401k Plan data: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN plan

NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 401k Plan overview

Plan Name	NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN
Plan identification number	512

NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

NATIONWIDE MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: NATIONWIDE MUTUAL INSURANCE COMPANY

Employer identification number (EIN): 314177100

NAIC Classification: 524140

Additional information about NATIONWIDE MUTUAL INSURANCE COMPANY

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1925-12-17

Company Identification Number: 119343

Legal Registered Office Address: -
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United States of America (USA)
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More information about NATIONWIDE MUTUAL INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
512 2017-01-01 BRIAN BELL ROBERT WATTS 2018-10-11
512 2016-01-01 JUDITH HARPER ROBERT WATTS 2017-10-14
512 2015-01-01 KLAUS DIEM ROBERT WATTS 2016-10-13
512 2014-01-01 TINA AMBROZY ROBERT WATTS 2015-10-15
512 2013-01-01 BARBARA SCOTT KAREN MACKE 2014-10-14
512 2012-01-01 DAN MOYER KAREN MACKE 2013-10-10
512 2011-01-01 BARBARA SCOTT JOANNE MCGOLDRICK 2012-10-15
512 2009-01-01 JOAN SHERFEL JOANNE MCGOLDRICK 2010-10-06

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
512	2017-01-01	BRIAN BELL	ROBERT WATTS	2018-10-11
512	2016-01-01	JUDITH HARPER	ROBERT WATTS	2017-10-14
512	2015-01-01	KLAUS DIEM	ROBERT WATTS	2016-10-13
512	2014-01-01	TINA AMBROZY	ROBERT WATTS	2015-10-15
512	2013-01-01	BARBARA SCOTT	KAREN MACKE	2014-10-14
512	2012-01-01	DAN MOYER	KAREN MACKE	2013-10-10
512	2011-01-01	BARBARA SCOTT	JOANNE MCGOLDRICK	2012-10-15
512	2009-01-01	JOAN SHERFEL	JOANNE MCGOLDRICK	2010-10-06

Plan Statistics for NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN

401k plan membership statisitcs for NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN

Measure Date Value
2017: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 317
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 291
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 314
Number of retired or separated participants receiving benefits 2016-01-01 15
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 329
2015: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 311
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 281
Number of retired or separated participants receiving benefits 2015-01-01 10
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 291
2014: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 289
Number of retired or separated participants receiving benefits 2014-01-01 16
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 305
2013: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 363
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 331
Total of all active and inactive participants 2013-01-01 331
2012: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 399
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 363
Total of all active and inactive participants 2012-01-01 363
2011: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 417
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 399
Total of all active and inactive participants 2011-01-01 399
2009: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 659
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 423
Number of retired or separated participants receiving benefits 2009-01-01 116
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 539

Measure	Date	Value
2017: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	317
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	291
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	314
Number of retired or separated participants receiving benefits	2016-01-01	15
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	329
2015: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	311
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	281
Number of retired or separated participants receiving benefits	2015-01-01	10
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	291
2014: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	289
Number of retired or separated participants receiving benefits	2014-01-01	16
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	305
2013: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	363
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	331
Total of all active and inactive participants	2013-01-01	331
2012: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	399
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	363
Total of all active and inactive participants	2012-01-01	363
2011: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	417
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	399
Total of all active and inactive participants	2011-01-01	399
2009: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	659
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	423
Number of retired or separated participants receiving benefits	2009-01-01	116
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	539

Financial Data on NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN

Measure	Date	Value
2017 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total transfer of assets from this plan	2017-12-31	$1,300,609
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$104,146
Total income from all sources (including contributions)	2017-12-31	$2,289,397
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$2,066,851
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,891,293
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$2,268,890
Value of total assets at end of year	2017-12-31	$0
Value of total assets at beginning of year	2017-12-31	$1,182,209
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$175,558
Total interest from all sources	2017-12-31	$0
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 year	2017-12-31	No
Administrative expenses professional fees incurred	2017-12-31	$35,774
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$100,000,000
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$741,647
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$29,766
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$176
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-12-31	$41,106
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$44,150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$222,546
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$1,078,063
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in master investment trust accounts at end of year	2017-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2017-12-31	$1,042,991
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$49,434
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$1,527,243
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$65,126
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,841,859
Contract administrator fees	2017-12-31	$139,784
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$63,040
Did the plan have assets held for investment	2017-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	KPMG
Accountancy firm EIN	2017-12-31	135565207
2016 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$104,146
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$139,083
Total income from all sources (including contributions)	2016-12-31	$2,306,094
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$2,399,130
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$2,218,728
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$2,282,661
Value of total assets at end of year	2016-12-31	$1,182,209
Value of total assets at beginning of year	2016-12-31	$1,310,182
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$180,402
Total interest from all sources	2016-12-31	$0
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 year	2016-12-31	No
Administrative expenses professional fees incurred	2016-12-31	$25,280
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$100,000,000
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$760,136
Participant contributions at end of year	2016-12-31	$29,766
Participant contributions at beginning of year	2016-12-31	$25,205
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$176
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$33,016
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$41,106
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$49,536
Total non interest bearing cash at end of year	2016-12-31	$44,150
Total non interest bearing cash at beginning of year	2016-12-31	$44,150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$-93,036
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$1,078,063
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$1,171,099
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in master investment trust accounts at end of year	2016-12-31	$1,042,991
Value of interest in master investment trust accounts at beginning of year	2016-12-31	$1,156,661
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$53,960
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$1,522,525
Employer contributions (assets) at end of year	2016-12-31	$65,126
Employer contributions (assets) at beginning of year	2016-12-31	$51,150
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$2,164,768
Contract administrator fees	2016-12-31	$155,122
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$63,040
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$89,547
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	KPMG
Accountancy firm EIN	2016-12-31	135565207
2015 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$139,083
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$178,770
Total income from all sources (including contributions)	2015-12-31	$2,211,416
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,217,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,039,310
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$2,187,949
Value of total assets at end of year	2015-12-31	$1,310,182
Value of total assets at beginning of year	2015-12-31	$1,356,051
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$178,288
Total interest from all sources	2015-12-31	$0
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 year	2015-12-31	No
Administrative expenses professional fees incurred	2015-12-31	$24,640
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$100,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$716,579
Participant contributions at end of year	2015-12-31	$25,205
Participant contributions at beginning of year	2015-12-31	$22,223
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$33,016
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$49,536
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$77,066
Other income not declared elsewhere	2015-12-31	$4,911
Total non interest bearing cash at end of year	2015-12-31	$44,150
Total non interest bearing cash at beginning of year	2015-12-31	$44,150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-6,182
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$1,171,099
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$1,177,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in master investment trust accounts at end of year	2015-12-31	$1,156,661
Value of interest in master investment trust accounts at beginning of year	2015-12-31	$1,244,003
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$56,306
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$1,471,370
Employer contributions (assets) at end of year	2015-12-31	$51,150
Employer contributions (assets) at beginning of year	2015-12-31	$45,675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$1,983,004
Contract administrator fees	2015-12-31	$153,648
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$89,547
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$101,704
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	KPMG
Accountancy firm EIN	2015-12-31	135565207
2014 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$178,770
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$163,119
Total income from all sources (including contributions)	2014-12-31	$2,109,861
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,594,144
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,381,230
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$2,323,099
Value of total assets at end of year	2014-12-31	$1,356,051
Value of total assets at beginning of year	2014-12-31	$1,824,683
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$212,914
Total interest from all sources	2014-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Administrative expenses professional fees incurred	2014-12-31	$37,500
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$100,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$767,805
Participant contributions at end of year	2014-12-31	$22,223
Participant contributions at beginning of year	2014-12-31	$25,437
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$12,603
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$77,066
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$52,711
Other income not declared elsewhere	2014-12-31	$6,076
Total non interest bearing cash at end of year	2014-12-31	$44,150
Total non interest bearing cash at beginning of year	2014-12-31	$44,150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$-484,283
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$1,177,281
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$1,661,564
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in master investment trust accounts at end of year	2014-12-31	$1,244,003
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$1,697,882
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$50,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$1,555,294
Employer contributions (assets) at end of year	2014-12-31	$45,675
Employer contributions (assets) at beginning of year	2014-12-31	$44,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,330,668
Contract administrator fees	2014-12-31	$175,414
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$101,704
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$110,408
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	No
Opinion of an independent qualified public accountant for this plan	2014-12-31	Unqualified
Accountancy firm name	2014-12-31	KPMG
Accountancy firm EIN	2014-12-31	135565207
2013 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$163,119
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$101,216
Total income from all sources (including contributions)	2013-12-31	$2,748,450
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,885,763
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,704,103
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$2,549,715
Value of total assets at end of year	2013-12-31	$1,824,683
Value of total assets at beginning of year	2013-12-31	$1,900,093
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$181,660
Total interest from all sources	2013-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Administrative expenses professional fees incurred	2013-12-31	$37,500
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$100,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$833,417
Participant contributions at end of year	2013-12-31	$25,437
Participant contributions at beginning of year	2013-12-31	$19,913
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$8,333
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$12,603
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$52,711
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$37,442
Total non interest bearing cash at end of year	2013-12-31	$44,150
Total non interest bearing cash at beginning of year	2013-12-31	$76,800
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$-137,313
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$1,661,564
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$1,798,877
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in master investment trust accounts at end of year	2013-12-31	$1,697,882
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$1,763,333
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$57,270
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$1,707,965
Employer contributions (assets) at end of year	2013-12-31	$44,611
Employer contributions (assets) at beginning of year	2013-12-31	$40,047
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,646,833
Contract administrator fees	2013-12-31	$144,160
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$110,408
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$63,774
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	No
Opinion of an independent qualified public accountant for this plan	2013-12-31	Unqualified
Accountancy firm name	2013-12-31	KPMG
Accountancy firm EIN	2013-12-31	135565207
2012 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$101,216
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$118,524
Total income from all sources (including contributions)	2012-12-31	$2,567,094
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$2,145,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,951,297
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,690,298
Value of total assets at end of year	2012-12-31	$1,900,093
Value of total assets at beginning of year	2012-12-31	$1,495,765
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$194,161
Total interest from all sources	2012-12-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$36,433
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$100,000,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$757,222
Participant contributions at end of year	2012-12-31	$19,913
Participant contributions at beginning of year	2012-12-31	$17,265
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$37,442
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$39,224
Total non interest bearing cash at end of year	2012-12-31	$76,800
Total non interest bearing cash at beginning of year	2012-12-31	$184,813
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$421,636
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$1,798,877
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$1,377,241
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in master investment trust accounts at end of year	2012-12-31	$1,763,333
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$548,163
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$548,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$706,692
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$62,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$1,933,076
Employer contributions (assets) at end of year	2012-12-31	$40,047
Employer contributions (assets) at beginning of year	2012-12-31	$38,832
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,888,763
Contract administrator fees	2012-12-31	$157,728
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$63,774
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$79,300
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	KPMG
Accountancy firm EIN	2012-12-31	135565207
2011 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$118,524
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$184,785
Total income from all sources (including contributions)	2011-12-31	$1,907,535
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$2,363,637
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,157,405
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,984,980
Value of total assets at end of year	2011-12-31	$1,495,765
Value of total assets at beginning of year	2011-12-31	$2,018,128
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$206,232
Total interest from all sources	2011-12-31	$23,195
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$39,111
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$100,000,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$788,615
Participant contributions at end of year	2011-12-31	$17,265
Participant contributions at beginning of year	2011-12-31	$17,125
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-12-31	$2,482
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$39,224
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$73,565
Other income not declared elsewhere	2011-12-31	$-100,640
Total non interest bearing cash at end of year	2011-12-31	$184,813
Total non interest bearing cash at beginning of year	2011-12-31	$400,821
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-456,102
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$1,377,241
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$1,833,343
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Interest earned on other investments	2011-12-31	$22,437
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$548,163
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$778,026
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$778,026
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$758
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$706,692
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$784,894
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$124,570
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$1,196,365
Employer contributions (assets) at end of year	2011-12-31	$38,832
Employer contributions (assets) at beginning of year	2011-12-31	$34,780
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$2,032,835
Contract administrator fees	2011-12-31	$167,121
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$79,300
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$111,220
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	KPMG
Accountancy firm EIN	2011-12-31	135565207
2010 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$184,785
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$70,357
Total income from all sources (including contributions)	2010-12-31	$3,538,613
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$3,424,189
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$3,214,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,354,408
Value of total assets at end of year	2010-12-31	$2,018,128
Value of total assets at beginning of year	2010-12-31	$1,789,276
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$209,606
Total interest from all sources	2010-12-31	$26,058
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$31,850
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$100,000,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$948,511
Participant contributions at end of year	2010-12-31	$17,125
Participant contributions at beginning of year	2010-12-31	$35,166
Value of other receiveables (less allowance for doubtful accounts) at end of year	2010-12-31	$2,482
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$73,565
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$42,791
Other income not declared elsewhere	2010-12-31	$158,147
Total non interest bearing cash at end of year	2010-12-31	$400,821
Total non interest bearing cash at beginning of year	2010-12-31	$32,140
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$114,424
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$1,833,343
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,718,919
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$778,026
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$812,520
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$812,520
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$26,058
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$784,894
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$653,920
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$314,889
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$2,405,897
Employer contributions (assets) at end of year	2010-12-31	$34,780
Employer contributions (assets) at beginning of year	2010-12-31	$255,530
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$2,899,694
Contract administrator fees	2010-12-31	$177,756
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$111,220
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$27,566
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	KPMG
Accountancy firm EIN	2010-12-31	135565207

Form 5500 Responses for NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN

2017: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

800335

Policy instance

Insurance contract or identification number	800335
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $3,557
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 number

12220340

Policy instance

Insurance contract or identification number	12220340
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $40,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

2466202,2466206

Policy instance

Insurance contract or identification number	2466202,2466206
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $1,856
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST [EIN = 311432330]

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Company Name:	NATIONWIDE MUTUAL INSURANCE COMPANY
Employer identification number (EIN):	314177100
NAIC Classification:	524140

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1925-12-17
Company Identification Number:	119343
Legal Registered Office Address:	- - - United States of America (USA) -