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NEBRASKA MEDICINE GROUP VISION PLAN 401k Plan overview

Plan NameNEBRASKA MEDICINE GROUP VISION PLAN
Plan identification number 508

NEBRASKA MEDICINE GROUP VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

NEBRASKA MEDICINE has sponsored the creation of one or more 401k plans.

Company Name:NEBRASKA MEDICINE
Employer identification number (EIN):911858433
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEBRASKA MEDICINE GROUP VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5082018-01-01LAURIE L. WILLBURN2019-08-22
5082017-01-01
5082017-01-01
5082016-01-01
5082015-01-01KIMBERLY JENNINGS
5082014-01-01PAULETTE DAVIDSON
5082013-01-01TADD PULLIN
5082012-01-01TADD PULLIN
5082011-01-01NAT PONTICELLO
5082010-01-01NAT PONTICELLO
5082009-01-01NAT PONTICELLO

Plan Statistics for NEBRASKA MEDICINE GROUP VISION PLAN

401k plan membership statisitcs for NEBRASKA MEDICINE GROUP VISION PLAN

Measure Date Value
2018: NEBRASKA MEDICINE GROUP VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-014,482
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of employers contributing to the scheme2018-01-010
2017: NEBRASKA MEDICINE GROUP VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013,886
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of employers contributing to the scheme2017-01-010
2016: NEBRASKA MEDICINE GROUP VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,871
Total number of active participants reported on line 7a of the Form 55002016-01-013,848
Number of retired or separated participants receiving benefits2016-01-0138
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-013,886
2015: NEBRASKA MEDICINE GROUP VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,589
Total number of active participants reported on line 7a of the Form 55002015-01-013,852
Number of retired or separated participants receiving benefits2015-01-0119
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-013,871
2014: NEBRASKA MEDICINE GROUP VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,068
Total number of active participants reported on line 7a of the Form 55002014-01-013,060
Number of retired or separated participants receiving benefits2014-01-0127
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-013,087
2013: NEBRASKA MEDICINE GROUP VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,233
Total number of active participants reported on line 7a of the Form 55002013-01-013,106
Number of retired or separated participants receiving benefits2013-01-0127
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-013,133
2012: NEBRASKA MEDICINE GROUP VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,277
Total number of active participants reported on line 7a of the Form 55002012-01-013,227
Number of retired or separated participants receiving benefits2012-01-016
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-013,233
2011: NEBRASKA MEDICINE GROUP VISION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,391
Total number of active participants reported on line 7a of the Form 55002011-01-013,277
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-013,277
2010: NEBRASKA MEDICINE GROUP VISION PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-013,090
Total number of active participants reported on line 7a of the Form 55002010-01-013,391
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-013,391
2009: NEBRASKA MEDICINE GROUP VISION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,924
Total number of active participants reported on line 7a of the Form 55002009-01-013,090
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-013,090

Form 5500 Responses for NEBRASKA MEDICINE GROUP VISION PLAN

2018: NEBRASKA MEDICINE GROUP VISION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: NEBRASKA MEDICINE GROUP VISION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: NEBRASKA MEDICINE GROUP VISION 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 benefit arrangement – InsuranceYes
2015: NEBRASKA MEDICINE GROUP 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 – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: NEBRASKA MEDICINE GROUP VISION 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 benefit arrangement – InsuranceYes
2013: NEBRASKA MEDICINE GROUP VISION 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 benefit arrangement – InsuranceYes
2012: NEBRASKA MEDICINE GROUP VISION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: NEBRASKA MEDICINE GROUP VISION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: NEBRASKA MEDICINE GROUP VISION PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes
2009: NEBRASKA MEDICINE GROUP VISION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0200782
Policy instance 1
Insurance contract or identification number0200782
Number of Individuals Covered10919
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $69,261
Total amount of fees paid to insurance companyUSD $25,209
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $922,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $53,870
Amount paid for insurance broker fees16
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number9706698
Policy instance 1
Insurance contract or identification number9706698
Number of Individuals Covered9288
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
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
Welfare Benefit Premiums Paid to CarrierUSD $802,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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