401k Plan data: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN plan

GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 401k Plan overview

Plan Name	GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN
Plan identification number	512

GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

GRANT REGIONAL HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name: GRANT REGIONAL HEALTH CENTER

Employer identification number (EIN): 396005501

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
512 2020-01-01
512 2019-01-01
512 2018-01-01 STACY MARTIN 2019-07-28
512 2017-01-01
512 2016-01-01
512 2015-01-01
512 2014-01-01

Plan Statistics for GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN

401k plan membership statisitcs for GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN

Measure Date Value
2020: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 191
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 112
Total of all active and inactive participants 2020-01-01 112
Total participants 2020-01-01 112
2019: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 191
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 191
Total of all active and inactive participants 2019-01-01 191
Total participants 2019-01-01 191
2018: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 93
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 95
Total of all active and inactive participants 2018-01-01 95
Total participants 2018-01-01 95
2017: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 97
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 93
Total of all active and inactive participants 2017-01-01 93
Total participants 2017-01-01 93
2016: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 97
Total of all active and inactive participants 2016-01-01 97
Total participants 2016-01-01 97
2015: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 105
Total of all active and inactive participants 2015-01-01 105
Total participants 2015-01-01 105
2014: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 64
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 111
Total of all active and inactive participants 2014-01-01 111
Total participants 2014-01-01 111

Measure	Date	Value
2020: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	112
Total of all active and inactive participants	2020-01-01	112
Total participants	2020-01-01	112
2019: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	191
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	191
Total of all active and inactive participants	2019-01-01	191
Total participants	2019-01-01	191
2018: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	93
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	95
Total of all active and inactive participants	2018-01-01	95
Total participants	2018-01-01	95
2017: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	97
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	93
Total of all active and inactive participants	2017-01-01	93
Total participants	2017-01-01	93
2016: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	97
Total of all active and inactive participants	2016-01-01	97
Total participants	2016-01-01	97
2015: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	105
Total of all active and inactive participants	2015-01-01	105
Total participants	2015-01-01	105
2014: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	64
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	111
Total of all active and inactive participants	2014-01-01	111
Total participants	2014-01-01	111

Form 5500 Responses for GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN

2020: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: GRANT REGIONAL HEALTH CENTER GROUP VISION PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010042095

Policy instance

Insurance contract or identification number	010042095
Number of Individuals Covered	246
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,375
Total amount of fees paid to insurance company	USD $191
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $29,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,375
Amount paid for insurance broker fees	191
Insurance broker organization code?	3

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

Policy instance

Number of Individuals Covered	191
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,168
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $27,105
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,168
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSION

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010-042095

Policy instance

Insurance contract or identification number	010-042095
Number of Individuals Covered	204
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $2,122
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $24,326
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,122
Insurance broker organization code?	3
Insurance broker name	LAMAIR MULOCK CONDON CO

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

54087

Policy instance

Insurance contract or identification number	54087
Number of Individuals Covered	253
Insurance policy start date	2015-01-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $1,259
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,259
Insurance broker organization code?	3
Insurance broker name	ISG ADVISORS LLC

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010-042095

Policy instance

Insurance contract or identification number	010-042095
Number of Individuals Covered	231
Insurance policy start date	2015-07-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,142
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $14,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,142
Insurance broker name	ISG ADVISORS LLC

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

54087

Policy instance

Insurance contract or identification number	54087
Number of Individuals Covered	271
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,536
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $31,732
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,536
Insurance broker organization code?	3
Insurance broker name	ISG ADVISORS LLC

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Company Name:	GRANT REGIONAL HEALTH CENTER
Employer identification number (EIN):	396005501
NAIC Classification:	622000
NAIC Description:	Hospitals