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MUNSON HEALTHCARE MANISTEE HOSPITAL - VISION PLAN 401k Plan overview

Plan NameMUNSON HEALTHCARE MANISTEE HOSPITAL - VISION PLAN
Plan identification number 504

MUNSON HEALTHCARE MANISTEE HOSPITAL - VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

MUNSON HEALTHCARE MANISTEE HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:MUNSON HEALTHCARE MANISTEE HOSPITAL
Employer identification number (EIN):380350304
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MUNSON HEALTHCARE MANISTEE HOSPITAL - VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042017-04-01

Plan Statistics for MUNSON HEALTHCARE MANISTEE HOSPITAL - VISION PLAN

401k plan membership statisitcs for MUNSON HEALTHCARE MANISTEE HOSPITAL - VISION PLAN

Measure Date Value
2017: MUNSON HEALTHCARE MANISTEE HOSPITAL - VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01100
Total number of active participants reported on line 7a of the Form 55002017-04-010
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-010

Form 5500 Responses for MUNSON HEALTHCARE MANISTEE HOSPITAL - VISION PLAN

2017: MUNSON HEALTHCARE MANISTEE HOSPITAL - VISION PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01First time form 5500 has been submittedYes
2017-04-01This submission is the final filingYes
2017-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30011520
Policy instance 1
Insurance contract or identification number30011520
Number of Individuals Covered262
Insurance policy start date2017-04-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,040
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,040
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLIGHTHOUSE INSURANCE GROUP

Potentially related plans

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