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FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 401k Plan overview

Plan NameFULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN
Plan identification number 506

FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

FULTON COUNTY HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name:FULTON COUNTY HEALTH CENTER
Employer identification number (EIN):344428214
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about FULTON COUNTY HEALTH CENTER

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1927-10-26
Company Identification Number: 128377
Legal Registered Office Address: 725 SOUTH SHOOP AVENUE
-
WAUSEON
United States of America (USA)
43567

More information about FULTON COUNTY HEALTH CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062014-03-01PATRICIA FINN
5062013-03-01
5062012-03-01PATRICIA A. FINN PATRICIA A. FINN2013-07-02
5062011-03-01E DEAN BECK E DEAN BECK2012-05-30
5062010-03-01E DEAN BECK E DEAN BECK2011-06-07
5062009-03-01E DEAN BECK E DEAN BECK2010-07-13

Plan Statistics for FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN

401k plan membership statisitcs for FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN

Measure Date Value
2014: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-01409
Total number of active participants reported on line 7a of the Form 55002014-03-010
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-010
2013: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-01415
Total number of active participants reported on line 7a of the Form 55002013-03-01405
Number of retired or separated participants receiving benefits2013-03-014
Number of other retired or separated participants entitled to future benefits2013-03-018
Total of all active and inactive participants2013-03-01417
2012: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-01397
Total number of active participants reported on line 7a of the Form 55002012-03-01397
Number of retired or separated participants receiving benefits2012-03-019
Number of other retired or separated participants entitled to future benefits2012-03-019
Total of all active and inactive participants2012-03-01415
2011: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-01421
Total number of active participants reported on line 7a of the Form 55002011-03-01381
Number of retired or separated participants receiving benefits2011-03-0110
Number of other retired or separated participants entitled to future benefits2011-03-016
Total of all active and inactive participants2011-03-01397
2010: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-03-01400
Total number of active participants reported on line 7a of the Form 55002010-03-01397
Number of retired or separated participants receiving benefits2010-03-019
Number of other retired or separated participants entitled to future benefits2010-03-0115
Total of all active and inactive participants2010-03-01421
2009: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-03-01381
Total number of active participants reported on line 7a of the Form 55002009-03-01380
Number of retired or separated participants receiving benefits2009-03-019
Number of other retired or separated participants entitled to future benefits2009-03-0111
Total of all active and inactive participants2009-03-01400

Form 5500 Responses for FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN

2014: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Submission has been amendedNo
2014-03-01This submission is the final filingYes
2014-03-01This return/report is a short plan year return/report (less than 12 months)No
2014-03-01Plan is a collectively bargained planNo
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan benefit arrangement – InsuranceYes
2013: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Submission has been amendedNo
2013-03-01This submission is the final filingNo
2013-03-01This return/report is a short plan year return/report (less than 12 months)No
2013-03-01Plan is a collectively bargained planNo
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan benefit arrangement – InsuranceYes
2012: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Submission has been amendedNo
2012-03-01This submission is the final filingNo
2012-03-01This return/report is a short plan year return/report (less than 12 months)No
2012-03-01Plan is a collectively bargained planNo
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01Submission has been amendedNo
2011-03-01This submission is the final filingNo
2011-03-01This return/report is a short plan year return/report (less than 12 months)No
2011-03-01Plan is a collectively bargained planNo
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan benefit arrangement – InsuranceYes
2010: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01Submission has been amendedNo
2010-03-01This submission is the final filingNo
2010-03-01This return/report is a short plan year return/report (less than 12 months)No
2010-03-01Plan is a collectively bargained planNo
2010-03-01Plan funding arrangement – InsuranceYes
2010-03-01Plan benefit arrangement – InsuranceYes
2009: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedNo
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12256830
Policy instance 1
Insurance contract or identification number12256830
Number of Individuals Covered405
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $2,098
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $66,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,098
Insurance broker organization code?3
Insurance broker nameCORPORATE ONE BENEFITS INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12256830
Policy instance 1
Insurance contract or identification number12256830
Number of Individuals Covered409
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,666
Commission paid to Insurance BrokerUSD $2,137
Insurance broker organization code?3
Insurance broker nameCORPORATE ONE BENEFITS, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12256830
Policy instance 1
Insurance contract or identification number12256830
Number of Individuals Covered415
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $2,139
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $68,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,139
Insurance broker organization code?3
Insurance broker nameCORPORATE ONE BENEFITS, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12256830
Policy instance 1
Insurance contract or identification number12256830
Number of Individuals Covered397
Insurance policy start date2011-03-01
Insurance policy end date2012-02-28
Total amount of commissions paid to insurance brokerUSD $2,168
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $70,846
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12256830
Policy instance 1
Insurance contract or identification number12256830
Number of Individuals Covered407
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $2,113
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $67,016
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,113
Insurance broker organization code?3
Insurance broker nameCORPORATE ONE BENEFITS, INC.

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