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GREEN BAY ONCOLOGY 401k Plan overview

Plan NameGREEN BAY ONCOLOGY
Plan identification number 507

GREEN BAY ONCOLOGY Benefits

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

401k Sponsoring company profile

GREEN BAY ONCOLOGY, LTD. has sponsored the creation of one or more 401k plans.

Company Name:GREEN BAY ONCOLOGY, LTD.
Employer identification number (EIN):391314853
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GREEN BAY ONCOLOGY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072014-01-01
5072014-01-01GINA MOON GINA MOON2015-07-29
5072014-01-01GINA MOON GINA MOON2015-07-29

Plan Statistics for GREEN BAY ONCOLOGY

401k plan membership statisitcs for GREEN BAY ONCOLOGY

Measure Date Value
2014: GREEN BAY ONCOLOGY 2014 401k membership
Total participants, beginning-of-year2014-01-01100
Total number of active participants reported on line 7a of the Form 55002014-01-01104
Total of all active and inactive participants2014-01-01104

Form 5500 Responses for GREEN BAY ONCOLOGY

2014: GREEN BAY ONCOLOGY 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DEAN HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 96156 )
Policy contract number126H8P2
Policy instance 1
Insurance contract or identification number126H8P2
Number of Individuals Covered104
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $23,348
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $865,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,348
Insurance broker organization code?3
Insurance broker nameASSOCIATED FINANCIAL GROUP, LLC

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