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OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 401k Plan overview

Plan NameOHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST
Plan identification number 501

OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST Benefits

No plan benefit data available

401k Sponsoring company profile

OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST has sponsored the creation of one or more 401k plans.

Company Name:OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST
Employer identification number (EIN):376532551

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST

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
5012018-01-01
5012017-01-012018-10-15

Plan Statistics for OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST

401k plan membership statisitcs for OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST

Measure Date Value
2022: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2022 401k membership
Total of all active and inactive participants2022-01-010
2021: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2021 401k membership
Total of all active and inactive participants2021-01-010
2020: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2020 401k membership
Total of all active and inactive participants2020-01-010
2019: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2019 401k membership
Total of all active and inactive participants2019-01-010
2018: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2018 401k membership
Total of all active and inactive participants2018-01-010
2017: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-010
Total of all active and inactive participants2017-01-010

Financial Data on OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST

Measure Date Value
2022 : OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2022 401k financial data
Total transfer of assets to this plan2022-12-31$0
Total transfer of assets from this plan2022-12-31$1,440,746
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$579,269
Total income from all sources (including contributions)2022-12-31$28
Total of all expenses incurred2022-12-31$18,345
Value of total assets at end of year2022-12-31$0
Value of total assets at beginning of year2022-12-31$2,038,332
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$18,345
Total interest from all sources2022-12-31$28
Administrative expenses professional fees incurred2022-12-31$18,345
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Assets. Other investments not covered elsewhere at end of year2022-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$53,785
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$73,745
Administrative expenses (other) incurred2022-12-31$0
Liabilities. Value of operating payables at end of year2022-12-31$0
Liabilities. Value of operating payables at beginning of year2022-12-31$505,524
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$56,109
Value of net income/loss2022-12-31$-18,317
Value of net assets at end of year (total assets less liabilities)2022-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,459,063
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$32
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$32
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$28
Employer contributions (assets) at end of year2022-12-31$0
Employer contributions (assets) at beginning of year2022-12-31$1,928,406
Contract administrator fees2022-12-31$0
Did the plan have assets held for investment2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MALONEY & NOVOTNY LLC
Accountancy firm EIN2022-12-31340677006
2021 : OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2021 401k financial data
Total transfer of assets to this plan2021-12-31$12,124,238
Total transfer of assets from this plan2021-12-31$9,594,193
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$579,269
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$301,552
Total income from all sources (including contributions)2021-12-31$291
Total of all expenses incurred2021-12-31$2,088,812
Value of total assets at end of year2021-12-31$2,038,332
Value of total assets at beginning of year2021-12-31$1,319,091
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,088,812
Total interest from all sources2021-12-31$291
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$157,750
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Assets. Other investments not covered elsewhere at end of year2021-12-31$53,785
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$2
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$73,745
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$293,853
Administrative expenses (other) incurred2021-12-31$59,469
Liabilities. Value of operating payables at end of year2021-12-31$505,524
Liabilities. Value of operating payables at beginning of year2021-12-31$7,699
Total non interest bearing cash at end of year2021-12-31$56,109
Total non interest bearing cash at beginning of year2021-12-31$157,196
Value of net income/loss2021-12-31$-2,088,521
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,459,063
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,017,539
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$20,961
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$32
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,096,564
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,096,564
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$291
Employer contributions (assets) at end of year2021-12-31$1,928,406
Employer contributions (assets) at beginning of year2021-12-31$65,329
Contract administrator fees2021-12-31$1,850,632
Did the plan have assets held for investment2021-12-31Yes
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MALONEY & NOVOTNY LLC
Accountancy firm EIN2021-12-31340677006
2020 : OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2020 401k financial data
Total transfer of assets to this plan2020-12-31$12,425,278
Total transfer of assets from this plan2020-12-31$10,447,651
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$301,552
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$942,681
Total income from all sources (including contributions)2020-12-31$6,358
Total of all expenses incurred2020-12-31$2,158,360
Value of total assets at end of year2020-12-31$1,319,091
Value of total assets at beginning of year2020-12-31$2,134,595
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,158,360
Total interest from all sources2020-12-31$6,358
Administrative expenses professional fees incurred2020-12-31$45,700
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$2
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$263
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$293,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$911,015
Administrative expenses (other) incurred2020-12-31$36,693
Liabilities. Value of operating payables at end of year2020-12-31$7,699
Liabilities. Value of operating payables at beginning of year2020-12-31$31,666
Total non interest bearing cash at end of year2020-12-31$157,196
Total non interest bearing cash at beginning of year2020-12-31$221,635
Value of net income/loss2020-12-31$-2,152,002
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,017,539
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,191,914
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$11,641
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,096,564
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$1,789,010
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$1,789,010
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$6,358
Employer contributions (assets) at end of year2020-12-31$65,329
Employer contributions (assets) at beginning of year2020-12-31$123,687
Contract administrator fees2020-12-31$2,064,326
Did the plan have assets held for investment2020-12-31Yes
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MALONEY & NOVOTNY LLC
Accountancy firm EIN2020-12-31340677006
2019 : OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2019 401k financial data
Total transfer of assets to this plan2019-12-31$12,300,239
Total transfer of assets from this plan2019-12-31$9,643,479
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$942,681
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,350,288
Total income from all sources (including contributions)2019-12-31$39,313
Total of all expenses incurred2019-12-31$2,562,796
Value of total assets at end of year2019-12-31$2,134,595
Value of total assets at beginning of year2019-12-31$2,408,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,562,796
Total interest from all sources2019-12-31$39,313
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$63,315
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$263
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$397
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$911,015
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$1,335,593
Administrative expenses (other) incurred2019-12-31$36,367
Liabilities. Value of operating payables at end of year2019-12-31$31,666
Liabilities. Value of operating payables at beginning of year2019-12-31$14,695
Total non interest bearing cash at end of year2019-12-31$221,635
Total non interest bearing cash at beginning of year2019-12-31$2,090,822
Value of net income/loss2019-12-31$-2,523,483
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,191,914
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,058,637
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$14,591
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$1,789,010
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$241,772
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$241,772
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$39,313
Employer contributions (assets) at end of year2019-12-31$123,687
Employer contributions (assets) at beginning of year2019-12-31$75,934
Contract administrator fees2019-12-31$2,448,523
Did the plan have assets held for investment2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MALONEY & NOVOTNY LLC
Accountancy firm EIN2019-12-31340677006
2018 : OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets to this plan2018-12-31$10,947,313
Total transfer of assets from this plan2018-12-31$8,725,918
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,350,288
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,068,504
Total income from all sources (including contributions)2018-12-31$3,532
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,132,388
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$0
Value of total assets at end of year2018-12-31$2,408,925
Value of total assets at beginning of year2018-12-31$3,034,602
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,132,388
Total interest from all sources2018-12-31$3,532
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$49,229
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$397
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$30,020
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$1,335,593
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$2,068,504
Administrative expenses (other) incurred2018-12-31$1,100,761
Liabilities. Value of operating payables at end of year2018-12-31$14,695
Liabilities. Value of operating payables at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$2,090,822
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-2,128,856
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,058,637
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$966,098
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$13,151
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$241,772
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$3,004,582
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$3,004,582
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$3,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Employer contributions (assets) at end of year2018-12-31$75,934
Employer contributions (assets) at beginning of year2018-12-31$0
Contract administrator fees2018-12-31$969,247
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MALONEY & NOVOTNY LLC
Accountancy firm EIN2018-12-31340677006
2017 : OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$10,250,711
Total transfer of assets from this plan2017-12-31$8,209,393
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,068,504
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,349,963
Total income from all sources (including contributions)2017-12-31$1,256
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$2,024,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$0
Value of total assets at end of year2017-12-31$3,034,602
Value of total assets at beginning of year2017-12-31$2,298,318
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,024,831
Total interest from all sources2017-12-31$1,256
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$1,191,532
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$30,020
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$5,795
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$2,068,504
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,349,963
Administrative expenses (other) incurred2017-12-31$21,375
Value of net income/loss2017-12-31$-2,023,575
Value of net assets at end of year (total assets less liabilities)2017-12-31$966,098
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$948,355
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$3,004,582
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$2,292,523
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$2,292,523
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,256
Contract administrator fees2017-12-31$811,924
Did the plan have assets held for investment2017-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MALONEY & NOVOTNY LLC
Accountancy firm EIN2017-12-31340677006

Form 5500 Responses for OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST

2022: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2022 form 5500 responses
2022-01-01Type of plan entityDFE (Diect Filing Entity)
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2021: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2021 form 5500 responses
2021-01-01Type of plan entityDFE (Diect Filing Entity)
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2020: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2020 form 5500 responses
2020-01-01Type of plan entityDFE (Diect Filing Entity)
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2019: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2019 form 5500 responses
2019-01-01Type of plan entityDFE (Diect Filing Entity)
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2018: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2018 form 5500 responses
2018-01-01Type of plan entityDFE (Diect Filing Entity)
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2017: OHIO STATE MEDICAL ASSOCIATION HEALTH BENEFITS PLAN TRUST 2017 form 5500 responses
2017-01-01Type of plan entityDFE (Diect Filing Entity)
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0000
Policy instance 1
Insurance contract or identification number0000
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 BenefitNo
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0000
Policy instance 1
Insurance contract or identification number0000
Number of Individuals Covered1979
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,057,002
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 BenefitNo
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 $1,103,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,057,002
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0000
Policy instance 1
Insurance contract or identification number0000
Number of Individuals Covered2184
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,206,311
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 BenefitNo
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 $971,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,206,311
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0000
Policy instance 1
Insurance contract or identification number0000
Number of Individuals Covered2349
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,296,792
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 BenefitNo
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 $887,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,296,792
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0000
Policy instance 1
Insurance contract or identification number0000
Number of Individuals Covered2078
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,075,674
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 BenefitNo
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 $7,208,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,075,674
Insurance broker organization code?3
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0000
Policy instance 1
Insurance contract or identification number0000
Number of Individuals Covered924
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 BenefitNo
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 $7,455,095
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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