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HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 401k Plan overview

Plan NameHARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC.
Plan identification number 002

HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

EYE CENTER OF COLUMBUS, LLC has sponsored the creation of one or more 401k plans.

Company Name:EYE CENTER OF COLUMBUS, LLC
Employer identification number (EIN):010702725
NAIC Classification:621320
NAIC Description:Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-01-01TERRANCE P. POWER2023-03-24
0022020-01-01TERRANCE P. POWER2021-07-30
0022019-01-01LEE D. VOGT2020-10-07

Plan Statistics for HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC.

401k plan membership statisitcs for HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC.

Measure Date Value
2021: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 2021 401k membership
Total participants, beginning-of-year2021-01-0191
Total number of active participants reported on line 7a of the Form 55002021-01-0180
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0115
Total of all active and inactive participants2021-01-0195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0195
Number of participants with account balances2021-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 2020 401k membership
Total participants, beginning-of-year2020-01-0185
Total number of active participants reported on line 7a of the Form 55002020-01-0179
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0112
Total of all active and inactive participants2020-01-0191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0191
Number of participants with account balances2020-01-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 2019 401k membership
Total participants, beginning-of-year2019-01-0169
Total number of active participants reported on line 7a of the Form 55002019-01-0183
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0185
Number of participants with account balances2019-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010

Financial Data on HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC.

Measure Date Value
2021 : HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 2021 401k financial data
Total income from all sources2021-12-31$881,075
Expenses. Total of all expenses incurred2021-12-31$250,250
Benefits paid (including direct rollovers)2021-12-31$221,644
Total plan assets at end of year2021-12-31$4,666,440
Total plan assets at beginning of year2021-12-31$4,035,615
Value of fidelity bond covering the plan2021-12-31$10,000
Total contributions received or receivable from participants2021-12-31$222,904
Expenses. Other expenses not covered elsewhere2021-12-31$21
Contributions received from other sources (not participants or employers)2021-12-31$18,767
Other income received2021-12-31$538,220
Net income (gross income less expenses)2021-12-31$630,825
Net plan assets at end of year (total assets less liabilities)2021-12-31$4,666,440
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$4,035,615
Assets. Value of participant loans2021-12-31$12,061
Total contributions received or receivable from employer(s)2021-12-31$101,184
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$28,585
2020 : HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 2020 401k financial data
Total income from all sources2020-12-31$900,605
Expenses. Total of all expenses incurred2020-12-31$564,735
Benefits paid (including direct rollovers)2020-12-31$539,838
Total plan assets at end of year2020-12-31$4,035,615
Total plan assets at beginning of year2020-12-31$3,699,745
Total contributions received or receivable from participants2020-12-31$219,774
Contributions received from other sources (not participants or employers)2020-12-31$109
Other income received2020-12-31$581,757
Net income (gross income less expenses)2020-12-31$335,870
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,035,615
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,699,745
Assets. Value of participant loans2020-12-31$16,314
Total contributions received or receivable from employer(s)2020-12-31$98,965
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$24,897
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 2019 401k financial data
Total income from all sources2019-12-31$3,884,531
Expenses. Total of all expenses incurred2019-12-31$184,786
Benefits paid (including direct rollovers)2019-12-31$166,226
Total plan assets at end of year2019-12-31$3,699,745
Total plan assets at beginning of year2019-12-31$0
Total contributions received or receivable from participants2019-12-31$178,899
Contributions received from other sources (not participants or employers)2019-12-31$3,281,077
Other income received2019-12-31$343,108
Net income (gross income less expenses)2019-12-31$3,699,745
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,699,745
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
Assets. Value of participant loans2019-12-31$27,428
Total contributions received or receivable from employer(s)2019-12-31$81,447
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$18,560
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0

Form 5500 Responses for HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC.

2021: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HARTFORD AFFILIATED EMPLOYERS RETIREMENT SAVINGS PLAN FBO EYE CENTER OF COLUMBUS, LLC. 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number843938
Policy instance 1
Insurance contract or identification number843938
Number of Individuals Covered73
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,093
Are there contracts with allocated funds for individual policies?0
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2093
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?5
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number843938
Policy instance 1
Insurance contract or identification number843938
Number of Individuals Covered62
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?5
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number843938
Policy instance 1
Insurance contract or identification number843938
Number of Individuals Covered66
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $8,562
Are there contracts with allocated funds for individual policies?0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees8562
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?5

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