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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)

401k Sponsoring company profile

HOLMES FAMILY MEDICINE, INC. has sponsored the creation of one or more 401k plans.

Company Name:HOLMES FAMILY MEDICINE, INC.
Employer identification number (EIN):341774347
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about HOLMES FAMILY MEDICINE, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1994-07-13
Company Identification Number: 876158
Legal Registered Office Address: 151 PARKVIEW DR
-
MILLERSBURG
United States of America (USA)
44654

More information about HOLMES FAMILY MEDICINE, INC.

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
5012019-01-01

Plan Statistics for CANTON REGIONAL CHAMBER HEALTH FUND

401k plan membership statisitcs for CANTON REGIONAL CHAMBER HEALTH FUND

Measure Date Value
2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-01-010
Total of all active and inactive participants2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010

Financial Data on CANTON REGIONAL CHAMBER HEALTH FUND

Measure Date Value
2019 : CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k financial data
Transfers to/from the plan2019-12-31$-95
Total plan liabilities at end of year2019-12-31$8,232
Total income from all sources2019-12-31$87,746
Expenses. Total of all expenses incurred2019-12-31$77,309
Benefits paid (including direct rollovers)2019-12-31$15,000
Total plan assets at end of year2019-12-31$18,574
Expenses. Other expenses not covered elsewhere2019-12-31$3
Net income (gross income less expenses)2019-12-31$10,437
Net plan assets at end of year (total assets less liabilities)2019-12-31$10,342
Total contributions received or receivable from employer(s)2019-12-31$87,746
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$62,306

Form 5500 Responses for CANTON REGIONAL CHAMBER HEALTH FUND

2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF1200
Policy instance 1
Insurance contract or identification numberHF1200
Number of Individuals Covered20
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,063
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,746
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,063
Insurance broker organization code?3

Potentially related plans

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