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CANTON REGIONAL CHAMBER HEALTH FUND 401k Plan overview

Plan NameCANTON REGIONAL CHAMBER HEALTH FUND
Plan identification number 501

CANTON REGIONAL CHAMBER HEALTH FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

DIABETES & ENDOCRINOLOGY ASSOC OF STARK COUNTY, INC. has sponsored the creation of one or more 401k plans.

Company Name:DIABETES & ENDOCRINOLOGY ASSOC OF STARK COUNTY, INC.
Employer identification number (EIN):341049612
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CANTON REGIONAL CHAMBER HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01ARVIND KRISHNA, M.D.2021-07-25
5012020-01-01ARVIND KRISHNA, M.D.2022-09-29
5012019-01-01ARVIND KRISHNA, M.D.2020-10-11
5012018-03-01ARVIND KRISHNA, M.D.2019-09-13

Plan Statistics for CANTON REGIONAL CHAMBER HEALTH FUND

401k plan membership statisitcs for CANTON REGIONAL CHAMBER HEALTH FUND

Measure Date Value
2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k membership
Total participants, beginning-of-year2020-01-0112
Total of all active and inactive participants2020-01-010
2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-01-0114
Total of all active and inactive participants2019-01-010
2018: CANTON REGIONAL CHAMBER HEALTH FUND 2018 401k membership
Total participants, beginning-of-year2018-03-0115
Total of all active and inactive participants2018-03-010

Financial Data on CANTON REGIONAL CHAMBER HEALTH FUND

Measure Date Value
2020 : CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k financial data
Total plan liabilities at end of year2020-12-31$6,847
Total plan liabilities at beginning of year2020-12-31$6,360
Total income from all sources2020-12-31$66,103
Expenses. Total of all expenses incurred2020-12-31$62,993
Benefits paid (including direct rollovers)2020-12-31$3,016
Total plan assets at end of year2020-12-31$19,018
Total plan assets at beginning of year2020-12-31$15,421
Expenses. Other expenses not covered elsewhere2020-12-31$49
Contributions received from other sources (not participants or employers)2020-12-31$9
Net income (gross income less expenses)2020-12-31$3,110
Net plan assets at end of year (total assets less liabilities)2020-12-31$12,171
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$9,061
Total contributions received or receivable from employer(s)2020-12-31$66,094
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$59,928
2019 : CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k financial data
Transfers to/from the plan2019-12-31$-74
Total plan liabilities at end of year2019-12-31$6,360
Total plan liabilities at beginning of year2019-12-31$8,613
Total income from all sources2019-12-31$67,792
Expenses. Total of all expenses incurred2019-12-31$64,468
Benefits paid (including direct rollovers)2019-12-31$14,503
Total plan assets at end of year2019-12-31$15,421
Total plan assets at beginning of year2019-12-31$14,424
Expenses. Other expenses not covered elsewhere2019-12-31$2
Net income (gross income less expenses)2019-12-31$3,324
Net plan assets at end of year (total assets less liabilities)2019-12-31$9,061
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$5,811
Total contributions received or receivable from employer(s)2019-12-31$67,792
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$49,963
2018 : CANTON REGIONAL CHAMBER HEALTH FUND 2018 401k financial data
Transfers to/from the plan2018-12-31$16,529
Total plan liabilities at end of year2018-12-31$8,613
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$48,923
Expenses. Total of all expenses incurred2018-12-31$59,641
Benefits paid (including direct rollovers)2018-12-31$22,853
Total plan assets at end of year2018-12-31$14,424
Total plan assets at beginning of year2018-12-31$0
Expenses. Other expenses not covered elsewhere2018-12-31$9
Net income (gross income less expenses)2018-12-31$-10,718
Net plan assets at end of year (total assets less liabilities)2018-12-31$5,811
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$48,923
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$36,779

Form 5500 Responses for CANTON REGIONAL CHAMBER HEALTH FUND

2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CANTON REGIONAL CHAMBER HEALTH FUND 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 funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CANTON REGIONAL CHAMBER HEALTH FUND 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01First time form 5500 has been submittedYes
2018-03-01Submission has been amendedNo
2018-03-01This submission is the final filingNo
2018-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-03-01Plan is a collectively bargained planNo
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan funding arrangement – TrustYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF155
Policy instance 1
Insurance contract or identification numberHF155
Number of Individuals Covered9
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,748
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $66,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,748
Insurance broker organization code?3
MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF155
Policy instance 1
Insurance contract or identification numberHF155
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,092
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $67,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,092
Insurance broker organization code?3
MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF155
Policy instance 1
Insurance contract or identification numberHF155
Number of Individuals Covered15
Insurance policy start date2018-03-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,984
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $48,923
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,984
Insurance broker organization code?3

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