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EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 401k Plan overview

Plan NameEMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC.
Plan identification number 002

EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

MEDFORD VISITING NURSE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:MEDFORD VISITING NURSE ASSOCIATION
Employer identification number (EIN):042103817
NAIC Classification:621610
NAIC Description:Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022018-01-01JANIE GOULD2019-09-09 JANIE GOULD2019-09-09
0022017-01-01JANIE GOULD2018-06-21 JANIE GOULD2018-06-21
0022017-01-01JANIE GOULD2018-07-13 JANIE GOULD2018-07-13
0022016-01-01JANIE GOULD2017-06-26 JANIE GOULD2017-06-26
0022015-01-01JANIE GOULD2016-05-19 JANIE GOULD2016-05-19
0022014-01-01JANIE GOULD
0022013-01-01JANIE GOULD JANIE GOULD2014-06-02
0022012-01-01JANIE GOULD JANIE GOULD2013-06-03
0022011-01-01JANIE GOULD
0022010-01-01JANIE GOULD2013-06-04 JANIE GOULD2013-06-04
0022009-01-01MARIE KNASAS

Plan Statistics for EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC.

401k plan membership statisitcs for EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC.

Measure Date Value
2014: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2014 401k membership
Total participants, beginning-of-year2014-01-01117
Total number of active participants reported on line 7a of the Form 55002014-01-0165
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-0128
Total of all active and inactive participants2014-01-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-0195
Number of participants with account balances2014-01-0192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0110
2013: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2013 401k membership
Total participants, beginning-of-year2013-01-0190
Total number of active participants reported on line 7a of the Form 55002013-01-0170
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-0133
Total of all active and inactive participants2013-01-01104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01105
Number of participants with account balances2013-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0141
2012: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2012 401k membership
Total participants, beginning-of-year2012-01-0151
Total number of active participants reported on line 7a of the Form 55002012-01-0126
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-0141
Total of all active and inactive participants2012-01-0168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-0169
Number of participants with account balances2012-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0141
2011: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2011 401k membership
Total participants, beginning-of-year2011-01-0155
Total number of active participants reported on line 7a of the Form 55002011-01-0121
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0145
Total of all active and inactive participants2011-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0166
Number of participants with account balances2011-01-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2009 401k membership
Total participants, beginning-of-year2009-01-0165
Total number of active participants reported on line 7a of the Form 55002009-01-0128
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0135
Total of all active and inactive participants2009-01-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-013
Total participants2009-01-0166
Number of participants with account balances2009-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-014

Financial Data on EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC.

Measure Date Value
2014 : EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2014 401k financial data
Total income from all sources2014-12-31$187,010
Expenses. Total of all expenses incurred2014-12-31$60,145
Benefits paid (including direct rollovers)2014-12-31$56,214
Total plan assets at end of year2014-12-31$993,768
Total plan assets at beginning of year2014-12-31$866,903
Value of fidelity bond covering the plan2014-12-31$100,000
Expenses. Other expenses not covered elsewhere2014-12-31$3,931
Contributions received from other sources (not participants or employers)2014-12-31$3,226
Other income received2014-12-31$37,273
Net income (gross income less expenses)2014-12-31$126,865
Net plan assets at end of year (total assets less liabilities)2014-12-31$993,768
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$866,903
Total contributions received or receivable from employer(s)2014-12-31$146,511
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$185,346
Amount contributed by the employer to the plan for this plan year2014-12-31$185,346
2013 : EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2013 401k financial data
Transfers to/from the plan2013-12-31$10,263
Total income from all sources2013-12-31$139,802
Expenses. Total of all expenses incurred2013-12-31$108,507
Benefits paid (including direct rollovers)2013-12-31$105,388
Total plan assets at end of year2013-12-31$866,903
Total plan assets at beginning of year2013-12-31$825,345
Value of fidelity bond covering the plan2013-12-31$100,000
Expenses. Other expenses not covered elsewhere2013-12-31$3,119
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$97,855
Net income (gross income less expenses)2013-12-31$31,295
Net plan assets at end of year (total assets less liabilities)2013-12-31$866,903
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$825,345
Assets. Value of participant loans2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$41,947
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$41,947
Amount contributed by the employer to the plan for this plan year2013-12-31$41,947
2012 : EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$104,369
Expenses. Total of all expenses incurred2012-12-31$47,426
Benefits paid (including direct rollovers)2012-12-31$45,001
Total plan assets at end of year2012-12-31$825,345
Total plan assets at beginning of year2012-12-31$768,402
Value of fidelity bond covering the plan2012-12-31$100,000
Total contributions received or receivable from participants2012-12-31$0
Expenses. Other expenses not covered elsewhere2012-12-31$2,425
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$66,229
Net income (gross income less expenses)2012-12-31$56,943
Net plan assets at end of year (total assets less liabilities)2012-12-31$825,345
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$768,402
Assets. Value of participant loans2012-12-31$0
Total contributions received or receivable from employer(s)2012-12-31$38,140
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$38,140
Amount contributed by the employer to the plan for this plan year2012-12-31$38,140
2011 : EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$19,455
Expenses. Total of all expenses incurred2011-12-31$83,640
Benefits paid (including direct rollovers)2011-12-31$81,971
Total plan assets at end of year2011-12-31$768,402
Total plan assets at beginning of year2011-12-31$832,587
Value of fidelity bond covering the plan2011-12-31$100,000
Total contributions received or receivable from participants2011-12-31$0
Expenses. Other expenses not covered elsewhere2011-12-31$1,669
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-15,558
Net income (gross income less expenses)2011-12-31$-64,185
Net plan assets at end of year (total assets less liabilities)2011-12-31$768,402
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$832,587
Assets. Value of participant loans2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$35,013
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$35,013
Amount contributed by the employer to the plan for this plan year2011-12-31$35,013
2010 : EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$118,645
Expenses. Total of all expenses incurred2010-12-31$19,623
Benefits paid (including direct rollovers)2010-12-31$17,935
Total plan assets at end of year2010-12-31$832,587
Total plan assets at beginning of year2010-12-31$733,565
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$0
Expenses. Other expenses not covered elsewhere2010-12-31$1,688
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$76,956
Net income (gross income less expenses)2010-12-31$99,022
Net plan assets at end of year (total assets less liabilities)2010-12-31$832,587
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$733,565
Assets. Value of participant loans2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$41,689
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
2009 : EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$48,292
Amount contributed by the employer to the plan for this plan year2009-12-31$48,292

Form 5500 Responses for EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC.

2014: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 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 funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 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 funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 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 funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 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 funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: EMPLOYEE BENEFITS PLAN OF MEDFORD VISITING NURSING ASSOC. 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 funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-006335
Policy instance 1
Insurance contract or identification numberGA-006335
Number of Individuals Covered92
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,962
Total amount of fees paid to insurance companyUSD $0
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?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 $1,962
Insurance broker organization code?3
Insurance broker nameRICHARD C CELLA III
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-006335
Policy instance 1
Insurance contract or identification numberGA-006335
Number of Individuals Covered64
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,992
Total amount of fees paid to insurance companyUSD $0
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?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 $1,992
Insurance broker organization code?3
Insurance broker nameRICHARD CARMINE CELLA III
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-006335
Policy instance 1
Insurance contract or identification numberGA-006335
Number of Individuals Covered28
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,852
Total amount of fees paid to insurance companyUSD $0
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?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 $1,852
Insurance broker organization code?3
Insurance broker nameRICHARD CARMINE CELLA III
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-006335
Policy instance 1
Insurance contract or identification numberGA-006335
Number of Individuals Covered66
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,897
Total amount of fees paid to insurance companyUSD $0
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?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

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