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MICHIGAN SURGICAL CENTER 401(K) PLAN 401k Plan overview

Plan NameMICHIGAN SURGICAL CENTER 401(K) PLAN
Plan identification number 001

MICHIGAN SURGICAL CENTER 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MICHIGAN SURGICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:MICHIGAN SURGICAL CENTER
Employer identification number (EIN):383210989
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHIGAN SURGICAL CENTER 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ROBERTA MYERS2023-08-21 ROBERTA MYERS2023-08-21
0012021-01-01JENNIFER MCCLURE2022-08-11 JENNIFER MCCLURE2022-08-11
0012020-01-01CRAIG J. PELL2021-08-10 CRAIG J. PELL2021-08-10
0012019-01-01PATTI BIELBY2020-06-26 PATTI BIELBY2020-06-26
0012018-01-01PATTI BIELBY2019-08-23 PATTI BIELBY2019-08-23
0012017-01-01PATTI BIELBY2018-09-28 PATTI BIELBY2018-09-28
0012016-01-01PATTI BIELBY PATTI BIELBY2017-09-21
0012015-01-01PATTI BIELBY PATTI BIELBY2016-07-27
0012014-01-01PATTI BIELBY PATTI BIELBY2015-07-09
0012013-01-01PATTI BIELBY PATTI BIELBY2014-07-30
0012012-01-01PATTI BIELBY2013-10-08 PATTI BIELBY2013-10-08
0012011-01-01PATTI BIELBY2012-06-06 PATTI BIELBY2012-06-06
0012010-01-01PATTI BIELBY2011-06-01 PATTI BIELBY2011-06-01

Plan Statistics for MICHIGAN SURGICAL CENTER 401(K) PLAN

401k plan membership statisitcs for MICHIGAN SURGICAL CENTER 401(K) PLAN

Measure Date Value
2016: MICHIGAN SURGICAL CENTER 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0156
Total number of active participants reported on line 7a of the Form 55002016-01-0154
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0156
Number of participants with account balances2016-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: MICHIGAN SURGICAL CENTER 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0148
Total number of active participants reported on line 7a of the Form 55002015-01-0146
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0148
Number of participants with account balances2015-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: MICHIGAN SURGICAL CENTER 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0139
Total number of active participants reported on line 7a of the Form 55002014-01-0143
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0146
Number of participants with account balances2014-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: MICHIGAN SURGICAL CENTER 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01110
Total number of active participants reported on line 7a of the Form 55002013-01-0138
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0139
Number of participants with account balances2013-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010

Financial Data on MICHIGAN SURGICAL CENTER 401(K) PLAN

Measure Date Value
2016 : MICHIGAN SURGICAL CENTER 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$277,554
Expenses. Total of all expenses incurred2016-12-31$170,651
Benefits paid (including direct rollovers)2016-12-31$170,326
Total plan assets at end of year2016-12-31$1,848,193
Total plan assets at beginning of year2016-12-31$1,741,290
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$116,587
Other income received2016-12-31$120,063
Net income (gross income less expenses)2016-12-31$106,903
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,848,193
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,741,290
Assets. Value of participant loans2016-12-31$9,556
Total contributions received or receivable from employer(s)2016-12-31$40,904
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$325
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : MICHIGAN SURGICAL CENTER 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$147,945
Expenses. Total of all expenses incurred2015-12-31$25,347
Benefits paid (including direct rollovers)2015-12-31$25,051
Total plan assets at end of year2015-12-31$1,741,290
Total plan assets at beginning of year2015-12-31$1,618,692
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$116,018
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-394
Net income (gross income less expenses)2015-12-31$122,598
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,741,290
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,618,692
Assets. Value of participant loans2015-12-31$21,838
Total contributions received or receivable from employer(s)2015-12-31$32,321
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$296
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : MICHIGAN SURGICAL CENTER 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$233,891
Expenses. Total of all expenses incurred2014-12-31$294,773
Benefits paid (including direct rollovers)2014-12-31$294,488
Total plan assets at end of year2014-12-31$1,618,692
Total plan assets at beginning of year2014-12-31$1,679,574
Total contributions received or receivable from participants2014-12-31$118,702
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$81,765
Net income (gross income less expenses)2014-12-31$-60,882
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,618,692
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,679,574
Assets. Value of participant loans2014-12-31$36,541
Total contributions received or receivable from employer(s)2014-12-31$33,424
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$285
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : MICHIGAN SURGICAL CENTER 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$409,056
Expenses. Total of all expenses incurred2013-12-31$22,508
Benefits paid (including direct rollovers)2013-12-31$22,343
Total plan assets at end of year2013-12-31$1,679,574
Total plan assets at beginning of year2013-12-31$1,293,026
Total contributions received or receivable from participants2013-12-31$131,618
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$7,719
Other income received2013-12-31$242,670
Net income (gross income less expenses)2013-12-31$386,548
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,679,574
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,293,026
Assets. Value of participant loans2013-12-31$38,816
Total contributions received or receivable from employer(s)2013-12-31$27,049
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$165
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0

Form 5500 Responses for MICHIGAN SURGICAL CENTER 401(K) PLAN

2016: MICHIGAN SURGICAL CENTER 401(K) PLAN 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MICHIGAN SURGICAL CENTER 401(K) PLAN 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MICHIGAN SURGICAL CENTER 401(K) PLAN 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 – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MICHIGAN SURGICAL CENTER 401(K) PLAN 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 – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 60033
Policy instance 1
Insurance contract or identification numberMR 60033
Number of Individuals Covered48
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 60033
Policy instance 1
Insurance contract or identification numberMR 60033
Number of Individuals Covered46
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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

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