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MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 401k Plan overview

Plan NameMONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN
Plan identification number 512

MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

MONONGAHELA VALLEY HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:MONONGAHELA VALLEY HOSPITAL, INC.
Employer identification number (EIN):237218917
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5122021-07-01
5122020-07-01
5122019-07-01
5122018-07-01
5122018-07-01
5122017-07-01
5122016-07-01LOUIS GOODMAN
5122015-07-01LOUIS GOODMAN
5122014-07-01LOUIS GOODMAN
5122013-07-01LOUIS GOODMAN
5122012-07-01LOUIS GOODMAN LOUIS GOODMAN2014-04-15
5122011-07-01DAVID E. CLARK DAVID E. CLARK2013-04-08
5122009-07-01DAVID E. CLARK DAVID E. CLARK2011-04-18

Plan Statistics for MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN

401k plan membership statisitcs for MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN

Measure Date Value
2021: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01532
Total number of active participants reported on line 7a of the Form 55002021-07-010
Total of all active and inactive participants2021-07-010
2020: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01545
Total number of active participants reported on line 7a of the Form 55002020-07-01529
Number of retired or separated participants receiving benefits2020-07-013
Total of all active and inactive participants2020-07-01532
Total participants2020-07-01532
2019: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01541
Total number of active participants reported on line 7a of the Form 55002019-07-01542
Number of retired or separated participants receiving benefits2019-07-013
Total of all active and inactive participants2019-07-01545
Total participants2019-07-01545
2018: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01482
Total number of active participants reported on line 7a of the Form 55002018-07-01539
Number of retired or separated participants receiving benefits2018-07-012
Total of all active and inactive participants2018-07-01541
Total participants2018-07-01541
2017: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01546
Total number of active participants reported on line 7a of the Form 55002017-07-01480
Number of retired or separated participants receiving benefits2017-07-012
Total of all active and inactive participants2017-07-01482
Total participants2017-07-01482
2016: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01521
Total number of active participants reported on line 7a of the Form 55002016-07-01544
Number of retired or separated participants receiving benefits2016-07-012
Total of all active and inactive participants2016-07-01546
Total participants2016-07-01546
2015: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01519
Total number of active participants reported on line 7a of the Form 55002015-07-01521
Number of retired or separated participants receiving benefits2015-07-010
Total of all active and inactive participants2015-07-01521
Total participants2015-07-01521
2014: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01562
Total number of active participants reported on line 7a of the Form 55002014-07-01519
Number of retired or separated participants receiving benefits2014-07-010
Total of all active and inactive participants2014-07-01519
Total participants2014-07-01519
2013: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01566
Total number of active participants reported on line 7a of the Form 55002013-07-01560
Number of retired or separated participants receiving benefits2013-07-012
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-01562
Total participants2013-07-01562
2012: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01517
Total number of active participants reported on line 7a of the Form 55002012-07-01565
Number of retired or separated participants receiving benefits2012-07-011
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01566
Total participants2012-07-01566
2011: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01536
Total number of active participants reported on line 7a of the Form 55002011-07-01516
Number of retired or separated participants receiving benefits2011-07-011
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01517
Total participants2011-07-01517
2009: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01503
Total number of active participants reported on line 7a of the Form 55002009-07-01504
Number of retired or separated participants receiving benefits2009-07-015
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01509
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-01509
Number of participants with account balances2009-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Form 5500 Responses for MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN

2021: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedYes
2021-07-01This submission is the final filingYes
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedYes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: MONONGAHELA VALLEY HOSPITAL GROUP VISION PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberMVH 001 -004
Policy instance 1
Insurance contract or identification numberMVH 001 -004
Number of Individuals Covered803
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $47,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberMVH001/002/003/
Policy instance 1
Insurance contract or identification numberMVH001/002/003/
Number of Individuals Covered532
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,886
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberMVH001/002
Policy instance 1
Insurance contract or identification numberMVH001/002
Number of Individuals Covered545
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,359
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberMVH001/002
Policy instance 1
Insurance contract or identification numberMVH001/002
Number of Individuals Covered541
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,432
DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract numberMVH001
Policy instance 1
Insurance contract or identification numberMVH001
Number of Individuals Covered482
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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