401k Plan data: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN plan

TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 401k Plan overview

Plan Name	TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN
Plan identification number	501

TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN Benefits

401k Plan Type	Welfare 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. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

TRANSITIONS OF WESTERN ILLINOIS, INC. has sponsored the creation of one or more 401k plans.

Company Name: TRANSITIONS OF WESTERN ILLINOIS, INC.

Employer identification number (EIN): 370971282

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01
501 2022-01-01
501 2021-01-01
501 2018-01-01
501 2016-12-01 MARCIE KRAMER
501 2016-12-01
501 2015-12-01 MARCIE KRAMER
501 2013-12-01 MARCIE KRAMER
501 2012-12-01 MARCIE KRAMER MARCIE KRAMER 2014-09-11
501 2011-12-01 MARCIE KRAMER MARCIE KRAMER 2013-06-28
501 2009-12-01 MARCIE KRAMER MARCIE KRAMER 2011-09-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01
501	2022-01-01
501	2021-01-01
501	2018-01-01
501	2016-12-01	MARCIE KRAMER
501	2016-12-01
501	2015-12-01	MARCIE KRAMER
501	2013-12-01	MARCIE KRAMER
501	2012-12-01	MARCIE KRAMER	MARCIE KRAMER	2014-09-11
501	2011-12-01	MARCIE KRAMER	MARCIE KRAMER	2013-06-28
501	2009-12-01	MARCIE KRAMER	MARCIE KRAMER	2011-09-12

Plan Statistics for TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN

401k plan membership statisitcs for TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN

Measure Date Value
2023: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 102
Number of retired or separated participants receiving benefits 2023-01-01 1
Total of all active and inactive participants 2023-01-01 103
Total participants 2023-01-01 103
2022: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 102
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 105
Number of retired or separated participants receiving benefits 2022-01-01 2
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 107
Total participants 2022-01-01 107
2021: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 102
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 102
Total participants 2021-01-01 102
2018: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 90
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 90
2016: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-12-01 100
Total number of active participants reported on line 7a of the Form 5500 2016-12-01 95
Number of retired or separated participants receiving benefits 2016-12-01 1
Number of other retired or separated participants entitled to future benefits 2016-12-01 0
Total of all active and inactive participants 2016-12-01 96
2015: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-12-01 106
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 103
Number of retired or separated participants receiving benefits 2015-12-01 0
Number of other retired or separated participants entitled to future benefits 2015-12-01 0
Total of all active and inactive participants 2015-12-01 103
2013: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year 2013-12-01 117
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 102
Number of retired or separated participants receiving benefits 2013-12-01 0
Number of other retired or separated participants entitled to future benefits 2013-12-01 0
Total of all active and inactive participants 2013-12-01 102
2012: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-12-01 123
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 120
Number of retired or separated participants receiving benefits 2012-12-01 1
Number of other retired or separated participants entitled to future benefits 2012-12-01 0
Total of all active and inactive participants 2012-12-01 121
2011: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-12-01 126
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 121
Number of retired or separated participants receiving benefits 2011-12-01 2
Number of other retired or separated participants entitled to future benefits 2011-12-01 0
Total of all active and inactive participants 2011-12-01 123
2009: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-12-01 124
Total number of active participants reported on line 7a of the Form 5500 2009-12-01 127
Number of retired or separated participants receiving benefits 2009-12-01 2
Number of other retired or separated participants entitled to future benefits 2009-12-01 0
Total of all active and inactive participants 2009-12-01 129

Measure	Date	Value
2023: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	102
Number of retired or separated participants receiving benefits	2023-01-01	1
Total of all active and inactive participants	2023-01-01	103
Total participants	2023-01-01	103
2022: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	102
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	105
Number of retired or separated participants receiving benefits	2022-01-01	2
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	107
Total participants	2022-01-01	107
2021: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	102
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	102
Total participants	2021-01-01	102
2018: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	90
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	90
2016: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-12-01	100
Total number of active participants reported on line 7a of the Form 5500	2016-12-01	95
Number of retired or separated participants receiving benefits	2016-12-01	1
Number of other retired or separated participants entitled to future benefits	2016-12-01	0
Total of all active and inactive participants	2016-12-01	96
2015: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-12-01	106
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	103
Number of retired or separated participants receiving benefits	2015-12-01	0
Number of other retired or separated participants entitled to future benefits	2015-12-01	0
Total of all active and inactive participants	2015-12-01	103
2013: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year	2013-12-01	117
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	102
Number of retired or separated participants receiving benefits	2013-12-01	0
Number of other retired or separated participants entitled to future benefits	2013-12-01	0
Total of all active and inactive participants	2013-12-01	102
2012: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-12-01	123
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	120
Number of retired or separated participants receiving benefits	2012-12-01	1
Number of other retired or separated participants entitled to future benefits	2012-12-01	0
Total of all active and inactive participants	2012-12-01	121
2011: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-12-01	126
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	121
Number of retired or separated participants receiving benefits	2011-12-01	2
Number of other retired or separated participants entitled to future benefits	2011-12-01	0
Total of all active and inactive participants	2011-12-01	123
2009: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-12-01	124
Total number of active participants reported on line 7a of the Form 5500	2009-12-01	127
Number of retired or separated participants receiving benefits	2009-12-01	2
Number of other retired or separated participants entitled to future benefits	2009-12-01	0
Total of all active and inactive participants	2009-12-01	129

Form 5500 Responses for TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN

2023: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2016 form 5500 responses
2016-12-01	Type of plan entity	Single employer plan
2016-12-01	Submission has been amended	No
2016-12-01	This submission is the final filing	No
2016-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-12-01	Plan is a collectively bargained plan	No
2016-12-01	Plan funding arrangement – Insurance	Yes
2016-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-12-01	Plan benefit arrangement – Insurance	Yes
2016-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Submission has been amended	No
2015-12-01	This submission is the final filing	No
2015-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-12-01	Plan is a collectively bargained plan	No
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-12-01	Plan benefit arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Submission has been amended	No
2013-12-01	This submission is the final filing	No
2013-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-12-01	Plan is a collectively bargained plan	No
2013-12-01	Plan funding arrangement – Insurance	Yes
2013-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-12-01	Plan benefit arrangement – Insurance	Yes
2013-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Submission has been amended	No
2012-12-01	This submission is the final filing	No
2012-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-12-01	Plan is a collectively bargained plan	No
2012-12-01	Plan funding arrangement – Insurance	Yes
2012-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-12-01	Plan benefit arrangement – Insurance	Yes
2012-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Submission has been amended	No
2011-12-01	This submission is the final filing	No
2011-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-12-01	Plan is a collectively bargained plan	No
2011-12-01	Plan funding arrangement – Insurance	Yes
2011-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-12-01	Plan benefit arrangement – Insurance	Yes
2011-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: TRANSITIONS OF WESTERN ILLINOIS EMPLOYEE MEDICAL PLAN 2009 form 5500 responses
2009-12-01	Type of plan entity	Single employer plan
2009-12-01	Submission has been amended	No
2009-12-01	This submission is the final filing	No
2009-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-12-01	Plan is a collectively bargained plan	No
2009-12-01	Plan funding arrangement – Insurance	Yes
2009-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-12-01	Plan benefit arrangement – Insurance	Yes
2009-12-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

AMERICAN NATIONAL INSURANCE COMPANY OF TEXAS (National Association of Insurance Commissioners NAIC id number: 71773 )

Policy contract number

ANTX-44259

Policy instance

Insurance contract or identification number	ANTX-44259
Number of Individuals Covered	90
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $62,421
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $416,681
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $62,421
Insurance broker organization code?	5

Potentially related plans

TRANSITIONS OF AUGUSTA, PC 401(K) PROFIT SHARING PLAN [EIN = 134268905]

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Company Name:	TRANSITIONS OF WESTERN ILLINOIS, INC.
Employer identification number (EIN):	370971282
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)