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FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 401k Plan overview

Plan NameFIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN
Plan identification number 501

FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

FIRST CHOICE BANK has sponsored the creation of one or more 401k plans.

Company Name:FIRST CHOICE BANK
Employer identification number (EIN):142008612
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-05-01PATRICIA OLSEN
5012014-05-01HOWARD N HALL
5012013-05-01DAVID LAUER
5012012-05-01DAVID LAUER
5012011-05-01DAVID LAUER

Plan Statistics for FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN

401k plan membership statisitcs for FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN

Measure Date Value
2015: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01636
Total number of active participants reported on line 7a of the Form 55002015-05-01304
Number of retired or separated participants receiving benefits2015-05-0110
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-01314
2014: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01280
Total number of active participants reported on line 7a of the Form 55002014-05-01629
Number of retired or separated participants receiving benefits2014-05-017
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-01636
2013: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01313
Total number of active participants reported on line 7a of the Form 55002013-05-01280
Total of all active and inactive participants2013-05-01280
2012: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01270
Total number of active participants reported on line 7a of the Form 55002012-05-01313
Total of all active and inactive participants2012-05-01313
2011: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-0147
Total number of active participants reported on line 7a of the Form 55002011-05-01270
Total of all active and inactive participants2011-05-01270

Form 5500 Responses for FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN

2015: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedYes
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: FIRST CHOICE BANK MEDICAL AND DENTAL INSURANCE PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01First time form 5500 has been submittedYes
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3337314
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0264556
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number467225
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0264556
Policy instance 3
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3337314
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number467225
Policy instance 2
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR026556
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00467225
Policy instance 2
IOA RE/US FIRE INSURANCE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number69463
Policy instance 1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3337314
Policy instance 4
IOA RE/US FIRE INSURANCE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number69463
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00467225
Policy instance 2
IOA RE/US FIRE INSURANCE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number69463
Policy instance 1
OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 78026 )
Policy contract numberFC1697
Policy instance 2
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00467225
Policy instance 3

Potentially related plans

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