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VILLAGE NETWORK MEDICAL PLAN 401k Plan overview

Plan NameVILLAGE NETWORK MEDICAL PLAN
Plan identification number 503

VILLAGE NETWORK MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

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

Company Name:THE VILLAGE NETWORK
Employer identification number (EIN):340768557
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about THE VILLAGE NETWORK

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1945-12-11
Company Identification Number: 191834
Legal Registered Office Address: 100 N VINE ST
-
ORRVILLE
United States of America (USA)
44667

More information about THE VILLAGE NETWORK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VILLAGE NETWORK MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032019-01-01
5032018-11-01BEL KLOCKENGA
5032017-11-01
5032016-11-01BEL KLOCKENGA
5032015-11-01BEL KLOCKENGA
5032014-11-01BEL KLOCKENGA
5032013-11-01BEL KLOCKENGA

Plan Statistics for VILLAGE NETWORK MEDICAL PLAN

401k plan membership statisitcs for VILLAGE NETWORK MEDICAL PLAN

Measure Date Value
2019: VILLAGE NETWORK MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01288
Total number of active participants reported on line 7a of the Form 55002019-01-01278
Number of retired or separated participants receiving benefits2019-01-011
Total of all active and inactive participants2019-01-01279
Total participants2019-01-01279
2018: VILLAGE NETWORK MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-01264
Total number of active participants reported on line 7a of the Form 55002018-11-01284
Number of retired or separated participants receiving benefits2018-11-014
Total of all active and inactive participants2018-11-01288
Total participants2018-11-01288
2017: VILLAGE NETWORK MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01237
Total number of active participants reported on line 7a of the Form 55002017-11-01264
Number of retired or separated participants receiving benefits2017-11-014
Total of all active and inactive participants2017-11-01268
Total participants2017-11-01268
2016: VILLAGE NETWORK MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01226
Total number of active participants reported on line 7a of the Form 55002016-11-01237
Number of retired or separated participants receiving benefits2016-11-014
Total of all active and inactive participants2016-11-01241
Total participants2016-11-01241
2015: VILLAGE NETWORK MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01228
Total number of active participants reported on line 7a of the Form 55002015-11-01226
Number of retired or separated participants receiving benefits2015-11-014
Total of all active and inactive participants2015-11-01230
Total participants2015-11-01230
2014: VILLAGE NETWORK MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01216
Total number of active participants reported on line 7a of the Form 55002014-11-01224
Number of retired or separated participants receiving benefits2014-11-014
Total of all active and inactive participants2014-11-01228
Total participants2014-11-01228
2013: VILLAGE NETWORK MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01194
Total number of active participants reported on line 7a of the Form 55002013-11-01211
Number of retired or separated participants receiving benefits2013-11-015
Total of all active and inactive participants2013-11-01216
Total participants2013-11-01216

Form 5500 Responses for VILLAGE NETWORK MEDICAL PLAN

2019: VILLAGE NETWORK MEDICAL PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle 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 – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: VILLAGE NETWORK MEDICAL PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingNo
2018-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: VILLAGE NETWORK MEDICAL PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: VILLAGE NETWORK MEDICAL PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: VILLAGE NETWORK MEDICAL PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: VILLAGE NETWORK MEDICAL PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: VILLAGE NETWORK MEDICAL PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0079788-01
Policy instance 1
Insurance contract or identification number0079788-01
Number of Individuals Covered278
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $78,647
Total amount of fees paid to insurance companyUSD $58,093
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEAP
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 $6,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78,647
Amount paid for insurance broker fees58093
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number416593-01
Policy instance 1
Insurance contract or identification number416593-01
Number of Individuals Covered284
Insurance policy start date2018-11-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $13,325
Total amount of fees paid to insurance companyUSD $7,666
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEAP
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 $545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,325
Amount paid for insurance broker fees7666
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number416593-1
Policy instance 1
Insurance contract or identification number416593-1
Number of Individuals Covered264
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $74,468
Total amount of fees paid to insurance companyUSD $5,731
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 BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEAP
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 $5,378
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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