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HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 401k Plan overview

Plan NameHOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE
Plan identification number 503

HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

PHYMED MANAGEMENT, LLC has sponsored the creation of one or more 401k plans.

Company Name:PHYMED MANAGEMENT, LLC
Employer identification number (EIN):621711369
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-01-01
5032022-01-01MICHELLE NEECE
5032021-01-01MICHELLE NEECE2022-08-30
5032020-01-01MICHELLE NEECE2021-10-07
5032019-01-01MICHELLE NEECE2020-10-14
5032017-01-01
5032016-01-01MICHELLE P NEECE
5032015-01-01MICHELLE NEECE

Plan Statistics for HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE

401k plan membership statisitcs for HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE

Measure Date Value
2022: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2022 401k membership
Total participants, beginning-of-year2022-01-01436
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
2021: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2021 401k membership
Total participants, beginning-of-year2021-01-01576
Total number of active participants reported on line 7a of the Form 55002021-01-01452
Number of retired or separated participants receiving benefits2021-01-0123
Number of other retired or separated participants entitled to future benefits2021-01-015
Total of all active and inactive participants2021-01-01480
Number of employers contributing to the scheme2021-01-010
2020: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2020 401k membership
Total participants, beginning-of-year2020-01-01576
Total number of active participants reported on line 7a of the Form 55002020-01-01550
Number of retired or separated participants receiving benefits2020-01-0116
Number of other retired or separated participants entitled to future benefits2020-01-0110
Total of all active and inactive participants2020-01-01576
Number of employers contributing to the scheme2020-01-010
2019: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2019 401k membership
Total participants, beginning-of-year2019-01-01540
Total number of active participants reported on line 7a of the Form 55002019-01-01548
Number of retired or separated participants receiving benefits2019-01-0110
Number of other retired or separated participants entitled to future benefits2019-01-0118
Total of all active and inactive participants2019-01-01576
Number of employers contributing to the scheme2019-01-010
2017: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2017 401k membership
Total participants, beginning-of-year2017-01-01510
Total number of active participants reported on line 7a of the Form 55002017-01-01499
Number of retired or separated participants receiving benefits2017-01-0112
Number of other retired or separated participants entitled to future benefits2017-01-0111
Total of all active and inactive participants2017-01-01522
2016: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2016 401k membership
Total participants, beginning-of-year2016-01-01453
Total number of active participants reported on line 7a of the Form 55002016-01-01488
Number of retired or separated participants receiving benefits2016-01-0113
Number of other retired or separated participants entitled to future benefits2016-01-019
Total of all active and inactive participants2016-01-01510
2015: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2015 401k membership
Total participants, beginning-of-year2015-01-01400
Total number of active participants reported on line 7a of the Form 55002015-01-01426
Number of retired or separated participants receiving benefits2015-01-0119
Number of other retired or separated participants entitled to future benefits2015-01-018
Total of all active and inactive participants2015-01-01453

Form 5500 Responses for HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE

2022: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2019 form 5500 responses
2019-01-01Type of plan entityMulitple employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: HOSPITAL, SURGICAL AND MEDICAL, MAJOR MEDICAL, DENTAL, LIFE AND ACCIDENT, VISION CARECHOICE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number113063
Policy instance 1
Insurance contract or identification number113063
Number of Individuals Covered895
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $15,174
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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 $35,501
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number113063
Policy instance 1
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number113063
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60344
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number113063
Policy instance 1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number60344
Policy instance 2
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number113063
Policy instance 1
BLUECROSS BLUESHIELD OF TENNESSEE, INC. (National Association of Insurance Commissioners NAIC id number: 54518 )
Policy contract number113063
Policy instance 1

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