401k Plan data: HEALTH REIMBURSEMENT ARRANGEMENT plan

HEALTH REIMBURSEMENT ARRANGEMENT 401k Plan overview

Plan Name	HEALTH REIMBURSEMENT ARRANGEMENT
Plan identification number	516

HEALTH REIMBURSEMENT ARRANGEMENT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Other welfare benefit cover

401k Sponsoring company profile

MARSHFIELD CLINIC, INC. has sponsored the creation of one or more 401k plans.

Company Name: MARSHFIELD CLINIC, INC.

Employer identification number (EIN): 390452970

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about MARSHFIELD CLINIC, INC.

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs

Incorporation Date:

Company Identification Number: 90083H

More information about MARSHFIELD CLINIC, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH REIMBURSEMENT ARRANGEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
516 2014-01-01 STEVEN CHRISTIANSON
516 2013-01-01 STEVEN CHRISTIANSON
516 2012-01-01 STEVEN CHRISTIANSON
516 2011-01-01 STEVEN CHRISTIANSON
516 2009-01-01 STEVEN CHRISTIANSON

Plan id#	Filing Submission Date	Name of Administrator
516	2014-01-01	STEVEN CHRISTIANSON
516	2013-01-01	STEVEN CHRISTIANSON
516	2012-01-01	STEVEN CHRISTIANSON
516	2011-01-01	STEVEN CHRISTIANSON
516	2009-01-01	STEVEN CHRISTIANSON

Plan Statistics for HEALTH REIMBURSEMENT ARRANGEMENT

401k plan membership statisitcs for HEALTH REIMBURSEMENT ARRANGEMENT

Measure Date Value
2014: HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year 2014-01-01 4,066
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
2013: HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,708
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 4,066
Total of all active and inactive participants 2013-01-01 4,066
Total participants 2013-01-01 4,066
2012: HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year 2012-01-01 2,116
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3,708
Total of all active and inactive participants 2012-01-01 3,708
Total participants 2012-01-01 3,708
2011: HEALTH REIMBURSEMENT ARRANGEMENT 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,966
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 2,116
Total of all active and inactive participants 2011-01-01 2,116
Total participants 2011-01-01 2,116
2009: HEALTH REIMBURSEMENT ARRANGEMENT 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,343
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,411
Number of retired or separated participants receiving benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 1,416
Total participants 2009-01-01 1,416

Measure	Date	Value
2014: HEALTH REIMBURSEMENT ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year	2014-01-01	4,066
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
2013: HEALTH REIMBURSEMENT ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,708
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	4,066
Total of all active and inactive participants	2013-01-01	4,066
Total participants	2013-01-01	4,066
2012: HEALTH REIMBURSEMENT ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year	2012-01-01	2,116
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3,708
Total of all active and inactive participants	2012-01-01	3,708
Total participants	2012-01-01	3,708
2011: HEALTH REIMBURSEMENT ARRANGEMENT 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,966
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	2,116
Total of all active and inactive participants	2011-01-01	2,116
Total participants	2011-01-01	2,116
2009: HEALTH REIMBURSEMENT ARRANGEMENT 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,343
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,411
Number of retired or separated participants receiving benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	1,416
Total participants	2009-01-01	1,416

Form 5500 Responses for HEALTH REIMBURSEMENT ARRANGEMENT

2014: HEALTH REIMBURSEMENT ARRANGEMENT 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: HEALTH REIMBURSEMENT ARRANGEMENT 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: HEALTH REIMBURSEMENT ARRANGEMENT 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: HEALTH REIMBURSEMENT ARRANGEMENT 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: HEALTH REIMBURSEMENT ARRANGEMENT 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	MARSHFIELD CLINIC, INC.
Employer identification number (EIN):	390452970
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	90083H