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LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 401k Plan overview

Plan NameLIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA
Plan identification number 531

LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

WEST FLORIDA MEDICAL CENTER CLINIC PA has sponsored the creation of one or more 401k plans.

Company Name:WEST FLORIDA MEDICAL CENTER CLINIC PA
Employer identification number (EIN):592193856
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5312018-01-01KRISTIE TITZE
5312018-01-01
5312017-01-01KRISTIE TITZE
5312016-05-31KRISTIE TITZE
5312016-05-31KRISTIE TITZE
5312015-05-31KRISTIE TITZE KRISTIE TITZE2016-11-21
5312014-05-31LAURA SAULS LAURA SAULS2015-11-19
5312013-05-31LAURA SAULS LAURA SAULS2014-11-04
5312012-05-31JOSHUA MCCLELLAND
5312011-05-31JOSHUA MCCLELLAND
5312009-05-31JOSHUA MCCLELLAND
5312008-05-31TEENA HENDRICKS

Plan Statistics for LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA

401k plan membership statisitcs for LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA

Measure Date Value
2018: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2018 401k membership
Total participants, beginning-of-year2018-01-01373
Total number of active participants reported on line 7a of the Form 55002018-01-01374
Total of all active and inactive participants2018-01-01374
Total participants2018-01-01374
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
2017: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2017 401k membership
Total participants, beginning-of-year2017-01-010
Total number of active participants reported on line 7a of the Form 55002017-01-01373
Total of all active and inactive participants2017-01-01373
Total participants2017-01-01373
2016: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2016 401k membership
Total participants, beginning-of-year2016-05-31151
Total number of active participants reported on line 7a of the Form 55002016-05-31138
Total of all active and inactive participants2016-05-31138
Total participants2016-05-31138
2015: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2015 401k membership
Total participants, beginning-of-year2015-05-31159
Total number of active participants reported on line 7a of the Form 55002015-05-31151
Total of all active and inactive participants2015-05-31151
Total participants2015-05-31151
2014: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2014 401k membership
Total participants, beginning-of-year2014-05-31171
Total number of active participants reported on line 7a of the Form 55002014-05-31159
Total of all active and inactive participants2014-05-31159
Total participants2014-05-31159
2013: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2013 401k membership
Total participants, beginning-of-year2013-05-31191
Total number of active participants reported on line 7a of the Form 55002013-05-31171
Total of all active and inactive participants2013-05-31171
Total participants2013-05-31171
2012: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2012 401k membership
Total participants, beginning-of-year2012-05-31177
Total number of active participants reported on line 7a of the Form 55002012-05-31191
Total of all active and inactive participants2012-05-31191
Total participants2012-05-31191
2011: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2011 401k membership
Total participants, beginning-of-year2011-05-31173
Total number of active participants reported on line 7a of the Form 55002011-05-31177
Total of all active and inactive participants2011-05-31177
Total participants2011-05-31177
2009: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2009 401k membership
Total participants, beginning-of-year2009-05-31180
Total number of active participants reported on line 7a of the Form 55002009-05-31180
Total of all active and inactive participants2009-05-31180
Total participants2009-05-31180
2008: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2008 401k membership
Total participants, beginning-of-year2008-05-31192
Total number of active participants reported on line 7a of the Form 55002008-05-31180
Total of all active and inactive participants2008-05-31180
Total participants2008-05-31180

Form 5500 Responses for LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA

2018: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
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
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2016 form 5500 responses
2016-05-31Type of plan entitySingle employer plan
2016-05-31Submission has been amendedNo
2016-05-31This submission is the final filingNo
2016-05-31This return/report is a short plan year return/report (less than 12 months)Yes
2016-05-31Plan is a collectively bargained planNo
2016-05-31Plan funding arrangement – InsuranceYes
2016-05-31Plan benefit arrangement – InsuranceYes
2015: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2015 form 5500 responses
2015-05-31Type of plan entitySingle employer plan
2015-05-31Submission has been amendedNo
2015-05-31This submission is the final filingNo
2015-05-31This return/report is a short plan year return/report (less than 12 months)No
2015-05-31Plan is a collectively bargained planNo
2015-05-31Plan funding arrangement – InsuranceYes
2015-05-31Plan benefit arrangement – InsuranceYes
2014: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2014 form 5500 responses
2014-05-31Type of plan entitySingle employer plan
2014-05-31Submission has been amendedNo
2014-05-31This submission is the final filingNo
2014-05-31This return/report is a short plan year return/report (less than 12 months)No
2014-05-31Plan is a collectively bargained planNo
2014-05-31Plan funding arrangement – InsuranceYes
2014-05-31Plan benefit arrangement – InsuranceYes
2013: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2013 form 5500 responses
2013-05-31Type of plan entitySingle employer plan
2013-05-31Submission has been amendedNo
2013-05-31This submission is the final filingNo
2013-05-31This return/report is a short plan year return/report (less than 12 months)No
2013-05-31Plan is a collectively bargained planNo
2013-05-31Plan funding arrangement – InsuranceYes
2013-05-31Plan benefit arrangement – InsuranceYes
2012: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2012 form 5500 responses
2012-05-31Type of plan entitySingle employer plan
2012-05-31Submission has been amendedNo
2012-05-31This submission is the final filingNo
2012-05-31This return/report is a short plan year return/report (less than 12 months)No
2012-05-31Plan is a collectively bargained planNo
2012-05-31Plan funding arrangement – InsuranceYes
2012-05-31Plan benefit arrangement – InsuranceYes
2011: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2011 form 5500 responses
2011-05-31Type of plan entitySingle employer plan
2011-05-31Submission has been amendedNo
2011-05-31This submission is the final filingNo
2011-05-31This return/report is a short plan year return/report (less than 12 months)No
2011-05-31Plan is a collectively bargained planNo
2011-05-31Plan funding arrangement – InsuranceYes
2011-05-31Plan benefit arrangement – InsuranceYes
2009: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2009 form 5500 responses
2009-05-31Type of plan entitySingle employer plan
2009-05-31Submission has been amendedNo
2009-05-31This submission is the final filingNo
2009-05-31This return/report is a short plan year return/report (less than 12 months)No
2009-05-31Plan is a collectively bargained planNo
2009-05-31Plan funding arrangement – InsuranceYes
2009-05-31Plan benefit arrangement – InsuranceYes
2008: LIFE INSURANCE PLAN OF MEDICAL CENTER CLINIC PA 2008 form 5500 responses
2008-05-31Type of plan entitySingle employer plan
2008-05-31Submission has been amendedNo
2008-05-31This submission is the final filingNo
2008-05-31This return/report is a short plan year return/report (less than 12 months)No
2008-05-31Plan is a collectively bargained planNo
2008-05-31Plan funding arrangement – InsuranceYes
2008-05-31Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05941982
Policy instance 1
Insurance contract or identification numberTM05941982
Number of Individuals Covered1201
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $38,746
Total amount of fees paid to insurance companyUSD $3,231
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $83,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,443
Amount paid for insurance broker fees583
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTM05941982
Policy instance 1
Insurance contract or identification numberTM05941982
Number of Individuals Covered1190
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $43,808
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $75,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,283
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameBARNES INS & FINANCIAL SERVICES
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number218268
Policy instance 1
Insurance contract or identification number218268
Number of Individuals Covered151
Insurance policy start date2015-05-31
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $11,348
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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 $56,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,348
Insurance broker organization code?3
Insurance broker nameNATIONAL BENEFITS PARTNER INSURANCE
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number218268
Policy instance 1
Insurance contract or identification number218268
Number of Individuals Covered159
Insurance policy start date2014-05-31
Insurance policy end date2015-05-30
Total amount of commissions paid to insurance brokerUSD $12,626
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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 $63,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,626
Insurance broker organization code?3
Insurance broker nameNATIONAL BENEFITS PARTNER INSURANCE
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number218268
Policy instance 1
Insurance contract or identification number218268
Number of Individuals Covered171
Insurance policy start date2013-05-31
Insurance policy end date2014-05-30
Total amount of commissions paid to insurance brokerUSD $13,702
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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 $68,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,702
Insurance broker organization code?3
Insurance broker nameNATIONAL BENEFITS PARTNER INSURANCE
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number218268
Policy instance 1
Insurance contract or identification number218268
Number of Individuals Covered191
Insurance policy start date2012-05-31
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $13,322
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,322
Insurance broker organization code?3
Insurance broker nameNATIONAL BENEFITS PARTNER INSURANCE
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number218268
Policy instance 1
Insurance contract or identification number218268
Number of Individuals Covered177
Insurance policy start date2012-05-31
Insurance policy end date2012-05-30
Total amount of commissions paid to insurance brokerUSD $12,053
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,366
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number218268
Policy instance 1
Insurance contract or identification number218268
Number of Individuals Covered173
Insurance policy start date2010-05-31
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $12,165
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $60,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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