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JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 401k Plan overview

Plan NameJEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN
Plan identification number 512

JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

JEFFERSON CITY MEDICAL GROUP, P.C. has sponsored the creation of one or more 401k plans.

Company Name:JEFFERSON CITY MEDICAL GROUP, P.C.
Employer identification number (EIN):430954586
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5122023-01-01KERI WRIGHT2024-10-08
5122022-01-01KERI WRIGHT2023-07-28
5122021-01-01KERI WRIGHT2022-09-09
5122020-01-01KERI WRIGHT2021-10-15
5122019-01-01

Plan Statistics for JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN

401k plan membership statisitcs for JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN

Measure Date Value
2023: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01116
Total number of active participants reported on line 7a of the Form 55002023-01-01104
Number of retired or separated participants receiving benefits2023-01-012
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01106
Number of employers contributing to the scheme2023-01-010
2022: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01104
Total number of active participants reported on line 7a of the Form 55002022-01-01114
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01116
Number of employers contributing to the scheme2022-01-010
2021: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01222
Total number of active participants reported on line 7a of the Form 55002021-01-01104
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01104
Number of employers contributing to the scheme2021-01-010
2020: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01215
Total number of active participants reported on line 7a of the Form 55002020-01-01222
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01222
Number of employers contributing to the scheme2020-01-010
2019: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01279
Total number of active participants reported on line 7a of the Form 55002019-01-01265
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 participants2019-01-01265

Form 5500 Responses for JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN

2023: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: JEFFERSON CITY MEDICAL GROUP VOLUNTARY ACCIDENT, CRITICAL ILLNESS & HOSPITAL INDEMNITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number71737-1
Policy instance 1
Insurance contract or identification number71737-1
Number of Individuals Covered216
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $19,215
Total amount of fees paid to insurance companyUSD $1,488
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $96,076
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number71737-1
Policy instance 1
Insurance contract or identification number71737-1
Number of Individuals Covered220
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $20,571
Total amount of fees paid to insurance companyUSD $3,283
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $102,857
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number71737-1
Policy instance 1
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number23219
Policy instance 1

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