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| Plan Name | DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COVENANT HEALTHCARE, LLC |
| Employer identification number (EIN): | 621661592 |
| NAIC Classification: | 621340 |
| NAIC Description: | Offices of Physical, Occupational and Speech Therapists, and Audiologists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2019-01-01 | ||||
| 506 | 2018-01-01 | ||||
| 506 | 2017-01-01 | ||||
| 506 | 2016-01-01 | TOMMY DAVIDSON | 2020-08-13 | ||
| 506 | 2015-01-01 | ||||
| 506 | 2015-01-01 | ||||
| 506 | 2014-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 187 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 204 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 2 |
| Total of all active and inactive participants | 2019-01-01 | 206 |
| Total participants | 2019-01-01 | 206 |
| Number of participants with account balances | 2019-01-01 | 0 |
| 2018: DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-01-01 | 170 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 187 |
| Total of all active and inactive participants | 2018-01-01 | 187 |
| Total participants | 2018-01-01 | 187 |
| 2017: DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 123 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 170 |
| Total of all active and inactive participants | 2017-01-01 | 170 |
| Total participants | 2017-01-01 | 170 |
| 2016: DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 153 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 123 |
| Total of all active and inactive participants | 2016-01-01 | 123 |
| Total participants | 2016-01-01 | 123 |
| 2015: DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 229 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 153 |
| Total of all active and inactive participants | 2015-01-01 | 153 |
| Total participants | 2015-01-01 | 153 |
| 2014: DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 187 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 229 |
| Total of all active and inactive participants | 2014-01-01 | 229 |
| Total participants | 2014-01-01 | 229 |
| 2019: DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | This submission is the final filing | Yes |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: DOVE HEALTHCARE OF EAU CLAIRE 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: DOVE HEALTHCARE OF EAU CLAIRE 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: DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN 2016 form 5500 responses | ||
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: DOVE HEALTHCARE OF EAU CLAIRE VISION PLAN 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | Yes |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: DOVE HEALTHCARE OF EAU CLAIRE 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 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 12242485 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 12242485 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 12242485 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 12242485 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 12242485 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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