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OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 401k Plan overview

Plan NameOHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST
Plan identification number 501

OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

OHIO ASSOCIATION OF COUNTY BOARDS SERVING PEOPLE WITH DISABILITIES has sponsored the creation of one or more 401k plans.

Company Name:OHIO ASSOCIATION OF COUNTY BOARDS SERVING PEOPLE WITH DISABILITIES
Employer identification number (EIN):311753038
NAIC Classification:921000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01KAY DAVIS2023-10-06
5012021-01-01NELSON CULP2022-10-01
5012020-01-01NELSON CULP2021-10-14 SHELLY BROWNELL2021-10-14
5012019-01-01SAUL S. BAUER2020-10-09
5012018-01-01SAUL BAUER2019-10-09 SHELLY BROWNELL2019-10-11
5012017-01-01
5012016-01-01
5012015-01-01LAURA ZUREICH
5012014-01-01ESTHER BALDRIDGE
5012013-01-01ALVIN WILLIS
5012012-01-01ALVIN WILLIS
5012011-01-01ALVIN WILLIS
5012009-01-01ALVIN WILLIS

Plan Statistics for OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST

401k plan membership statisitcs for OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST

Measure Date Value
2022: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-012,697
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
2021: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-012,831
Total number of active participants reported on line 7a of the Form 55002021-01-012,697
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012,697
2020: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-012,845
Total number of active participants reported on line 7a of the Form 55002020-01-012,831
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,831
2019: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-013,995
Total number of active participants reported on line 7a of the Form 55002019-01-012,845
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 participants2019-01-012,845
2018: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-013,928
Total number of active participants reported on line 7a of the Form 55002018-01-013,995
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 participants2018-01-013,995
2017: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-014,732
Total number of active participants reported on line 7a of the Form 55002017-01-014,372
Total of all active and inactive participants2017-01-014,372
2016: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-015,891
Total number of active participants reported on line 7a of the Form 55002016-01-014,953
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-014,953
2015: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-016,824
Total number of active participants reported on line 7a of the Form 55002015-01-015,950
Total of all active and inactive participants2015-01-015,950
2014: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-017,160
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-010
2013: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-018,051
Total number of active participants reported on line 7a of the Form 55002013-01-017,160
Total of all active and inactive participants2013-01-017,160
2012: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-017,602
Total number of active participants reported on line 7a of the Form 55002012-01-018,051
Total of all active and inactive participants2012-01-018,051
2011: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-016,946
Total number of active participants reported on line 7a of the Form 55002011-01-017,602
Total of all active and inactive participants2011-01-017,602
Number of employers contributing to the scheme2011-01-0140
2009: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-012,338
Total number of active participants reported on line 7a of the Form 55002009-01-015,211
Total of all active and inactive participants2009-01-015,211
Number of employers contributing to the scheme2009-01-0128

Financial Data on OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST

Measure Date Value
2022 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$37,993
Total income from all sources (including contributions)2022-12-31$11,340
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,411,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,323,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$6,274
Value of total assets at end of year2022-12-31$0
Value of total assets at beginning of year2022-12-31$1,437,991
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$88,328
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Assets. Real estate other than employer real property at end of year2022-12-31$0
Assets. Real estate other than employer real property at beginning of year2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$512
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$112,574
Assets. Other investments not covered elsewhere at end of year2022-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$16,430
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$5,762
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$7
Assets. Loans (other than to participants) at end of year2022-12-31$0
Assets. Loans (other than to participants) at beginning of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$37,993
Liabilities. Value of operating payables at end of year2022-12-31$0
Liabilities. Value of operating payables at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,399,998
Value of net assets at end of year (total assets less liabilities)2022-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,399,998
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$0
Assets. partnership/joint venture interests at beginning of year2022-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$0
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$0
Value of interest in master investment trust accounts at end of year2022-12-31$0
Value of interest in master investment trust accounts at beginning of year2022-12-31$0
Value of interest in common/collective trusts at end of year2022-12-31$0
Value of interest in common/collective trusts at beginning of year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,308,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,308,980
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Asset value of US Government securities at end of year2022-12-31$0
Asset value of US Government securities at beginning of year2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$5,066
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Assets. Value of employer real property at end of year2022-12-31$0
Assets. Value of employer real property at beginning of year2022-12-31$0
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,323,010
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$0
Contract administrator fees2022-12-31$88,328
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$0
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$0
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31Yes
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$0
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31HOLBROOK & MANTER, INC.
Accountancy firm EIN2022-12-31310998651
2021 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$37,993
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$97,936
Total income from all sources (including contributions)2021-12-31$6,602,529
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$6,537,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$6,209,815
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$6,569,590
Value of total assets at end of year2021-12-31$1,437,991
Value of total assets at beginning of year2021-12-31$1,433,019
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$327,799
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,074,963
Participant contributions at end of year2021-12-31$112,574
Participant contributions at beginning of year2021-12-31$213,626
Assets. Other investments not covered elsewhere at end of year2021-12-31$16,430
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$7
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,253
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$37,993
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$64,915
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,399,998
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,335,083
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,308,980
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,218,140
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,218,140
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$5,612,681
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$32,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$5,494,627
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$597,134
Contract administrator fees2021-12-31$327,799
Liabilities. Value of benefit claims payable at end of year2021-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$97,788
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31HOLBROOK & MANTER, INC.
Accountancy firm EIN2021-12-31310998651
2020 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$97,936
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$134,341
Total income from all sources (including contributions)2020-12-31$7,708,607
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$7,443,541
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$7,094,896
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$7,707,579
Value of total assets at end of year2020-12-31$1,433,019
Value of total assets at beginning of year2020-12-31$1,204,358
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$348,645
Total interest from all sources2020-12-31$1,028
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$11,876
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,240,846
Participant contributions at end of year2020-12-31$213,626
Participant contributions at beginning of year2020-12-31$107,924
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,253
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$3,945
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$148
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$38,077
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$265,066
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,335,083
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,070,017
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,218,140
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,092,489
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,092,489
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$1,028
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$6,525,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$6,466,733
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$568,983
Contract administrator fees2020-12-31$336,769
Liabilities. Value of benefit claims payable at end of year2020-12-31$97,788
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$96,264
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31HOLBROOK & MANTER, INC.
Accountancy firm EIN2020-12-31310998651
2019 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2019 401k financial data
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$134,341
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$187,183
Total income from all sources (including contributions)2019-12-31$7,221,456
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$7,189,669
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,825,199
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$7,203,961
Value of total assets at end of year2019-12-31$1,204,358
Value of total assets at beginning of year2019-12-31$1,225,413
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$364,470
Total interest from all sources2019-12-31$12,495
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 year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$13,613
Was this plan covered by a fidelity bond2019-12-31No
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
Contributions received from participants2019-12-31$1,104,599
Participant contributions at end of year2019-12-31$107,924
Participant contributions at beginning of year2019-12-31$412,752
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$3,945
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$16,259
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$38,077
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$55,986
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$31,787
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,070,017
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,038,230
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 leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$3,082
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,092,489
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$796,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$796,402
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$12,495
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$6,106,582
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$5,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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
Contributions received in cash from employer2019-12-31$6,099,362
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$718,617
Contract administrator fees2019-12-31$347,775
Liabilities. Value of benefit claims payable at end of year2019-12-31$96,264
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$131,197
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
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31HOLBROOK & MANTER, INC.
Accountancy firm EIN2019-12-31310998651
2018 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 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$187,183
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$397,143
Total income from all sources (including contributions)2018-12-31$8,795,811
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$8,446,953
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$8,019,911
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$8,395,561
Value of total assets at end of year2018-12-31$1,225,413
Value of total assets at beginning of year2018-12-31$1,086,515
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$427,042
Total interest from all sources2018-12-31$12,762
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 year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$13,015
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
Contributions received from participants2018-12-31$1,424,343
Participant contributions at end of year2018-12-31$412,752
Participant contributions at beginning of year2018-12-31$116,679
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$16,259
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$2,858
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$55,986
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$263,217
Other income not declared elsewhere2018-12-31$387,488
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$348,858
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,038,230
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$689,372
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
Investment advisory and management fees2018-12-31$2,819
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$796,402
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$966,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$966,978
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$12,762
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$7,035,121
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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
Contributions received in cash from employer2018-12-31$6,971,218
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$984,790
Contract administrator fees2018-12-31$411,208
Liabilities. Value of benefit claims payable at end of year2018-12-31$131,197
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$133,926
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)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31HOLBROOK & MANTER, INC.
Accountancy firm EIN2018-12-31310998651
2017 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 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$397,143
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$223,233
Total income from all sources (including contributions)2017-12-31$7,535,596
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$7,683,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$7,256,912
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$7,530,545
Value of total assets at end of year2017-12-31$1,086,515
Value of total assets at beginning of year2017-12-31$1,060,019
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$426,098
Total interest from all sources2017-12-31$5,051
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$13,377
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$984,996
Participant contributions at end of year2017-12-31$116,679
Participant contributions at beginning of year2017-12-31$102,961
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$2,858
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$60,669
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$263,217
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$92,425
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-147,414
Value of net assets at end of year (total assets less liabilities)2017-12-31$689,372
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$836,786
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
Investment advisory and management fees2017-12-31$2,427
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$966,978
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$896,389
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$896,389
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$5,051
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$6,156,283
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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$6,545,549
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,100,629
Contract administrator fees2017-12-31$410,294
Liabilities. Value of benefit claims payable at end of year2017-12-31$133,926
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$130,808
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)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31HOLBROOK & MANTER, INC.
Accountancy firm EIN2017-12-31310998651
2016 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 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$223,233
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$284,595
Total income from all sources (including contributions)2016-12-31$9,385,417
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$8,925,137
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$8,435,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$9,323,731
Value of total assets at end of year2016-12-31$1,060,019
Value of total assets at beginning of year2016-12-31$661,101
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$489,433
Total interest from all sources2016-12-31$1,686
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$16,297
Was this plan covered by a fidelity bond2016-12-31No
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,172,171
Participant contributions at end of year2016-12-31$102,961
Participant contributions at beginning of year2016-12-31$80,192
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$60,669
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$1,757
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$92,425
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$116,403
Other income not declared elsewhere2016-12-31$60,000
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$460,280
Value of net assets at end of year (total assets less liabilities)2016-12-31$836,786
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$376,506
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
Investment advisory and management fees2016-12-31$2,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$896,389
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$529,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$529,150
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,686
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$7,206,523
Asset value of US Government securities at beginning of year2016-12-31$50,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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$8,151,560
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,229,181
Contract administrator fees2016-12-31$470,859
Liabilities. Value of benefit claims payable at end of year2016-12-31$130,808
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$168,192
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)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31HOLBROOK & MANTER, INC.
Accountancy firm EIN2016-12-31310998651
2015 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 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$284,595
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$526,942
Total income from all sources (including contributions)2015-12-31$14,326,377
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$15,287,957
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$14,647,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$14,325,793
Value of total assets at end of year2015-12-31$661,101
Value of total assets at beginning of year2015-12-31$1,865,028
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$640,872
Total interest from all sources2015-12-31$657
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$14,628
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,738,022
Participant contributions at end of year2015-12-31$80,192
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$1,757
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$964
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$116,403
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$322,225
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-961,580
Value of net assets at end of year (total assets less liabilities)2015-12-31$376,506
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,338,086
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
Investment advisory and management fees2015-12-31$2,231
Income. Interest from US Government securities2015-12-31$657
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$529,150
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,706,207
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,706,207
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$13,247,177
Asset value of US Government securities at end of year2015-12-31$50,002
Asset value of US Government securities at beginning of year2015-12-31$100,076
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-73
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
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$12,587,771
Employer contributions (assets) at beginning of year2015-12-31$57,781
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,399,908
Contract administrator fees2015-12-31$624,013
Liabilities. Value of benefit claims payable at end of year2015-12-31$168,192
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$204,717
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)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31HOLBROOK & MANTER, CPA'S
Accountancy firm EIN2015-12-31310998651
2014 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$220
Total unrealized appreciation/depreciation of assets2014-12-31$220
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$526,942
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$502,628
Total income from all sources (including contributions)2014-12-31$16,086,249
Total loss/gain on sale of assets2014-12-31$-685
Total of all expenses incurred2014-12-31$16,115,835
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$15,443,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$16,085,275
Value of total assets at end of year2014-12-31$1,865,028
Value of total assets at beginning of year2014-12-31$1,870,300
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$672,193
Total interest from all sources2014-12-31$1,439
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$11,505
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,098,620
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$964
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$3,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$322,225
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$278,692
Liabilities. Value of operating payables at beginning of year2014-12-31$10,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-29,586
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,338,086
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,367,672
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
Investment advisory and management fees2014-12-31$2,289
Income. Interest from US Government securities2014-12-31$1,164
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,706,207
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,480,058
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,480,058
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$275
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$13,819,739
Asset value of US Government securities at end of year2014-12-31$100,076
Asset value of US Government securities at beginning of year2014-12-31$175,541
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$13,986,655
Employer contributions (assets) at end of year2014-12-31$57,781
Employer contributions (assets) at beginning of year2014-12-31$211,100
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,623,903
Contract administrator fees2014-12-31$658,399
Liabilities. Value of benefit claims payable at end of year2014-12-31$204,717
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$213,936
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$-685
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31SCHINDLER & ASSOCIATES, CPAS
Accountancy firm EIN2014-12-31311354302
2013 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-823
Total unrealized appreciation/depreciation of assets2013-12-31$-823
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$502,628
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$552,459
Total income from all sources (including contributions)2013-12-31$15,743,963
Total loss/gain on sale of assets2013-12-31$-742
Total of all expenses incurred2013-12-31$15,783,953
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$15,077,584
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$15,742,860
Value of total assets at end of year2013-12-31$1,870,300
Value of total assets at beginning of year2013-12-31$1,960,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$706,369
Total interest from all sources2013-12-31$2,668
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$19,309
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,279,870
Participant contributions at end of year2013-12-31$211,100
Participant contributions at beginning of year2013-12-31$114,039
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$20,828
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$3,601
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$8,489
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$278,692
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$348,422
Liabilities. Value of operating payables at end of year2013-12-31$10,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-39,990
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,367,672
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,407,662
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
Investment advisory and management fees2013-12-31$2,388
Income. Interest from US Government securities2013-12-31$2,357
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,480,058
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,564,664
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,564,664
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$311
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$13,295,801
Asset value of US Government securities at end of year2013-12-31$175,541
Asset value of US Government securities at beginning of year2013-12-31$252,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
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$13,462,990
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,781,783
Contract administrator fees2013-12-31$684,672
Liabilities. Value of benefit claims payable at end of year2013-12-31$213,936
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$204,037
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$-742
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31SCHINDLER & ASSOCIATES, CPAS
Accountancy firm EIN2013-12-31311354302
2012 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-1,031
Total unrealized appreciation/depreciation of assets2012-12-31$-1,031
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$552,459
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$864,436
Total income from all sources (including contributions)2012-12-31$17,700,533
Total loss/gain on sale of assets2012-12-31$-299
Total of all expenses incurred2012-12-31$17,471,695
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$16,761,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$17,681,276
Value of total assets at end of year2012-12-31$1,960,121
Value of total assets at beginning of year2012-12-31$2,043,260
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$709,874
Total interest from all sources2012-12-31$4,369
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$11,779
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,217,923
Participant contributions at end of year2012-12-31$114,039
Participant contributions at beginning of year2012-12-31$12,903
Assets. Other investments not covered elsewhere at end of year2012-12-31$20,828
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$13,959
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$8,489
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$4,128
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$348,422
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$605,030
Other income not declared elsewhere2012-12-31$16,218
Liabilities. Value of operating payables at beginning of year2012-12-31$20,958
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$228,838
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,407,662
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,178,824
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
Investment advisory and management fees2012-12-31$2,464
Income. Interest from US Government securities2012-12-31$4,330
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,564,664
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,658,839
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,658,839
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$39
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$14,953,313
Asset value of US Government securities at end of year2012-12-31$252,101
Asset value of US Government securities at beginning of year2012-12-31$353,431
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$15,463,353
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,808,508
Contract administrator fees2012-12-31$695,631
Liabilities. Value of benefit claims payable at end of year2012-12-31$204,037
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$238,448
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$-299
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31SCHINDLER & ASSOCIATES, CPAS
Accountancy firm EIN2012-12-31311354302
2011 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$590
Total unrealized appreciation/depreciation of assets2011-12-31$590
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$864,436
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$271,337
Total income from all sources (including contributions)2011-12-31$9,757,907
Total loss/gain on sale of assets2011-12-31$3
Total of all expenses incurred2011-12-31$9,842,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$9,262,213
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$9,751,146
Value of total assets at end of year2011-12-31$2,043,260
Value of total assets at beginning of year2011-12-31$1,535,098
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$580,631
Total interest from all sources2011-12-31$6,168
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$15,129
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,408,480
Participant contributions at end of year2011-12-31$12,903
Participant contributions at beginning of year2011-12-31$161,604
Assets. Other investments not covered elsewhere at end of year2011-12-31$13,959
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$14,395
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$4,128
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$3,950
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$605,030
Liabilities. Value of operating payables at end of year2011-12-31$20,958
Liabilities. Value of operating payables at beginning of year2011-12-31$36,739
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-84,937
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,178,824
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,263,761
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$2,597
Income. Interest from US Government securities2011-12-31$6,080
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,658,839
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$845,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$845,170
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$88
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$7,421,563
Asset value of US Government securities at end of year2011-12-31$353,431
Asset value of US Government securities at beginning of year2011-12-31$509,979
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$8,342,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,840,650
Contract administrator fees2011-12-31$562,905
Liabilities. Value of benefit claims payable at end of year2011-12-31$238,448
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$234,598
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
Aggregate proceeds on sale of assets2011-12-31$3
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31SCHINDLER & ASSOCIATES, CPAS
Accountancy firm EIN2011-12-31311354302
2010 : OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-1,476
Total unrealized appreciation/depreciation of assets2010-12-31$-1,476
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$271,337
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$271,396
Total income from all sources (including contributions)2010-12-31$10,536,904
Total of all expenses incurred2010-12-31$10,542,158
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$10,002,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$10,526,398
Value of total assets at end of year2010-12-31$1,535,098
Value of total assets at beginning of year2010-12-31$1,540,411
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$540,083
Total interest from all sources2010-12-31$8,707
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$13,220
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,290,035
Participant contributions at end of year2010-12-31$161,604
Participant contributions at beginning of year2010-12-31$280,748
Assets. Other investments not covered elsewhere at end of year2010-12-31$14,395
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$9,469
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$3,950
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$5,453
Other income not declared elsewhere2010-12-31$3,275
Liabilities. Value of operating payables at end of year2010-12-31$36,739
Liabilities. Value of operating payables at beginning of year2010-12-31$186,196
Total non interest bearing cash at beginning of year2010-12-31$13,882
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-5,254
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,263,761
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,269,015
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$4,697
Income. Interest from US Government securities2010-12-31$8,707
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$845,170
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,175,859
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,175,859
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$8,395,864
Asset value of US Government securities at end of year2010-12-31$509,979
Asset value of US Government securities at beginning of year2010-12-31$55,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
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$8,236,363
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,606,211
Contract administrator fees2010-12-31$522,166
Liabilities. Value of benefit claims payable at end of year2010-12-31$234,598
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$85,200
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)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31SCHINDLER & ADAMS, CPAS
Accountancy firm EIN2010-12-31311354302

Form 5500 Responses for OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST

2022: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
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 – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulitple 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 – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulitple 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 – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2016 form 5500 responses
2016-01-01Type of plan entityMulitple 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 – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2015 form 5500 responses
2015-01-01Type of plan entityMulitple 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 – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2014 form 5500 responses
2014-01-01Type of plan entityMulitple employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2013 form 5500 responses
2013-01-01Type of plan entityMulitple employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2012 form 5500 responses
2012-01-01Type of plan entityMulitple employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: OHIO ASSOCIATION OF COUNTY BOARDS OF DD HEALTH CARE PLAN AND TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12251665
Policy instance 3
Insurance contract or identification number12251665
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?5
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 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 BenefitYes
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBONUSES AND OVERRIDES
Insurance broker organization code?3
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0001015
Policy instance 1
Insurance contract or identification number0001015
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $0
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: 39616 )
Policy contract number12251665
Policy instance 3
Insurance contract or identification number12251665
Number of Individuals Covered470
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,391
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 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 $86,753
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,391
Insurance broker organization code?5
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered347
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $38
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $15,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees38
Additional information about fees paid to insurance brokerBONUSES AND OVERRIDES
Insurance broker organization code?3
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0001015
Policy instance 1
Insurance contract or identification number0001015
Number of Individuals Covered2566
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0001015
Policy instance 1
Insurance contract or identification number0001015
Number of Individuals Covered2624
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered367
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $49
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $16,506
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees49
Additional information about fees paid to insurance brokerBONUSES AND OVERRIDES
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12251665
Policy instance 3
Insurance contract or identification number12251665
Number of Individuals Covered423
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,348
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 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 $82,721
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,348
Insurance broker organization code?5
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0001015
Policy instance 1
Insurance contract or identification number0001015
Number of Individuals Covered2761
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered430
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $16,553
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: 39616 )
Policy contract number12251665
Policy instance 3
Insurance contract or identification number12251665
Number of Individuals Covered455
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,289
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,289
Insurance broker organization code?5
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0001015
Policy instance 1
Insurance contract or identification number0001015
Number of Individuals Covered3657
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12251665
Policy instance 3
Insurance contract or identification number12251665
Number of Individuals Covered330
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered490
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $21,025
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 number12251665
Policy instance 3
Insurance contract or identification number12251665
Number of Individuals Covered238
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,633
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,633
Insurance broker organization code?5
Insurance broker nameT&C. ASSOCIATES LLC
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered441
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $0
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 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 BenefitYes
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $18,845
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0001015
Policy instance 1
Insurance contract or identification number0001015
Number of Individuals Covered4173
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 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 BenefitYes
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
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number0001015
Policy instance 1
Insurance contract or identification number0001015
Number of Individuals Covered5572
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
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
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered989
Insurance policy start date2014-12-01
Insurance policy end date2015-11-30
Total amount of commissions paid to insurance brokerUSD $0
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $39,701
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 number12251665
Policy instance 3
Insurance contract or identification number12251665
Number of Individuals Covered379
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,888
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,888
Insurance broker organization code?5
Insurance broker nameT&C. ASSOCIATES LLC
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number1015
Policy instance 3
Insurance contract or identification number1015
Number of Individuals Covered6417
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Dental Insurance Welfare BenefitYes
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 number12251665
Policy instance 1
Insurance contract or identification number12251665
Number of Individuals Covered382
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,917
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,917
Additional information about fees paid to insurance broker5
Insurance broker nameT&C ASSOCIATES LLC
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered1184
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,583
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered1169
Insurance policy start date2013-01-01
Insurance policy end date2013-11-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,569
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 number12251665
Policy instance 1
Insurance contract or identification number12251665
Number of Individuals Covered397
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,928
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,928
Additional information about fees paid to insurance broker5
Insurance broker nameT&C ASSOCIATES LLC
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number1015
Policy instance 3
Insurance contract or identification number1015
Number of Individuals Covered7160
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number1015
Policy instance 3
Insurance contract or identification number1015
Number of Individuals Covered8051
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered1354
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,540
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 number12251665
Policy instance 1
Insurance contract or identification number12251665
Number of Individuals Covered382
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,909
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,909
Additional information about fees paid to insurance broker5
Insurance broker nameT&C ASSOCIATES LLC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12251665
Policy instance 1
Insurance contract or identification number12251665
Number of Individuals Covered364
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,894
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered612
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,575
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number1015
Policy instance 3
Insurance contract or identification number1015
Number of Individuals Covered7602
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
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 number12251665
Policy instance 1
Insurance contract or identification number12251665
Number of Individuals Covered364
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of fees paid to insurance companyUSD $1,860
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1860
Insurance broker organization code?5
Insurance broker nameT&C ASSOCIATES LLC
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number9918899
Policy instance 2
Insurance contract or identification number9918899
Number of Individuals Covered672
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,845
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 54402 )
Policy contract number1015
Policy instance 3
Insurance contract or identification number1015
Number of Individuals Covered6946
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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