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| Plan Name | FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | FAMILY HEALTH MEDICAL SERVICES |
| Employer identification number (EIN): | 205455871 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about FAMILY HEALTH MEDICAL SERVICES
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 2006-08-24 |
| Company Identification Number: | 3404822 |
| Legal Registered Office Address: |
95 EAST CHAUTAUQUA STREET Chautauqua MAYVILLE United States of America (USA) 14757 |
More information about FAMILY HEALTH MEDICAL SERVICES
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2017-03-01 | ROBERT BERKE | ROBERT BERKE | 2018-07-11 | |
| 501 | 2016-03-01 | ROBERT BERKE | ROBERT BERKE | 2017-09-07 | |
| 501 | 2015-03-01 | ROBERT BERKE | ROBERT BERKE | 2016-08-17 | |
| 501 | 2014-03-01 | ROBERT BERKE | ROBERT BERKE | 2015-09-28 |
| Measure | Date | Value |
|---|---|---|
| 2017: FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-03-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 92 |
| Total of all active and inactive participants | 2017-03-01 | 92 |
| Total participants | 2017-03-01 | 92 |
| 2016: FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-03-01 | 107 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-03-01 | 104 |
| Total of all active and inactive participants | 2016-03-01 | 104 |
| Total participants | 2016-03-01 | 104 |
| 2015: FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-03-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 107 |
| Total of all active and inactive participants | 2015-03-01 | 107 |
| Total participants | 2015-03-01 | 107 |
| 2014: FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-03-01 | 92 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-03-01 | 100 |
| Total of all active and inactive participants | 2014-03-01 | 100 |
| Total participants | 2014-03-01 | 100 |
| 2017: FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2017 form 5500 responses | ||
|---|---|---|
| 2017-03-01 | Type of plan entity | Single employer plan |
| 2017-03-01 | Submission has been amended | No |
| 2017-03-01 | This submission is the final filing | No |
| 2017-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-03-01 | Plan is a collectively bargained plan | No |
| 2017-03-01 | Plan funding arrangement – Insurance | Yes |
| 2017-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2016 form 5500 responses | ||
| 2016-03-01 | Type of plan entity | Single employer plan |
| 2016-03-01 | Submission has been amended | No |
| 2016-03-01 | This submission is the final filing | No |
| 2016-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-03-01 | Plan is a collectively bargained plan | No |
| 2016-03-01 | Plan funding arrangement – Insurance | Yes |
| 2016-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2015 form 5500 responses | ||
| 2015-03-01 | Type of plan entity | Single employer plan |
| 2015-03-01 | Submission has been amended | No |
| 2015-03-01 | This submission is the final filing | No |
| 2015-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-03-01 | Plan is a collectively bargained plan | No |
| 2015-03-01 | Plan funding arrangement – Insurance | Yes |
| 2015-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: FAMILY HEALTH MEDICAL SERVICES, PLLC EMPLOYEE HEALTH AND WELFARE BENEFIT PLANS 2014 form 5500 responses | ||
| 2014-03-01 | Type of plan entity | Single employer plan |
| 2014-03-01 | First time form 5500 has been submitted | Yes |
| 2014-03-01 | Submission has been amended | No |
| 2014-03-01 | This submission is the final filing | No |
| 2014-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-03-01 | Plan is a collectively bargained plan | No |
| 2014-03-01 | Plan funding arrangement – Insurance | Yes |
| 2014-03-01 | Plan benefit arrangement – Insurance | Yes |
| INDEPENDENT HEALTH (National Association of Insurance Commissioners NAIC id number: 47034 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 31915 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 00536789 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 767437G | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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