401k Plan data: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN plan

ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 401k Plan overview

Plan Name	ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN
Plan identification number	503

ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ORTHOPEDIC ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name: ORTHOPEDIC ASSOCIATES

Employer identification number (EIN): 370909238

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2014-01-01
503 2013-01-01
503 2012-01-01 JANET E SMITH
503 2011-01-01 JANET E SMITH
503 2010-01-01 JANET E SMITH
503 2009-01-01 JANET E SMITH

Plan Statistics for ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN

401k plan membership statisitcs for ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN

Measure Date Value
2014: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 90
Total of all active and inactive participants 2014-01-01 90
2013: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 99
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 99
Total of all active and inactive participants 2013-01-01 99
2012: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 99
Total of all active and inactive participants 2012-01-01 99
2011: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 93
Total of all active and inactive participants 2011-01-01 93
2010: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 100
Total of all active and inactive participants 2010-01-01 100
2009: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 101
Total of all active and inactive participants 2009-01-01 101

Measure	Date	Value
2014: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	90
Total of all active and inactive participants	2014-01-01	90
2013: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	99
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	99
Total of all active and inactive participants	2013-01-01	99
2012: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	99
Total of all active and inactive participants	2012-01-01	99
2011: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	93
Total of all active and inactive participants	2011-01-01	93
2010: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	100
Total of all active and inactive participants	2010-01-01	100
2009: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	101
Total of all active and inactive participants	2009-01-01	101

Form 5500 Responses for ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN

2014: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: ORTHOPEDIC INSTITUTE OF ILLINOIS LIFE INSURANCE AND AD&D BENEFITS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	ORTHOPEDIC ASSOCIATES
Employer identification number (EIN):	370909238
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)