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EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan NameEYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number 501

EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

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

401k Sponsoring company profile

EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. has sponsored the creation of one or more 401k plans.

Company Name:EYE SURGERY ASSOCIATES OF ZANESVILLE, INC.
Employer identification number (EIN):341598609
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01CARL A MINNING JR. MD
5012017-01-01CARL A MINNING JR. MD
5012016-01-01CARL A MINNING JR. MD
5012015-01-01CARL A MINNING JR. MD

Plan Statistics for EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2022: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0115
Total number of active participants reported on line 7a of the Form 55002022-01-0114
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0114
2021: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0117
Total number of active participants reported on line 7a of the Form 55002021-01-0114
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0115
2020: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0120
Total number of active participants reported on line 7a of the Form 55002020-01-0117
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0118
2019: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0118
Total number of active participants reported on line 7a of the Form 55002019-01-0119
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0119
2018: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0118
Total number of active participants reported on line 7a of the Form 55002018-01-0118
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0118
2017: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0117
Total number of active participants reported on line 7a of the Form 55002017-01-0119
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0119
2016: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0119
Total number of active participants reported on line 7a of the Form 55002016-01-0117
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0117
2015: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0119
Total number of active participants reported on line 7a of the Form 55002015-01-0119
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 participants2015-01-0119

Financial Data on EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2022 : EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$501
Total plan liabilities at beginning of year2022-12-31$110
Total income from all sources2022-12-31$106,971
Expenses. Total of all expenses incurred2022-12-31$112,900
Benefits paid (including direct rollovers)2022-12-31$97,840
Total plan assets at end of year2022-12-31$133,824
Total plan assets at beginning of year2022-12-31$139,362
Value of fidelity bond covering the plan2022-12-31$50,000
Total contributions received or receivable from participants2022-12-31$42,507
Other income received2022-12-31$2,228
Net income (gross income less expenses)2022-12-31$-5,929
Net plan assets at end of year (total assets less liabilities)2022-12-31$133,323
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$139,252
Total contributions received or receivable from employer(s)2022-12-31$62,236
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$15,060
2021 : EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$110
Total plan liabilities at beginning of year2021-12-31$108
Total income from all sources2021-12-31$138,662
Expenses. Total of all expenses incurred2021-12-31$105,815
Benefits paid (including direct rollovers)2021-12-31$89,742
Total plan assets at end of year2021-12-31$139,362
Total plan assets at beginning of year2021-12-31$106,513
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$59,487
Other income received2021-12-31$55
Net income (gross income less expenses)2021-12-31$32,847
Net plan assets at end of year (total assets less liabilities)2021-12-31$139,252
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$106,405
Total contributions received or receivable from employer(s)2021-12-31$79,120
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$16,073
2020 : EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$108
Total plan liabilities at beginning of year2020-12-31$383
Total income from all sources2020-12-31$153,019
Expenses. Total of all expenses incurred2020-12-31$138,758
Benefits paid (including direct rollovers)2020-12-31$120,348
Total plan assets at end of year2020-12-31$106,513
Total plan assets at beginning of year2020-12-31$92,527
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$56,672
Other income received2020-12-31$468
Net income (gross income less expenses)2020-12-31$14,261
Net plan assets at end of year (total assets less liabilities)2020-12-31$106,405
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$92,144
Total contributions received or receivable from employer(s)2020-12-31$95,879
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$18,410
2019 : EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$383
Total plan liabilities at beginning of year2019-12-31$2,267
Total income from all sources2019-12-31$136,327
Expenses. Total of all expenses incurred2019-12-31$114,748
Benefits paid (including direct rollovers)2019-12-31$99,376
Total plan assets at end of year2019-12-31$92,527
Total plan assets at beginning of year2019-12-31$72,832
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$43,209
Other income received2019-12-31$1,813
Net income (gross income less expenses)2019-12-31$21,579
Net plan assets at end of year (total assets less liabilities)2019-12-31$92,144
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$70,565
Total contributions received or receivable from employer(s)2019-12-31$91,305
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$15,372
2018 : EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$2,267
Total plan liabilities at beginning of year2018-12-31$229
Total income from all sources2018-12-31$163,284
Expenses. Total of all expenses incurred2018-12-31$140,792
Benefits paid (including direct rollovers)2018-12-31$125,552
Total plan assets at end of year2018-12-31$72,832
Total plan assets at beginning of year2018-12-31$48,302
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$42,723
Other income received2018-12-31$916
Net income (gross income less expenses)2018-12-31$22,492
Net plan assets at end of year (total assets less liabilities)2018-12-31$70,565
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$48,073
Total contributions received or receivable from employer(s)2018-12-31$119,645
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$15,240
2017 : EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$229
Total plan liabilities at beginning of year2017-12-31$127
Total income from all sources2017-12-31$110,356
Expenses. Total of all expenses incurred2017-12-31$105,482
Benefits paid (including direct rollovers)2017-12-31$91,436
Total plan assets at end of year2017-12-31$48,302
Total plan assets at beginning of year2017-12-31$43,326
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$38,454
Other income received2017-12-31$420
Net income (gross income less expenses)2017-12-31$4,874
Net plan assets at end of year (total assets less liabilities)2017-12-31$48,073
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$43,199
Total contributions received or receivable from employer(s)2017-12-31$71,482
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$14,046
2016 : EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$127
Total plan liabilities at beginning of year2016-12-31$3,236
Total income from all sources2016-12-31$94,205
Expenses. Total of all expenses incurred2016-12-31$78,155
Benefits paid (including direct rollovers)2016-12-31$64,737
Total plan assets at end of year2016-12-31$43,326
Total plan assets at beginning of year2016-12-31$30,385
Total contributions received or receivable from participants2016-12-31$47,799
Other income received2016-12-31$80
Net income (gross income less expenses)2016-12-31$16,050
Net plan assets at end of year (total assets less liabilities)2016-12-31$43,199
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$27,149
Total contributions received or receivable from employer(s)2016-12-31$46,326
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$13,418
2015 : EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$3,236
Total income from all sources2015-12-31$111,072
Expenses. Total of all expenses incurred2015-12-31$83,923
Benefits paid (including direct rollovers)2015-12-31$70,788
Total plan assets at end of year2015-12-31$30,385
Total plan assets at beginning of year2015-12-31$0
Total contributions received or receivable from participants2015-12-31$29,458
Other income received2015-12-31$14
Net income (gross income less expenses)2015-12-31$27,149
Net plan assets at end of year (total assets less liabilities)2015-12-31$27,149
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$81,600
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$13,135

Form 5500 Responses for EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2022: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: EYE SURGERY ASSOCIATES OF ZANESVILLE, INC. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes

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