401k Plan data: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE plan

EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 401k Plan overview

Plan Name	EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE
Plan identification number	501

EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

WESLEYAN VILLAGE has sponsored the creation of one or more 401k plans.

Company Name: WESLEYAN VILLAGE

Employer identification number (EIN): 340714611

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about WESLEYAN VILLAGE

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1900-12-20

Company Identification Number: 15361

Legal Registered Office Address: 388 S. MAIN ST., SUITE 500
-
AKRON
United States of America (USA)
44311

More information about WESLEYAN VILLAGE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-01-01
501 2016-01-01
501 2015-01-01 DEBRA CIHLA DEBRA CIHLA 2016-09-06
501 2014-01-01 DEBRA CIHLA DEBRA CIHLA 2015-10-05
501 2013-01-01 DEBRA CIHLA
501 2011-01-01 DEBRA CIHLA
501 2010-01-01 DEBRA CIHLA
501 2009-01-01 DEBRA CIHLA

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2017-01-01
501	2016-01-01
501	2015-01-01	DEBRA CIHLA	DEBRA CIHLA	2016-09-06
501	2014-01-01	DEBRA CIHLA	DEBRA CIHLA	2015-10-05
501	2013-01-01	DEBRA CIHLA
501	2011-01-01	DEBRA CIHLA
501	2010-01-01	DEBRA CIHLA
501	2009-01-01	DEBRA CIHLA

Plan Statistics for EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE

Measure Date Value
2017: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2017 401k membership
Total participants, beginning-of-year 2017-01-01 234
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 198
Total of all active and inactive participants 2017-01-01 198
2016: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2016 401k membership
Total participants, beginning-of-year 2016-01-01 279
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 234
Total of all active and inactive participants 2016-01-01 234
2015: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2015 401k membership
Total participants, beginning-of-year 2015-01-01 230
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 279
Total of all active and inactive participants 2015-01-01 279
Total participants 2015-01-01 279
2014: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2014 401k membership
Total participants, beginning-of-year 2014-01-01 260
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 260
Total of all active and inactive participants 2014-01-01 260
Total participants 2014-01-01 260
2013: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2013 401k membership
Total participants, beginning-of-year 2013-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 263
Total of all active and inactive participants 2013-01-01 263
Total participants 2013-01-01 263
2011: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 256
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 256
Total of all active and inactive participants 2011-01-01 256
Total participants 2011-01-01 256
2010: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2010 401k membership
Total participants, beginning-of-year 2010-01-01 271
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 271
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 0
Total participants 2010-01-01 271
Number of participants with account balances 2010-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 0
Number of employers contributing to the scheme 2010-01-01 0
2009: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 268
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 268
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 268
Number of participants with account balances 2009-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0
Number of employers contributing to the scheme 2009-01-01 0

Measure	Date	Value
2017: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2017 401k membership
Total participants, beginning-of-year	2017-01-01	234
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	198
Total of all active and inactive participants	2017-01-01	198
2016: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2016 401k membership
Total participants, beginning-of-year	2016-01-01	279
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	234
Total of all active and inactive participants	2016-01-01	234
2015: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2015 401k membership
Total participants, beginning-of-year	2015-01-01	230
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	279
Total of all active and inactive participants	2015-01-01	279
Total participants	2015-01-01	279
2014: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2014 401k membership
Total participants, beginning-of-year	2014-01-01	260
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	260
Total of all active and inactive participants	2014-01-01	260
Total participants	2014-01-01	260
2013: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2013 401k membership
Total participants, beginning-of-year	2013-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	263
Total of all active and inactive participants	2013-01-01	263
Total participants	2013-01-01	263
2011: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	256
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	256
Total of all active and inactive participants	2011-01-01	256
Total participants	2011-01-01	256
2010: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2010 401k membership
Total participants, beginning-of-year	2010-01-01	271
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	271
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	271
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	271
Number of participants with account balances	2010-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	0
Number of employers contributing to the scheme	2010-01-01	0
2009: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	268
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	268
Number of retired or separated participants receiving benefits	2009-01-01	0
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	268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	268
Number of participants with account balances	2009-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
Number of employers contributing to the scheme	2009-01-01	0

Form 5500 Responses for EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE

2017: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 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 benefit arrangement – Insurance	Yes
2014: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 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 benefit arrangement – Insurance	Yes
2013: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 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 benefit arrangement – Insurance	Yes
2011: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 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 benefit arrangement – Insurance	Yes
2010: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: EMPLOYEE BENEFIT PLAN FOR ALL EMPLOYEES OF WESLEYAN VILLAGE 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 benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )

Policy contract number

0058418-01

Policy instance

Insurance contract or identification number	0058418-01
Number of Individuals Covered	137
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $38,152
Total amount of fees paid to insurance company	USD $37,651
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,440,798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $38,152
Amount paid for insurance broker fees	37651
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	THE FEDELI GROUP

PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )

Policy contract number

0006557836

Policy instance

Insurance contract or identification number	0006557836
Number of Individuals Covered	2
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
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0440602

Policy instance

Insurance contract or identification number	R0440602
Number of Individuals Covered	198
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $4
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $59,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4
Insurance broker organization code?	3
Insurance broker name	HOWARD F PIERCE JR

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )

Policy contract number

HCL31659

Policy instance

Insurance contract or identification number	HCL31659
Number of Individuals Covered	152
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,760
Total amount of fees paid to insurance company	USD $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 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	Yes
Dental Insurance Welfare Benefit	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,760
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	FEES MAY INCLUDE BONUSES, OVERRIDES, MEALS OR GIFTS PRORATED BY THE PRODUCER'S ELIGIBLE VOLUMN
Insurance broker name	CORESOURCE, INC

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

R0440602

Policy instance

Insurance contract or identification number	R0440602
Number of Individuals Covered	279
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $13,104
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 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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
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 $95,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $13,104
Additional information about fees paid to insurance broker	FEES MAY INCLUDE BONUSES, OVERRIDES, MEALS OR GIFTS PRORATED BY THE PRODUCER'S ELIGIBLE VOLUMNE
Insurance broker name	F H PIERCE, JR

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

59935

Policy instance

Insurance contract or identification number	59935
Number of Individuals Covered	260
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $2,077
Total amount of fees paid to insurance company	USD $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 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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
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 $14,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,077
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	FEES MAY INCLUDE BONUSES, OVERRIDES, MEALS OR GIFTS PRORATED BY THE PRODUCER'S ELIGIBLE VOLUMNE
Insurance broker name	F H PIERCE, JR

MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 52429 )

Policy contract number

835364

Policy instance

Insurance contract or identification number	835364
Number of Individuals Covered	178
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $34,112
Total amount of fees paid to insurance company	USD $10,085
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 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	Yes
Dental Insurance Welfare Benefit	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,112
Amount paid for insurance broker fees	10085
Additional information about fees paid to insurance broker	FEES MAY INCLUDE BONUSES, OVERRIDES, MEALS OR GIFTS PRORTED BY THE PRODUCER'S ELIGIBLE VOLUMN
Insurance broker name	THE FEDELI GROUP

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

599335

Policy instance

Insurance contract or identification number	599335
Number of Individuals Covered	260
Insurance policy start date	2013-01-01
Insurance policy end date	2014-01-01
Total amount of commissions paid to insurance broker	USD $1,617
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 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	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ADD
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 $15,702
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 number

835364

Policy instance

Insurance contract or identification number	835364
Number of Individuals Covered	260
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $33,296
Total amount of fees paid to insurance company	USD $8,842
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 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	Yes
Dental Insurance Welfare Benefit	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33,296
Amount paid for insurance broker fees	8842
Additional information about fees paid to insurance broker	FEES MAY INCLUDE BONUSES,OVERRIDES,ENTERTAINMENT,MEALS OR GIFTS PRORATED BY THE PRODUCER'S ELIGIBLEVOLUME
Insurance broker name	FEDELI GROUP

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

599335

Policy instance

Insurance contract or identification number	599335
Number of Individuals Covered	256
Insurance policy start date	2011-01-01
Insurance policy end date	2012-01-01
Total amount of commissions paid to insurance broker	USD $1,627
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ADD
Welfare Benefit Premiums Paid to Carrier	USD $16,815
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 number

835364

Policy instance

Insurance contract or identification number	835364
Number of Individuals Covered	256
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $35,344
Total amount of fees paid to insurance company	USD $7,707
Health Insurance Welfare Benefit	Yes
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 number

835364

Policy instance

Insurance contract or identification number	835364
Number of Individuals Covered	178
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $34,192
Total amount of fees paid to insurance company	USD $7,533
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $34,192
Amount paid for insurance broker fees	7533
Additional information about fees paid to insurance broker	FEES MAY INCLUDE VOLUME BASED BONUSES OVERRIDES TRIPS PRORATED BY THE PRODUCERS ELIGIBLE VOLUME
Insurance broker organization code?	3
Insurance broker name	THE FEDELI GROUP

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

599335

Policy instance

Insurance contract or identification number	599335
Number of Individuals Covered	271
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $1,767
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $18,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,767
Insurance broker organization code?	3
Insurance broker name	F HOWARD PIERCE

Potentially related plans

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	WESLEYAN VILLAGE
Employer identification number (EIN):	340714611
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1900-12-20
Company Identification Number:	15361
Legal Registered Office Address:	388 S. MAIN ST., SUITE 500 - AKRON United States of America (USA) 44311