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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

MOBILE IBC SERVICES, LTD. has sponsored the creation of one or more 401k plans.

Company Name:MOBILE IBC SERVICES, LTD.
Employer identification number (EIN):341928029
NAIC Classification:562998
NAIC Description:All Other Miscellaneous Waste Management Services

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
5012020-01-01 ERIC KIMBLE2021-10-12
5012019-01-01 ERIC KIMBLE2020-07-31

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-year2020-01-0113
Total number of active participants reported on line 7a of the Form 55002020-01-0113
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0113
2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-01-010
Total number of active participants reported on line 7a of the Form 55002019-01-0113
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0113

Financial Data on CANTON REGIONAL CHAMBER HEALTH FUND

Measure Date Value
2020 : CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k financial data
Transfers to/from the plan2020-12-31$9
Total plan liabilities at end of year2020-12-31$7,143
Total plan liabilities at beginning of year2020-12-31$6,048
Total income from all sources2020-12-31$68,947
Expenses. Total of all expenses incurred2020-12-31$68,502
Benefits paid (including direct rollovers)2020-12-31$6,050
Total plan assets at end of year2020-12-31$8,530
Total plan assets at beginning of year2020-12-31$6,981
Value of fidelity bond covering the plan2020-12-31$1,000,000
Total contributions received or receivable from participants2020-12-31$25,871
Expenses. Other expenses not covered elsewhere2020-12-31$52
Net income (gross income less expenses)2020-12-31$445
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,387
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$933
Total contributions received or receivable from employer(s)2020-12-31$43,076
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$62,400
2019 : CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k financial data
Transfers to/from the plan2019-12-31$-69
Total plan liabilities at end of year2019-12-31$6,048
Total income from all sources2019-12-31$64,471
Expenses. Total of all expenses incurred2019-12-31$63,469
Benefits paid (including direct rollovers)2019-12-31$18,329
Total plan assets at end of year2019-12-31$6,981
Total plan assets at beginning of year2019-12-31$0
Value of fidelity bond covering the plan2019-12-31$1,000,000
Total contributions received or receivable from participants2019-12-31$23,584
Expenses. Other expenses not covered elsewhere2019-12-31$2
Net income (gross income less expenses)2019-12-31$1,002
Net plan assets at end of year (total assets less liabilities)2019-12-31$933
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$40,887
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$45,138

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
2020-01-01Plan 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
2019-01-01First time form 5500 has been submittedYes
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 numberHF930
Policy instance 1
Insurance contract or identification numberHF930
Number of Individuals Covered13
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,375
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,375
Insurance broker organization code?3
MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF930
Policy instance 1
Insurance contract or identification numberHF930
Number of Individuals Covered13
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,271
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $64,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,271
Insurance broker organization code?3

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