401k Plan data: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN plan

FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 401k Plan overview

Plan Name	FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN
Plan identification number	506

FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

FULTON COUNTY HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name: FULTON COUNTY HEALTH CENTER

Employer identification number (EIN): 344428214

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about FULTON COUNTY HEALTH CENTER

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division

Incorporation Date: 1927-10-26

Company Identification Number: 128377

Legal Registered Office Address: 725 SOUTH SHOOP AVENUE
-
WAUSEON
United States of America (USA)
43567

More information about FULTON COUNTY HEALTH CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2014-03-01 PATRICIA FINN
506 2013-03-01
506 2012-03-01 PATRICIA A. FINN PATRICIA A. FINN 2013-07-02
506 2011-03-01 E DEAN BECK E DEAN BECK 2012-05-30
506 2010-03-01 E DEAN BECK E DEAN BECK 2011-06-07
506 2009-03-01 E DEAN BECK E DEAN BECK 2010-07-13

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
506	2014-03-01	PATRICIA FINN
506	2013-03-01
506	2012-03-01	PATRICIA A. FINN	PATRICIA A. FINN	2013-07-02
506	2011-03-01	E DEAN BECK	E DEAN BECK	2012-05-30
506	2010-03-01	E DEAN BECK	E DEAN BECK	2011-06-07
506	2009-03-01	E DEAN BECK	E DEAN BECK	2010-07-13

Plan Statistics for FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN

401k plan membership statisitcs for FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN

Measure Date Value
2014: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-03-01 409
Total number of active participants reported on line 7a of the Form 5500 2014-03-01 0
Number of retired or separated participants receiving benefits 2014-03-01 0
Number of other retired or separated participants entitled to future benefits 2014-03-01 0
Total of all active and inactive participants 2014-03-01 0
2013: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-03-01 415
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 405
Number of retired or separated participants receiving benefits 2013-03-01 4
Number of other retired or separated participants entitled to future benefits 2013-03-01 8
Total of all active and inactive participants 2013-03-01 417
2012: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-03-01 397
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 397
Number of retired or separated participants receiving benefits 2012-03-01 9
Number of other retired or separated participants entitled to future benefits 2012-03-01 9
Total of all active and inactive participants 2012-03-01 415
2011: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-03-01 421
Total number of active participants reported on line 7a of the Form 5500 2011-03-01 381
Number of retired or separated participants receiving benefits 2011-03-01 10
Number of other retired or separated participants entitled to future benefits 2011-03-01 6
Total of all active and inactive participants 2011-03-01 397
2010: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-03-01 400
Total number of active participants reported on line 7a of the Form 5500 2010-03-01 397
Number of retired or separated participants receiving benefits 2010-03-01 9
Number of other retired or separated participants entitled to future benefits 2010-03-01 15
Total of all active and inactive participants 2010-03-01 421
2009: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-03-01 381
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 380
Number of retired or separated participants receiving benefits 2009-03-01 9
Number of other retired or separated participants entitled to future benefits 2009-03-01 11
Total of all active and inactive participants 2009-03-01 400

Measure	Date	Value
2014: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-03-01	409
Total number of active participants reported on line 7a of the Form 5500	2014-03-01	0
Number of retired or separated participants receiving benefits	2014-03-01	0
Number of other retired or separated participants entitled to future benefits	2014-03-01	0
Total of all active and inactive participants	2014-03-01	0
2013: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-03-01	415
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	405
Number of retired or separated participants receiving benefits	2013-03-01	4
Number of other retired or separated participants entitled to future benefits	2013-03-01	8
Total of all active and inactive participants	2013-03-01	417
2012: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-03-01	397
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	397
Number of retired or separated participants receiving benefits	2012-03-01	9
Number of other retired or separated participants entitled to future benefits	2012-03-01	9
Total of all active and inactive participants	2012-03-01	415
2011: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-03-01	421
Total number of active participants reported on line 7a of the Form 5500	2011-03-01	381
Number of retired or separated participants receiving benefits	2011-03-01	10
Number of other retired or separated participants entitled to future benefits	2011-03-01	6
Total of all active and inactive participants	2011-03-01	397
2010: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-03-01	400
Total number of active participants reported on line 7a of the Form 5500	2010-03-01	397
Number of retired or separated participants receiving benefits	2010-03-01	9
Number of other retired or separated participants entitled to future benefits	2010-03-01	15
Total of all active and inactive participants	2010-03-01	421
2009: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-03-01	381
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	380
Number of retired or separated participants receiving benefits	2009-03-01	9
Number of other retired or separated participants entitled to future benefits	2009-03-01	11
Total of all active and inactive participants	2009-03-01	400

Form 5500 Responses for FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN

2014: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2014 form 5500 responses
2014-03-01	Type of plan entity	Single employer plan
2014-03-01	Submission has been amended	No
2014-03-01	This submission is the final filing	Yes
2014-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-03-01	Plan is a collectively bargained plan	No
2014-03-01	Plan funding arrangement – Insurance	Yes
2014-03-01	Plan benefit arrangement – Insurance	Yes
2013: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Submission has been amended	No
2013-03-01	This submission is the final filing	No
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-03-01	Plan is a collectively bargained plan	No
2013-03-01	Plan funding arrangement – Insurance	Yes
2013-03-01	Plan benefit arrangement – Insurance	Yes
2012: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	Submission has been amended	No
2012-03-01	This submission is the final filing	No
2012-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-03-01	Plan is a collectively bargained plan	No
2012-03-01	Plan funding arrangement – Insurance	Yes
2012-03-01	Plan benefit arrangement – Insurance	Yes
2011: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2011 form 5500 responses
2011-03-01	Type of plan entity	Single employer plan
2011-03-01	Submission has been amended	No
2011-03-01	This submission is the final filing	No
2011-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-03-01	Plan is a collectively bargained plan	No
2011-03-01	Plan funding arrangement – Insurance	Yes
2011-03-01	Plan benefit arrangement – Insurance	Yes
2010: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2010 form 5500 responses
2010-03-01	Type of plan entity	Single employer plan
2010-03-01	Submission has been amended	No
2010-03-01	This submission is the final filing	No
2010-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-03-01	Plan is a collectively bargained plan	No
2010-03-01	Plan funding arrangement – Insurance	Yes
2010-03-01	Plan benefit arrangement – Insurance	Yes
2009: FULTON COUNTY HEALTH CENTER VISION BENEFIT PLAN 2009 form 5500 responses
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	Submission has been amended	No
2009-03-01	This submission is the final filing	No
2009-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-03-01	Plan is a collectively bargained plan	No
2009-03-01	Plan funding arrangement – Insurance	Yes
2009-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 )
Policy contract number	12256830
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 )
Policy contract number	12256830
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 )
Policy contract number	12256830
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 )
Policy contract number	12256830
Policy instance	1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 )
Policy contract number	12256830
Policy instance	1

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Company Name:	FULTON COUNTY HEALTH CENTER
Employer identification number (EIN):	344428214
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Ohio Secretary of State Business Services Division
Incorporation Date:	1927-10-26
Company Identification Number:	128377
Legal Registered Office Address:	725 SOUTH SHOOP AVENUE - WAUSEON United States of America (USA) 43567