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MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 401k Plan overview

Plan NameMEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT
Plan identification number 501

MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

MEDILODGE GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:MEDILODGE GROUP, INC.
Employer identification number (EIN):382791039
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-01-01BILL GRAY
5012014-01-01BILL GRAY
5012014-01-01BILL GRAY
5012013-01-01FRANK WRONSKI FRANK WRONSKI2014-07-18
5012012-01-01FRANK WRONSKI FRANK WRONSKI2013-07-01
5012011-01-01FRANK WRONSKI FRANK WRONSKI2012-10-15
5012010-01-01FRANK WRONSKI FRANK WRONSKI2011-10-17
5012009-01-01
5012009-01-01FRANK WRONSKI FRANK WRONSKI2010-12-01
5012009-01-01FRANK WRONSKI FRANK WRONSKI2010-10-14
5012009-01-01SUZANNE LEWANDOWSKI

Plan Statistics for MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT

401k plan membership statisitcs for MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT

Measure Date Value
2015: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2015 401k membership
Total participants, beginning-of-year2015-01-01179
Total number of active participants reported on line 7a of the Form 55002015-01-01185
Total of all active and inactive participants2015-01-01185
2014: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2014 401k membership
Total participants, beginning-of-year2014-01-01216
Total number of active participants reported on line 7a of the Form 55002014-01-01168
Total of all active and inactive participants2014-01-01168
2013: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2013 401k membership
Total participants, beginning-of-year2013-01-01418
Total number of active participants reported on line 7a of the Form 55002013-01-01397
Total of all active and inactive participants2013-01-01397
2012: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2012 401k membership
Total participants, beginning-of-year2012-01-01433
Total number of active participants reported on line 7a of the Form 55002012-01-01390
Total of all active and inactive participants2012-01-01390
2011: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2011 401k membership
Total participants, beginning-of-year2011-01-011,346
Total number of active participants reported on line 7a of the Form 55002011-01-011,374
Total of all active and inactive participants2011-01-011,374
2010: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2010 401k membership
Total participants, beginning-of-year2010-01-011,372
Total number of active participants reported on line 7a of the Form 55002010-01-011,346
Total of all active and inactive participants2010-01-011,346
2009: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2009 401k membership
Total participants, beginning-of-year2009-01-01279
Total number of active participants reported on line 7a of the Form 55002009-01-01250
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010

Form 5500 Responses for MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT

2015: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 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)Yes
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: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 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: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 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: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 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 – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2010: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2009: MEDILODGE GROUP, INC. FLEXIBLE SPENDING ACCOUNT 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
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 – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number778672 S001
Policy instance 10
Insurance contract or identification number778672 S001
Number of Individuals Covered60
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $27,416
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $548,313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRIORITY HEALTH (National Association of Insurance Commissioners NAIC id number: 95561 )
Policy contract number778672S002
Policy instance 9
Insurance contract or identification number778672S002
Number of Individuals Covered38
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $16,366
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $327,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE3441458
Policy instance 8
Insurance contract or identification numberE3441458
Number of Individuals Covered545
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $101,566
Total amount of fees paid to insurance companyUSD $6,774
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $350,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 )
Policy contract numberM60050COBR
Policy instance 7
Insurance contract or identification numberM60050COBR
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $149
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TOTAL HEALTH CARE USA INC (National Association of Insurance Commissioners NAIC id number: 12326 )
Policy contract numberM60050
Policy instance 6
Insurance contract or identification numberM60050
Number of Individuals Covered83
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $17,498
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $322,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05731803
Policy instance 5
Insurance contract or identification numberTM05731803
Number of Individuals Covered181
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $4,699
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $31,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000200000520
Policy instance 4
Insurance contract or identification number40000200000520
Number of Individuals Covered548
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $59,346
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $350,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000300100077
Policy instance 3
Insurance contract or identification number40000300100077
Number of Individuals Covered203
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $14,304
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000100003591
Policy instance 2
Insurance contract or identification number40000100003591
Number of Individuals Covered527
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $22,577
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $133,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number46851
Policy instance 1
Insurance contract or identification number46851
Number of Individuals Covered1217
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $281,657
Welfare Benefit Premiums Paid to CarrierUSD $1,357,390
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TOTAL HEALTH CARE USA, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberM60050
Policy instance 6
Insurance contract or identification numberM60050
Number of Individuals Covered88
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $19,592
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $326,526
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05731803
Policy instance 5
Insurance contract or identification numberTM05731803
Number of Individuals Covered186
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $4,499
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $30,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number40000200000520
Policy instance 4
Insurance contract or identification number40000200000520
Number of Individuals Covered496
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $52,432
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $312,045
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400000300100077
Policy instance 3
Insurance contract or identification number400000300100077
Number of Individuals Covered171
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,811
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,406
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400000100003591
Policy instance 2
Insurance contract or identification number400000100003591
Number of Individuals Covered461
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $19,879
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $115,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF MICHIGAN (National Association of Insurance Commissioners NAIC id number: 54291 )
Policy contract number46851
Policy instance 1
Insurance contract or identification number46851
Number of Individuals Covered1068
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $237,077
Total amount of fees paid to insurance companyUSD $6,574
Welfare Benefit Premiums Paid to CarrierUSD $1,229,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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