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BLANCHARD VALLEY HEALTHSYSTEM 401k Plan overview

Plan NameBLANCHARD VALLEY HEALTHSYSTEM
Plan identification number 501

BLANCHARD VALLEY HEALTHSYSTEM Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BLANCHARD VALLEY HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:BLANCHARD VALLEY HEALTH SYSTEM
Employer identification number (EIN):344428206
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about BLANCHARD VALLEY HEALTH SYSTEM

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1891-06-23
Company Identification Number: 9723
Legal Registered Office Address: 1900 SOUTH MAIN STREET
-
FINDLAY
United States of America (USA)
45840

More information about BLANCHARD VALLEY HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLANCHARD VALLEY HEALTHSYSTEM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01RYAN FISHER RYAN FISHER2019-07-03
5012017-01-01RYAN FISHER RYAN FISHER2018-06-26
5012016-01-01RYAN FISHER RYAN FISHER2017-07-23
5012015-01-01RYAN FISHER RYAN FISHER2016-06-26
5012014-01-01RYAN FISHER RYAN FISHER2015-06-29
5012013-01-01RYAN FISHER RYAN FISHER2014-07-24
5012012-01-01DAVID CYTLAK
5012011-01-01DAVID CYTLAK
5012009-01-01DAVID CYTLAK
5012009-01-01 DAVID CYTLAK2010-07-19

Plan Statistics for BLANCHARD VALLEY HEALTHSYSTEM

401k plan membership statisitcs for BLANCHARD VALLEY HEALTHSYSTEM

Measure Date Value
2022: BLANCHARD VALLEY HEALTHSYSTEM 2022 401k membership
Total participants, beginning-of-year2022-01-012,275
Total number of active participants reported on line 7a of the Form 55002022-01-012,293
Total of all active and inactive participants2022-01-012,293
Total participants2022-01-012,293
2021: BLANCHARD VALLEY HEALTHSYSTEM 2021 401k membership
Total participants, beginning-of-year2021-01-012,410
Total number of active participants reported on line 7a of the Form 55002021-01-012,401
Total of all active and inactive participants2021-01-012,401
Total participants2021-01-012,401
2020: BLANCHARD VALLEY HEALTHSYSTEM 2020 401k membership
Total participants, beginning-of-year2020-01-012,412
Total number of active participants reported on line 7a of the Form 55002020-01-012,394
Total of all active and inactive participants2020-01-012,394
Total participants2020-01-012,394
2019: BLANCHARD VALLEY HEALTHSYSTEM 2019 401k membership
Total participants, beginning-of-year2019-01-012,335
Total number of active participants reported on line 7a of the Form 55002019-01-012,373
Total of all active and inactive participants2019-01-012,373
Total participants2019-01-012,373
2018: BLANCHARD VALLEY HEALTHSYSTEM 2018 401k membership
Total participants, beginning-of-year2018-01-012,219
Total number of active participants reported on line 7a of the Form 55002018-01-012,235
Total of all active and inactive participants2018-01-012,235
Total participants2018-01-012,235
2017: BLANCHARD VALLEY HEALTHSYSTEM 2017 401k membership
Total participants, beginning-of-year2017-01-012,156
Total number of active participants reported on line 7a of the Form 55002017-01-012,284
Total of all active and inactive participants2017-01-012,284
Total participants2017-01-012,284
2016: BLANCHARD VALLEY HEALTHSYSTEM 2016 401k membership
Total participants, beginning-of-year2016-01-012,126
Total number of active participants reported on line 7a of the Form 55002016-01-012,179
Total of all active and inactive participants2016-01-012,179
Total participants2016-01-012,179
2015: BLANCHARD VALLEY HEALTHSYSTEM 2015 401k membership
Total participants, beginning-of-year2015-01-012,126
Total number of active participants reported on line 7a of the Form 55002015-01-012,126
Total of all active and inactive participants2015-01-012,126
Total participants2015-01-012,126
2014: BLANCHARD VALLEY HEALTHSYSTEM 2014 401k membership
Total participants, beginning-of-year2014-01-012,040
Total number of active participants reported on line 7a of the Form 55002014-01-012,040
Total of all active and inactive participants2014-01-012,040
Total participants2014-01-012,040
2013: BLANCHARD VALLEY HEALTHSYSTEM 2013 401k membership
Total participants, beginning-of-year2013-01-012,040
Total number of active participants reported on line 7a of the Form 55002013-01-012,040
Total of all active and inactive participants2013-01-012,040
Total participants2013-01-012,040
2012: BLANCHARD VALLEY HEALTHSYSTEM 2012 401k membership
Total participants, beginning-of-year2012-01-011,934
Total number of active participants reported on line 7a of the Form 55002012-01-011,961
Total of all active and inactive participants2012-01-011,961
Total participants2012-01-011,961
2011: BLANCHARD VALLEY HEALTHSYSTEM 2011 401k membership
Total participants, beginning-of-year2011-01-011,927
Total number of active participants reported on line 7a of the Form 55002011-01-012,248
Total of all active and inactive participants2011-01-012,248
Total participants2011-01-012,248
2009: BLANCHARD VALLEY HEALTHSYSTEM 2009 401k membership
Total participants, beginning-of-year2009-01-011,509
Total number of active participants reported on line 7a of the Form 55002009-01-011,542
Total of all active and inactive participants2009-01-011,542
Total participants2009-01-011,542

Form 5500 Responses for BLANCHARD VALLEY HEALTHSYSTEM

2022: BLANCHARD VALLEY HEALTHSYSTEM 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: BLANCHARD VALLEY HEALTHSYSTEM 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: BLANCHARD VALLEY HEALTHSYSTEM 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 – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: BLANCHARD VALLEY HEALTHSYSTEM 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 – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: BLANCHARD VALLEY HEALTHSYSTEM 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: BLANCHARD VALLEY HEALTHSYSTEM 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: BLANCHARD VALLEY HEALTHSYSTEM 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: BLANCHARD VALLEY HEALTHSYSTEM 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: BLANCHARD VALLEY HEALTHSYSTEM 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: BLANCHARD VALLEY HEALTHSYSTEM 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: BLANCHARD VALLEY HEALTHSYSTEM 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: BLANCHARD VALLEY HEALTHSYSTEM 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: BLANCHARD VALLEY HEALTHSYSTEM 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number148788
Policy instance 1
Insurance contract or identification number148788
Number of Individuals Covered2293
Insurance policy start date2021-07-01
Insurance policy end date2022-07-01
Total amount of commissions paid to insurance brokerUSD $134,684
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees20128
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $54,601
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number148788
Policy instance 1
Insurance contract or identification number148788
Number of Individuals Covered2401
Insurance policy start date2020-07-01
Insurance policy end date2021-07-01
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2510
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number148788
Policy instance 1
Insurance contract or identification number148788
Number of Individuals Covered2394
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
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 number148788
Policy instance 1
Insurance contract or identification number148788
Number of Individuals Covered2373
Insurance policy start date2018-07-01
Insurance policy end date2019-07-01
Total amount of commissions paid to insurance brokerUSD $30,481
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,943
Amount paid for insurance broker fees11538
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number148788
Policy instance 1
Insurance contract or identification number148788
Number of Individuals Covered2235
Insurance policy start date2017-07-01
Insurance policy end date2018-07-01
Total amount of commissions paid to insurance brokerUSD $23,724
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,194
Amount paid for insurance broker fees5530
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number148788
Policy instance 1
Insurance contract or identification number148788
Number of Individuals Covered2284
Insurance policy start date2016-07-01
Insurance policy end date2017-07-01
Total amount of commissions paid to insurance brokerUSD $29,670
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,516
Amount paid for insurance broker fees12154
Insurance broker organization code?3
Insurance broker nameCONDUENT HR CONSULTING LLC

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