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EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC
Plan identification number 501

EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

FIRST MEDICAL CARE INC has sponsored the creation of one or more 401k plans.

Company Name:FIRST MEDICAL CARE INC
Employer identification number (EIN):581716416
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-02-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC

Measure Date Value
2021: EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC 2021 401k membership
Total participants, beginning-of-year2021-02-0110
Total number of active participants reported on line 7a of the Form 55002021-02-0110
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-0110

Financial Data on EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC

Measure Date Value
2021 : EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC 2021 401k financial data
Total income from all sources2021-04-30$24,231
Expenses. Total of all expenses incurred2021-04-30$24,231
Benefits paid (including direct rollovers)2021-04-30$12,386
Value of fidelity bond covering the plan2021-04-30$15,000
Expenses. Other expenses not covered elsewhere2021-04-30$11,845
Net income (gross income less expenses)2021-04-30$0
Net plan assets at end of year (total assets less liabilities)2021-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$0
Total contributions received or receivable from employer(s)2021-04-30$24,231

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC

2021: EMPLOYEE HEALTH PLAN OF FIRST MEDICAL CARE INC 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01First time form 5500 has been submittedYes
2021-02-01Submission has been amendedNo
2021-02-01This submission is the final filingNo
2021-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-02-01Plan is a collectively bargained planNo
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan funding arrangement – TrustYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number75021NFA0831
Policy instance 1
Insurance contract or identification number75021NFA0831
Number of Individuals Covered19
Insurance policy start date2021-02-01
Insurance policy end date2021-04-30
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 BenefitYes
Dental Insurance Welfare BenefitYes
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 $10,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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