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GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 401k Plan overview

Plan NameGASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN
Plan identification number 501

GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Supplemental unemployment
  • Vision
  • Long-term disability cover
  • Scholarship (funded)

401k Sponsoring company profile

GASTON FAMILY HEALTH SERVICES, INC. D.B.A. KINTEGRA HEALTH has sponsored the creation of one or more 401k plans.

Company Name:GASTON FAMILY HEALTH SERVICES, INC. D.B.A. KINTEGRA HEALTH
Employer identification number (EIN):581958398
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-01-01JACKSON GOSSETT JACKSON GOSSETT2016-08-01
5012013-12-01JACKSON GOSSETT JACKSON GOSSETT2015-06-30
5012013-04-01JACKSON GOSSETT JACKSON GOSSETT2014-12-31
5012012-04-01CHERI DAVIS
5012011-04-01CHERI DAVIS ROBERT SPENCER2012-09-26
5012010-01-01CHERI DAVIS

Plan Statistics for GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN

401k plan membership statisitcs for GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN

Measure Date Value
2015: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01367
Total number of active participants reported on line 7a of the Form 55002015-01-01435
Total of all active and inactive participants2015-01-01435
Total participants2015-01-01435
2013: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-01299
Total number of active participants reported on line 7a of the Form 55002013-12-01367
Total of all active and inactive participants2013-12-01367
Total participants2013-12-01367
Total participants, beginning-of-year2013-04-01346
Total number of active participants reported on line 7a of the Form 55002013-04-01299
Total of all active and inactive participants2013-04-01299
Total participants2013-04-01299
2012: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01228
Total number of active participants reported on line 7a of the Form 55002012-04-01345
Number of retired or separated participants receiving benefits2012-04-011
Total of all active and inactive participants2012-04-01346
Total participants2012-04-01346
2011: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01206
Total number of active participants reported on line 7a of the Form 55002011-04-01228
Number of retired or separated participants receiving benefits2011-04-011
Total of all active and inactive participants2011-04-01229
Total participants2011-04-01229
2010: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01196
Total number of active participants reported on line 7a of the Form 55002010-01-01206
Number of retired or separated participants receiving benefits2010-01-013
Total of all active and inactive participants2010-01-01209
Total participants2010-01-01209

Form 5500 Responses for GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN

2015: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION 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 – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 2013 form 5500 responses
2013-12-01Type of plan entitySingle employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planNo
2013-12-01Plan funding arrangement – General assets of the sponsorYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement – General assets of the sponsorYes
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – General assets of the sponsorYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – General assets of the sponsorYes
2012: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – General assets of the sponsorYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – General assets of the sponsorYes
2011: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – InsuranceYes
2010: GASTON FAMILY HEALTH SERVICES, INC. HEALTH & VISION PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0837889
Policy instance 1
Insurance contract or identification number0837889
Number of Individuals Covered435
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $1,474,845
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,423
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS INC.
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95343 )
Policy contract number0837899HNO
Policy instance 1
Insurance contract or identification number0837899HNO
Number of Individuals Covered367
Insurance policy start date2013-12-01
Insurance policy end date2014-11-30
Total amount of commissions paid to insurance brokerUSD $29,427
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $1,162,943
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,427
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS INC
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95343 )
Policy contract number0837889HNOSHORT
Policy instance 1
Insurance contract or identification number0837889HNOSHORT
Number of Individuals Covered299
Insurance policy start date2013-04-01
Insurance policy end date2013-11-30
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $641,909
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,315
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS INC.
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95343 )
Policy contract numberUD450856
Policy instance 1
Insurance contract or identification numberUD450856
Number of Individuals Covered345
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $18,356
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $788,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,356
Insurance broker organization code?3
Insurance broker nameBENEFIT PARTNERS INC
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 )
Policy contract number3114580000
Policy instance 1
Insurance contract or identification number3114580000
Number of Individuals Covered228
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $594,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3114580000
Policy instance 1
Insurance contract or identification number3114580000
Number of Individuals Covered0
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 )
Policy contract number3114580000
Policy instance 2
Insurance contract or identification number3114580000
Number of Individuals Covered206
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractHEALTH INSURANCE

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