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COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 401k Plan overview

Plan NameCOMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN
Plan identification number 501

COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

COMMUNITY CARE OF CENTRAL WISCONSIN has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY CARE OF CENTRAL WISCONSIN
Employer identification number (EIN):262237915
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-01-01
5012014-07-01JASON TAYLOR
5012014-01-01DAVID WOLFE
5012013-07-01JASON TAYLOR
5012012-07-01JASON TAYLOR
5012011-07-01JASON TAYLOR
5012010-07-01JASON TAYLOR
5012009-07-01JASON TAYLOR

Plan Statistics for COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN

401k plan membership statisitcs for COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN

Measure Date Value
2015: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01147
Total number of active participants reported on line 7a of the Form 55002015-01-01154
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01154
2014: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01358
Total number of active participants reported on line 7a of the Form 55002014-07-01372
Number of retired or separated participants receiving benefits2014-07-013
Total of all active and inactive participants2014-07-01375
Total participants, beginning-of-year2014-01-01143
Total number of active participants reported on line 7a of the Form 55002014-01-01148
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01148
2013: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01222
Total number of active participants reported on line 7a of the Form 55002013-07-01360
Number of retired or separated participants receiving benefits2013-07-011
Total of all active and inactive participants2013-07-01361
2012: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01213
Total number of active participants reported on line 7a of the Form 55002012-07-01218
Number of retired or separated participants receiving benefits2012-07-012
Total of all active and inactive participants2012-07-01220
2011: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01187
Total number of active participants reported on line 7a of the Form 55002011-07-01205
Number of retired or separated participants receiving benefits2011-07-013
Total of all active and inactive participants2011-07-01208
2010: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01189
Total number of active participants reported on line 7a of the Form 55002010-07-01187
Number of retired or separated participants receiving benefits2010-07-011
Number of other retired or separated participants entitled to future benefits2010-07-010
Total of all active and inactive participants2010-07-01188
2009: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01162
Total number of active participants reported on line 7a of the Form 55002009-07-01170
Number of retired or separated participants receiving benefits2009-07-014
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01174
Total participants2009-07-010

Form 5500 Responses for COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN

2015: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH 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 – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
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 – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: COMMUNITY CARE OF CENTRAL WISCONSIN HEALTH PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01First time form 5500 has been submittedYes
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SECURITY HEALTH PLAN OF WISCONSIN, INC. (National Association of Insurance Commissioners NAIC id number: 96881 )
Policy contract number3649252,0,42,40
Policy instance 1
Insurance contract or identification number3649252,0,42,40
Number of Individuals Covered1042
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $49,214
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $49,214
Insurance broker organization code?3
Insurance broker nameM3 INSURANCE SOLUTIONS INC
SECURITY HEALTH PLAN OF WISCONSIN, INC. (National Association of Insurance Commissioners NAIC id number: 96881 )
Policy contract number3649252,0,42,40
Policy instance 1
Insurance contract or identification number3649252,0,42,40
Number of Individuals Covered560
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $32,996
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,996
Insurance broker organization code?3
Insurance broker nameM3 INSURANCE SOLUTIONS INC
SECURITY HEALTH PLAN OF WISCONSIN, INC. (National Association of Insurance Commissioners NAIC id number: 96881 )
Policy contract number3649252,0,42,40
Policy instance 1
Insurance contract or identification number3649252,0,42,40
Number of Individuals Covered591
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $29,460
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,460
Insurance broker organization code?3
Insurance broker nameM3 INSURANCE SOLUTIONS INC
SECURITY HEALTH PLAN OF WISCONSIN, INC. (National Association of Insurance Commissioners NAIC id number: 96881 )
Policy contract number501714,15,81,82
Policy instance 1
Insurance contract or identification number501714,15,81,82
Number of Individuals Covered588
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $26,689
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY HEALTH PLAN OF WISCONSIN, INC. (National Association of Insurance Commissioners NAIC id number: 96881 )
Policy contract number501714, 15, 82
Policy instance 1
Insurance contract or identification number501714, 15, 82
Number of Individuals Covered499
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $25,716
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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