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BIG SANDY HEALTH CARE, INC 401k Plan overview

Plan NameBIG SANDY HEALTH CARE, INC
Plan identification number 501

BIG SANDY HEALTH CARE, INC Benefits

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

401k Sponsoring company profile

BIG SANDY HEALTH CARE, INC. has sponsored the creation of one or more 401k plans.

Company Name:BIG SANDY HEALTH CARE, INC.
Employer identification number (EIN):610849776
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BIG SANDY HEALTH CARE, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-02-01
5012022-02-01
5012021-02-01
5012020-02-01
5012019-02-01
5012017-02-01BOYCE D. SHOFNER
5012017-02-01BOYCE D. SHOFNER BOYCE D. SHOFNER
5012017-02-01BOYCE D. SHOFNER BOYCE D. SHOFNER
5012016-02-01BOYCE SHOFNER BOYCE SHOFNER2017-07-12
5012015-02-01BOYCE SHOFNER BOYCE SHOFNER2016-07-12
5012014-02-01BOYCE SHOFNER BOYCE SHOFNER2015-07-07
5012014-02-01BOYCE SHOFNER BOYCE SHOFNER2015-07-07

Plan Statistics for BIG SANDY HEALTH CARE, INC

401k plan membership statisitcs for BIG SANDY HEALTH CARE, INC

Measure Date Value
2023: BIG SANDY HEALTH CARE, INC 2023 401k membership
Total participants, beginning-of-year2023-02-01162
Total number of active participants reported on line 7a of the Form 55002023-02-01174
Number of retired or separated participants receiving benefits2023-02-010
Number of other retired or separated participants entitled to future benefits2023-02-010
Total of all active and inactive participants2023-02-01174
2022: BIG SANDY HEALTH CARE, INC 2022 401k membership
Total participants, beginning-of-year2022-02-01167
Total number of active participants reported on line 7a of the Form 55002022-02-01162
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-01162
2021: BIG SANDY HEALTH CARE, INC 2021 401k membership
Total participants, beginning-of-year2021-02-01154
Total number of active participants reported on line 7a of the Form 55002021-02-01167
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01167
2020: BIG SANDY HEALTH CARE, INC 2020 401k membership
Total participants, beginning-of-year2020-02-01150
Total number of active participants reported on line 7a of the Form 55002020-02-01154
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01154
2019: BIG SANDY HEALTH CARE, INC 2019 401k membership
Total participants, beginning-of-year2019-02-01144
Total number of active participants reported on line 7a of the Form 55002019-02-01150
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01150
2017: BIG SANDY HEALTH CARE, INC 2017 401k membership
Total participants, beginning-of-year2017-02-01140
Total number of active participants reported on line 7a of the Form 55002017-02-01151
Number of retired or separated participants receiving benefits2017-02-010
Number of other retired or separated participants entitled to future benefits2017-02-010
Total of all active and inactive participants2017-02-01151
2016: BIG SANDY HEALTH CARE, INC 2016 401k membership
Total participants, beginning-of-year2016-02-01126
Total number of active participants reported on line 7a of the Form 55002016-02-01140
Total of all active and inactive participants2016-02-01140
2015: BIG SANDY HEALTH CARE, INC 2015 401k membership
Total participants, beginning-of-year2015-02-01113
Total number of active participants reported on line 7a of the Form 55002015-02-01126
Total of all active and inactive participants2015-02-01126
2014: BIG SANDY HEALTH CARE, INC 2014 401k membership
Total participants, beginning-of-year2014-02-0192
Total number of active participants reported on line 7a of the Form 55002014-02-01113
Total of all active and inactive participants2014-02-01113

Form 5500 Responses for BIG SANDY HEALTH CARE, INC

2023: BIG SANDY HEALTH CARE, INC 2023 form 5500 responses
2023-02-01Type of plan entitySingle employer plan
2023-02-01Plan funding arrangement – InsuranceYes
2023-02-01Plan benefit arrangement – InsuranceYes
2022: BIG SANDY HEALTH CARE, INC 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan benefit arrangement – InsuranceYes
2021: BIG SANDY HEALTH CARE, INC 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – InsuranceYes
2020: BIG SANDY HEALTH CARE, INC 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – InsuranceYes
2019: BIG SANDY HEALTH CARE, INC 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2017: BIG SANDY HEALTH CARE, INC 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Submission has been amendedYes
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: BIG SANDY HEALTH CARE, INC 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: BIG SANDY HEALTH CARE, INC 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes
2014: BIG SANDY HEALTH CARE, INC 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01First time form 5500 has been submittedYes
2014-02-01Submission has been amendedYes
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0688000
Policy instance 2
Insurance contract or identification number0688000
Number of Individuals Covered441
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $3,091
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW28081
Policy instance 1
Insurance contract or identification numberW28081
Number of Individuals Covered174
Insurance policy start date2023-03-01
Insurance policy end date2024-02-29
Total amount of commissions paid to insurance brokerUSD $39,940
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,068,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0688000
Policy instance 2
Insurance contract or identification number0688000
Number of Individuals Covered419
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $4,293
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,293
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW28081
Policy instance 1
Insurance contract or identification numberW28081
Number of Individuals Covered162
Insurance policy start date2022-03-01
Insurance policy end date2023-02-28
Total amount of commissions paid to insurance brokerUSD $39,480
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,397,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,480
Insurance broker organization code?3
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0688000
Policy instance 2
Insurance contract or identification number0688000
Number of Individuals Covered421
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of fees paid to insurance companyUSD $3,736
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3736
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW28081
Policy instance 1
Insurance contract or identification numberW28081
Number of Individuals Covered167
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $38,100
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,156,350
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,100
Insurance broker organization code?3
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0688000
Policy instance 2
Insurance contract or identification number0688000
Number of Individuals Covered367
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of fees paid to insurance companyUSD $3,639
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3639
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW28081
Policy instance 1
Insurance contract or identification numberW28081
Number of Individuals Covered154
Insurance policy start date2020-03-01
Insurance policy end date2021-02-28
Total amount of fees paid to insurance companyUSD $31,620
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,734,122
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees31620
Insurance broker organization code?3
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0688000
Policy instance 2
Insurance contract or identification number0688000
Number of Individuals Covered367
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $3,869
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,869
Insurance broker organization code?3
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract numberW28081
Policy instance 1
Insurance contract or identification numberW28081
Number of Individuals Covered150
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $33,000
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,656,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,000
Insurance broker organization code?3
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0688000
Policy instance 2
Insurance contract or identification number0688000
Number of Individuals Covered274
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
Total amount of commissions paid to insurance brokerUSD $3,059
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,059
Insurance broker organization code?3
Insurance broker nameTHE ELITE AGENCY, INC.
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number0183011
Policy instance 1
Insurance contract or identification number0183011
Number of Individuals Covered151
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $34,560
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,527,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,560
Insurance broker organization code?3
Insurance broker nameDARRELL L PATTON INSURANCE, INC.
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0688000
Policy instance 2
Insurance contract or identification number0688000
Number of Individuals Covered212
Insurance policy start date2014-12-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,291
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,291
Insurance broker organization code?3
Insurance broker nameTHE ELITE AGENCY INC
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number00183011
Policy instance 1
Insurance contract or identification number00183011
Number of Individuals Covered126
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $29,040
Total amount of fees paid to insurance companyUSD $3,330
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,289,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,040
Amount paid for insurance broker fees3330
Insurance broker organization code?3
Insurance broker nameDARRELL L PATTON INSURANCE INC
DELTA DENTAL OF KENTUCKY (National Association of Insurance Commissioners NAIC id number: 54674 )
Policy contract number0688000
Policy instance 2
Insurance contract or identification number0688000
Number of Individuals Covered184
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,529
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
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,529
Insurance broker organization code?3
Insurance broker nameTHE ELITE AGENCY INC
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number00183011
Policy instance 1
Insurance contract or identification number00183011
Number of Individuals Covered113
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $23,922
Total amount of fees paid to insurance companyUSD $3,204
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 $1,091,340
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,922
Amount paid for insurance broker fees3204
Insurance broker organization code?3
Insurance broker nameDARRELL L PATTON INSURANCE INC

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