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MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 401k Plan overview

Plan NameMENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION
Plan identification number 502

MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS, INC.
Employer identification number (EIN):730618672
NAIC Classification:621420
NAIC Description:Outpatient Mental Health and Substance Abuse Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-07-01ERIC HOWARD2023-04-14 ERIC HOWARD2023-04-14
5022020-07-01ERIC HOWARD2022-04-08 ERIC HOWARD2022-04-08
5022019-07-01ERIC HOWARD2021-04-23 ERIC HOWARD2021-04-23
5022018-07-01ERIC HOWARD2020-04-03 ERIC HOWARD2020-04-03
5022017-07-01ERIC HOWARD2019-04-10 ERIC HOWARD2019-04-10
5022016-07-01ERWIN HANCOCK ERWIN HANCOCK2017-09-14
5022016-01-01ERWIN HANCOCK ERWIN HANCOCK2017-09-13
5022015-07-01ERWIN HANCOCK ERWIN HANCOCK2016-08-11
5022013-07-01ERWIN HANCOCK ERWIN HANCOCK2014-09-29
5022012-07-01ERWIN HANCOCK ERWIN HANCOCK2013-09-18
5022012-01-01ERWIN HANCOCK ERWIN HANCOCK2013-09-17
5022011-07-01ERWIN HANCOCK
5022010-07-01ERWIN HANCOCK
5022009-07-01ERWIN HANCOCK

Plan Statistics for MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION

401k plan membership statisitcs for MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION

Measure Date Value
2021: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2021 401k membership
Total participants, beginning-of-year2021-07-01155
Total number of active participants reported on line 7a of the Form 55002021-07-01229
Total of all active and inactive participants2021-07-01229
2020: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2020 401k membership
Total participants, beginning-of-year2020-07-01149
Total number of active participants reported on line 7a of the Form 55002020-07-01155
Total of all active and inactive participants2020-07-01155
2019: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2019 401k membership
Total participants, beginning-of-year2019-07-01112
Total number of active participants reported on line 7a of the Form 55002019-07-01149
Total of all active and inactive participants2019-07-01149
2018: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2018 401k membership
Total participants, beginning-of-year2018-07-01109
Total number of active participants reported on line 7a of the Form 55002018-07-01112
Total of all active and inactive participants2018-07-01112
2017: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2017 401k membership
Total participants, beginning-of-year2017-07-01102
Total number of active participants reported on line 7a of the Form 55002017-07-01109
Total of all active and inactive participants2017-07-01109
2016: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2016 401k membership
Total participants, beginning-of-year2016-07-01101
Total number of active participants reported on line 7a of the Form 55002016-07-01102
Total of all active and inactive participants2016-07-01102
Total participants2016-07-01102
Total participants, beginning-of-year2016-01-01101
Total number of active participants reported on line 7a of the Form 55002016-01-01102
Total of all active and inactive participants2016-01-01102
Total participants2016-01-01102
2015: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2015 401k membership
Total participants, beginning-of-year2015-07-0176
Total number of active participants reported on line 7a of the Form 55002015-07-01101
Total of all active and inactive participants2015-07-01101
Total participants2015-07-01101
2013: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2013 401k membership
Total participants, beginning-of-year2013-07-0199
Total number of active participants reported on line 7a of the Form 55002013-07-0193
Total of all active and inactive participants2013-07-0193
Total participants2013-07-0193
2012: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2012 401k membership
Total participants, beginning-of-year2012-07-0193
Total number of active participants reported on line 7a of the Form 55002012-07-0199
Total of all active and inactive participants2012-07-0199
Total participants2012-07-0199
Total participants, beginning-of-year2012-01-0193
Total number of active participants reported on line 7a of the Form 55002012-01-0199
Total of all active and inactive participants2012-01-0199
Total participants2012-01-0199
2011: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2011 401k membership
Total participants, beginning-of-year2011-07-0193
Total number of active participants reported on line 7a of the Form 55002011-07-0193
Total of all active and inactive participants2011-07-0193
Total participants2011-07-0193
2010: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2010 401k membership
Total participants, beginning-of-year2010-07-01110
Total number of active participants reported on line 7a of the Form 55002010-07-0193
Total of all active and inactive participants2010-07-0193
Total participants2010-07-0193
2009: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2009 401k membership
Total participants, beginning-of-year2009-07-01114
Total number of active participants reported on line 7a of the Form 55002009-07-01110
Total of all active and inactive participants2009-07-01110
Total participants2009-07-01110

Form 5500 Responses for MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION

2021: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedYes
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
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 benefit arrangement – InsuranceYes
2015: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2013: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedYes
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: MENTAL HEALTH SERVICES OF SOUTHERN OKLAHOMA VISION 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01First time form 5500 has been submittedYes
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered229
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $1,105
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,106
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered155
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $975
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $909
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered149
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $1,018
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,018
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered112
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $818
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $770
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered109
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $768
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered101
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $810
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $810
Insurance broker nameCAPITOL BENEFITS GROUP
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered93
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $732
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 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 $9,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $732
Insurance broker nameCAPITOL BENEFITS GROUP INC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered99
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $732
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,636
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees732
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker nameCAPITOL BENEFITS GROUP
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered93
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $744
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,873
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 95478 )
Policy contract number12243505
Policy instance 1
Insurance contract or identification number12243505
Number of Individuals Covered93
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $716
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees716
Insurance broker nameCAPITOL BENEFIT GROUP INC

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