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MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN 401k Plan overview

Plan NameMISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN
Plan identification number 503

MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • 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

MISSOURI OZARKS COMMUNITY ACTION, INC. has sponsored the creation of one or more 401k plans.

Company Name:MISSOURI OZARKS COMMUNITY ACTION, INC.
Employer identification number (EIN):430837331
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-01-01DAVID MILLER2024-08-09
5032022-01-01DAVID MILLER2023-07-18
5032021-01-01DAVID MILLER2022-05-19
5032020-01-01DAVID MILLER2021-07-07

Plan Statistics for MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN

401k plan membership statisitcs for MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN

Measure Date Value
2023: MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0176
Total number of active participants reported on line 7a of the Form 55002023-01-0182
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-0182
Number of employers contributing to the scheme2023-01-010
2022: MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0168
Total number of active participants reported on line 7a of the Form 55002022-01-0176
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0176
Number of employers contributing to the scheme2022-01-010
2021: MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0170
Total number of active participants reported on line 7a of the Form 55002021-01-0168
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0168
Number of employers contributing to the scheme2021-01-010
2020: MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0170
Total number of active participants reported on line 7a of the Form 55002020-01-0170
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0170
Number of employers contributing to the scheme2020-01-010

Form 5500 Responses for MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN

2023: MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: MISSOURI OZARKS COMMUNITY ACTION VISON INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
Policy contract numberW61505
Policy instance 1
Insurance contract or identification numberW61505
Number of Individuals Covered130
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $26,517
Total amount of fees paid to insurance companyUSD $904
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
Policy contract numberW61505
Policy instance 1
Insurance contract or identification numberW61505
Number of Individuals Covered126
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $17,222
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,748
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
Policy contract numberW61505
Policy instance 1
Insurance contract or identification numberW61505
Number of Individuals Covered114
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $336
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,401
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $336
Amount paid for insurance broker fees0
Insurance broker organization code?3
HEALTHY ALLIANCE LIFE INSURANCE COMPANY (G0262) (National Association of Insurance Commissioners NAIC id number: 78972 )
Policy contract numberW61505
Policy instance 1
Insurance contract or identification numberW61505
Number of Individuals Covered107
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $267
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $267
Amount paid for insurance broker fees0
Insurance broker organization code?3

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