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FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 401k Plan overview

Plan NameFAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN
Plan identification number 502

FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

FAMILY HEALTH CARE OF SIOUXLAND, PLC has sponsored the creation of one or more 401k plans.

Company Name:FAMILY HEALTH CARE OF SIOUXLAND, PLC
Employer identification number (EIN):753057963
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022020-07-01MOLLIE MIZE2021-07-26
5022019-07-01MOLLIE MIZE2021-01-08
5022018-07-01
5022018-07-01
5022018-07-01
5022018-07-01
5022017-07-01
5022016-08-01SHANIN MCCABE-HARDING
5022016-07-01SHANIN MCCABE-HARDING
5022015-07-01SHANIN MCCABE-HARDING
5022014-07-01SHANIN MCCABE-HARDING
5022013-07-01SHANIN MCCABE-HARDING
5022012-07-01SHANIN MCCABE-HARDING
5022011-07-01SHANIN MCCABE-HARDING
5022009-07-01SHANIN MCCABE-HARDING

Form 5500 Responses for FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN

2020: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingYes
2020-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedYes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 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: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: FAMILY HEALTH CARE OF SIOUXLAND PLC GROUP LIFE AD&D PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number768327G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number768327G
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 148844
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 148844
Policy instance 1

Potentially related plans

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