Form 55002010-01-011,014
Number of retired or separated participants receiving benefits2010-01-0114
Number of other retired or separated participants entitled to future benefits2010-01-01241
Total of all active and inactive participants2010-01-011,269
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-011,269
Number of participants with account balances2010-01-011,213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0110
2009: LONGMONT UNITED HOSPITAL 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,610
Total number of active participants reported on line 7a of the Form 55002009-01-011,061
Number of retired or separated participants receiving benefits2009-01-0113
Number of other retired or separated participants entitled to future benefits2009-01-01244
Total of all active and inactive participants2009-01-011,318
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-011,319
Number of participants with account balances2009-01-011,244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0116

Financial Data on LONGMONT UNITED HOSPITAL 403(B) PLAN

Measure Date Value
2019 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$224,390
Total income from all sources (including contributions)2019-12-31$224,390
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$2,378,291
Total of all expenses incurred2019-12-31$2,378,291
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,378,168
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,378,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$0
Value of total assets at end of year2019-12-31$0
Value of total assets at end of year2019-12-31$0
Value of total assets at beginning of year2019-12-31$2,153,901
Value of total assets at beginning of year2019-12-31$2,153,901
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$123
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$123
Total interest from all sources2019-12-31$57,441
Total interest from all sources2019-12-31$57,441
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-2,153,901
Value of net income/loss2019-12-31$-2,153,901
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at end of year (total assets less liabilities)2019-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,153,901
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,153,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$700,545
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$700,545
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at beginning of year2019-12-31$0
Value of interest in pooled separate accounts at beginning of year2019-12-31$0
Interest earned on other investments2019-12-31$57,441
Interest earned on other investments2019-12-31$57,441
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,453,356
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,453,356
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$166,949
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$166,949
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,378,168
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,378,168
Contract administrator fees2019-12-31$123
Contract administrator fees2019-12-31$123
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31PLANTE & MORAN, PLLC
Accountancy firm name2019-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2019-12-31381357951
Accountancy firm EIN2019-12-31381357951
2018 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$18,811
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$207,619
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$207,486
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$0
Value of total assets at end of year2018-12-31$2,153,901
Value of total assets at beginning of year2018-12-31$2,342,709
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$133
Total interest from all sources2018-12-31$70,221
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-188,808
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,153,901
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,342,709
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$700,545
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$789,444
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest in pooled separate accounts at beginning of year2018-12-31$0
Interest earned on other investments2018-12-31$70,221
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,453,356
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,553,265
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-51,410
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$207,486
Contract administrator fees2018-12-31$133
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31PLANTE & MORAN, PLLC
Accountancy firm EIN2018-12-31381357951
2017 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$201,718
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$232,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$232,480
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$0
Value of total assets at end of year2017-12-31$2,342,709
Value of total assets at beginning of year2017-12-31$2,373,605
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$134
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$79,086
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
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$79,086
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$0
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-30,896
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,342,709
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,373,605
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 in registered invesment companies (eg mutual funds) at end of year2017-12-31$789,444
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$806,775
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,553,265
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,566,830
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$122,632
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$232,480
Contract administrator fees2017-12-31$134
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
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 name2017-12-31EKS&H LLLP
Accountancy firm EIN2017-12-31461497033
2016 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$6,290,277
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$76,867,123
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$76,847,864
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,624,169
Value of total assets at end of year2016-12-31$2,373,605
Value of total assets at beginning of year2016-12-31$72,950,451
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$19,259
Total interest from all sources2016-12-31$39,129
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$649,708
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$649,708
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$3,093,297
Participant contributions at end of year2016-12-31$0
Participant contributions at beginning of year2016-12-31$1,028,524
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$87,634
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$2,646
Liabilities. Value of operating payables at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-70,576,846
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,373,605
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$72,950,451
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 in registered invesment companies (eg mutual funds) at end of year2016-12-31$806,775
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$57,457,733
Value of interest in pooled separate accounts at end of year2016-12-31$0
Value of interest in pooled separate accounts at beginning of year2016-12-31$12,812,727
Interest on participant loans2016-12-31$39,129
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,566,830
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,648,821
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,977,271
Net investment gain/loss from pooled separate accounts2016-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$443,238
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$76,847,864
Contract administrator fees2016-12-31$19,259
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 name2016-12-31EKS&H LLLP
Accountancy firm EIN2016-12-31461497033
2015 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$6,280
Total income from all sources (including contributions)2015-12-31$6,424,341
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$11,360,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$11,341,580
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$6,001,102
Value of total assets at end of year2015-12-31$72,950,451
Value of total assets at beginning of year2015-12-31$77,892,615
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$18,645
Total interest from all sources2015-12-31$58,135
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$3,081,891
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$3,081,891
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$4,803,019
Participant contributions at end of year2015-12-31$1,028,524
Participant contributions at beginning of year2015-12-31$1,007,103
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$436,829
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$2,646
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$5,245
Administrative expenses (other) incurred2015-12-31$18,645
Liabilities. Value of operating payables at end of year2015-12-31$0
Liabilities. Value of operating payables at beginning of year2015-12-31$6,280
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-4,935,884
Value of net assets at end of year (total assets less liabilities)2015-12-31$72,950,451
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$77,886,335
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$57,457,733
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$62,487,844
Value of interest in pooled separate accounts at end of year2015-12-31$12,812,727
Value of interest in pooled separate accounts at beginning of year2015-12-31$12,683,596
Interest on participant loans2015-12-31$58,135
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,648,821
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,708,827
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-3,115,651
Net investment gain/loss from pooled separate accounts2015-12-31$398,864
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$761,254
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$11,341,580
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 name2015-12-31EKS&H LLLP
Accountancy firm EIN2015-12-31461497033
2014 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$0
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$6,280
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,235
Total income from all sources (including contributions)2014-12-31$11,254,887
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$5,341,518
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,320,204
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$5,930,371
Value of total assets at end of year2014-12-31$77,892,615
Value of total assets at beginning of year2014-12-31$71,976,201
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$21,314
Total interest from all sources2014-12-31$57,918
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$4,082,266
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$4,082,266
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$4,623,650
Participant contributions at end of year2014-12-31$1,007,103
Participant contributions at beginning of year2014-12-31$847,708
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$615,556
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$5,245
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$642
Administrative expenses (other) incurred2014-12-31$21,314
Liabilities. Value of operating payables at end of year2014-12-31$6,280
Liabilities. Value of operating payables at beginning of year2014-12-31$3,235
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$5,913,369
Value of net assets at end of year (total assets less liabilities)2014-12-31$77,886,335
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$71,972,966
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$62,487,844
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$56,765,698
Value of interest in pooled separate accounts at end of year2014-12-31$12,683,596
Value of interest in pooled separate accounts at beginning of year2014-12-31$12,666,903
Interest on participant loans2014-12-31$57,918
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,708,827
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,695,250
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$794,392
Net investment gain/loss from pooled separate accounts2014-12-31$389,940
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$691,165
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$5,320,204
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 name2014-12-31EKS&H LLLP
Accountancy firm EIN2014-12-31461497033
2013 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$8,601,921
Total unrealized appreciation/depreciation of assets2013-12-31$8,601,921
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,235
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$19
Total income from all sources (including contributions)2013-12-31$17,507,884
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$4,350,384
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,331,501
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$6,017,771
Value of total assets at end of year2013-12-31$71,976,201
Value of total assets at beginning of year2013-12-31$58,815,485
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$18,883
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$2,888,192
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$2,888,192
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$4,563,085
Participant contributions at end of year2013-12-31$847,708
Participant contributions at beginning of year2013-12-31$753,060
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$887,341
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$642
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$45,706
Administrative expenses (other) incurred2013-12-31$18,883
Liabilities. Value of operating payables at end of year2013-12-31$3,235
Liabilities. Value of operating payables at beginning of year2013-12-31$19
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$13,157,500
Value of net assets at end of year (total assets less liabilities)2013-12-31$71,972,966
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$58,815,466
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$56,765,698
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$44,199,208
Value of interest in pooled separate accounts at end of year2013-12-31$12,666,903
Value of interest in pooled separate accounts at beginning of year2013-12-31$12,128,982
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,695,250
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,688,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$567,345
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$4,331,501
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 name2013-12-31EKS&H LLLP
Accountancy firm EIN2013-12-31461497033
2012 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$19
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$50,645
Total income from all sources (including contributions)2012-12-31$11,373,563
Total of all expenses incurred2012-12-31$3,885,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$3,871,978
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$5,660,657
Value of total assets at end of year2012-12-31$58,815,485
Value of total assets at beginning of year2012-12-31$51,378,392
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$13,866
Total interest from all sources2012-12-31$7,566
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$1,492,705
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$1,492,705
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$4,211,202
Participant contributions at end of year2012-12-31$753,060
Participant contributions at beginning of year2012-12-31$673,642
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$795,098
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$45,706
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$20,852
Other income not declared elsewhere2012-12-31$923
Administrative expenses (other) incurred2012-12-31$13,866
Liabilities. Value of operating payables at end of year2012-12-31$19
Liabilities. Value of operating payables at beginning of year2012-12-31$50,645
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$7,487,719
Value of net assets at end of year (total assets less liabilities)2012-12-31$58,815,466
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$51,327,747
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$44,199,208
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$36,918,388
Value of interest in pooled separate accounts at end of year2012-12-31$12,128,982
Value of interest in pooled separate accounts at beginning of year2012-12-31$11,986,781
Interest on participant loans2012-12-31$7,566
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$1,688,529
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$1,778,729
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$3,778,315
Net investment gain/loss from pooled separate accounts2012-12-31$433,397
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$654,357
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,871,978
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31EKS&LLLP
Accountancy firm EIN2012-12-31461497033
2011 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$50,645
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$748
Total income from all sources (including contributions)2011-12-31$7,736,533
Total of all expenses incurred2011-12-31$3,699,034
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,640,733
Value of total corrective distributions2011-12-31$49,472
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,125,062
Value of total assets at end of year2011-12-31$51,378,392
Value of total assets at beginning of year2011-12-31$47,290,996
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$8,829
Total interest from all sources2011-12-31$110,853
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$1,195,162
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$1,195,162
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$3,962,369
Participant contributions at end of year2011-12-31$673,642
Participant contributions at beginning of year2011-12-31$576,661
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$747,837
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$20,852
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$19,784
Other income not declared elsewhere2011-12-31$2,397,459
Administrative expenses (other) incurred2011-12-31$7,010
Liabilities. Value of operating payables at end of year2011-12-31$50,645
Liabilities. Value of operating payables at beginning of year2011-12-31$748
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$4,037,499
Value of net assets at end of year (total assets less liabilities)2011-12-31$51,327,747
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$47,290,248
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$1,819
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$36,918,388
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$35,388,231
Value of interest in pooled separate accounts at end of year2011-12-31$11,986,781
Value of interest in pooled separate accounts at beginning of year2011-12-31$11,306,320
Interest on participant loans2011-12-31$27,948
Interest earned on other investments2011-12-31$82,905
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$1,778,729
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,550,428
Net investment gain/loss from pooled separate accounts2011-12-31$458,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$414,856
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,640,733
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BROCK AND COMPANY CPAS P.C.
Accountancy firm EIN2011-12-31840930288
2010 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$748
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$26,795
Total income from all sources (including contributions)2010-12-31$9,852,787
Total of all expenses incurred2010-12-31$5,026,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$5,005,682
Expenses. Certain deemed distributions of participant loans2010-12-31$14,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,297,652
Value of total assets at end of year2010-12-31$47,290,996
Value of total assets at beginning of year2010-12-31$42,490,842
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$6,628
Total interest from all sources2010-12-31$36,379
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$772,770
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$772,770
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$3,928,617
Participant contributions at end of year2010-12-31$576,661
Participant contributions at beginning of year2010-12-31$554,046
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$366,592
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$19,784
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$123
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$26,525
Administrative expenses (other) incurred2010-12-31$6,062
Liabilities. Value of operating payables at end of year2010-12-31$748
Liabilities. Value of operating payables at beginning of year2010-12-31$270
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$4,826,201
Value of net assets at end of year (total assets less liabilities)2010-12-31$47,290,248
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$42,464,047
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
Investment advisory and management fees2010-12-31$566
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$35,388,231
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$29,384,570
Value of interest in pooled separate accounts at end of year2010-12-31$11,306,320
Value of interest in pooled separate accounts at beginning of year2010-12-31$12,552,103
Interest on participant loans2010-12-31$36,379
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$4,283,144
Net investment gain/loss from pooled separate accounts2010-12-31$462,842
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
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$2,443
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$5,005,682
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
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 name2010-12-31BROCK AND COMPANY CPAS P.C.
Accountancy firm EIN2010-12-31840930288
2009 : LONGMONT UNITED HOSPITAL 403(B) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for LONGMONT UNITED HOSPITAL 403(B) PLAN

2019: LONGMONT UNITED HOSPITAL 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LONGMONT UNITED HOSPITAL 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LONGMONT UNITED HOSPITAL 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LONGMONT UNITED HOSPITAL 403(B) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LONGMONT UNITED HOSPITAL 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LONGMONT UNITED HOSPITAL 403(B) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LONGMONT UNITED HOSPITAL 403(B) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LONGMONT UNITED HOSPITAL 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LONGMONT UNITED HOSPITAL 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: LONGMONT UNITED HOSPITAL 403(B) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: LONGMONT UNITED HOSPITAL 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number193399+031
Policy instance 1
Insurance contract or identification number193399+031
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-10-28
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number46136
Policy instance 2
Insurance contract or identification number46136
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $35
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number46136
Policy instance 1
Insurance contract or identification number46136
Number of Individuals Covered69
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $40
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number193399+031
Policy instance 2
Insurance contract or identification number193399+031
Number of Individuals Covered36
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number007534
Policy instance 1
Insurance contract or identification number007534
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number193399+031
Policy instance 2
Insurance contract or identification number193399+031
Number of Individuals Covered39
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number46136
Policy instance 3
Insurance contract or identification number46136
Number of Individuals Covered73
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $56
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22
Insurance broker organization code?3
Insurance broker nameAVA R. OVERMAN

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