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VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 401k Plan overview

Plan NameVALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT
Plan identification number 503

VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

VALLEY WIDE HEALTH SYSTEMS, INC has sponsored the creation of one or more 401k plans.

Company Name:VALLEY WIDE HEALTH SYSTEMS, INC
Employer identification number (EIN):840706945
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about VALLEY WIDE HEALTH SYSTEMS, INC

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 1976-03-26
Company Identification Number: 19871300147
Legal Registered Office Address: 128 Market St

Alamosa
United States of America (USA)
81101

More information about VALLEY WIDE HEALTH SYSTEMS, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-08-01ALIFONSO BAROZ2022-10-11
5032021-08-01MARINA WILLIAMS2024-03-19 MARINA WILLIAMS2024-03-19
5032020-08-01ALIFONSO BAROZ2021-12-07
5032019-08-01ALIFONSO BAROZ2020-12-07
5032018-08-01ALIFONSO BAROZ2020-05-06
5032017-08-01ALIFONSO BAROZ2019-07-08
5032016-08-01ALIFONSO BAROZ2019-07-08
5032015-08-01ALIFONSO BAROZ2019-07-08
5032014-08-01
5032013-08-01
5032012-08-01
5032011-08-01
5032010-08-01
5032009-08-01
5032008-08-01
5032007-08-01

Plan Statistics for VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT

401k plan membership statisitcs for VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT

Measure Date Value
2021: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2021 401k membership
Total participants, beginning-of-year2021-08-01247
Total number of active participants reported on line 7a of the Form 55002021-08-01252
Number of retired or separated participants receiving benefits2021-08-010
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-01252
Number of employers contributing to the scheme2021-08-010
2020: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2020 401k membership
Total participants, beginning-of-year2020-08-01231
Total number of active participants reported on line 7a of the Form 55002020-08-01248
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01248
Number of employers contributing to the scheme2020-08-010
2019: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2019 401k membership
Total participants, beginning-of-year2019-08-01208
Total number of active participants reported on line 7a of the Form 55002019-08-01218
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-01218
Number of employers contributing to the scheme2019-08-010
2018: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2018 401k membership
Total participants, beginning-of-year2018-08-01172
Total number of active participants reported on line 7a of the Form 55002018-08-01172
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-01172
Number of employers contributing to the scheme2018-08-010
2017: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2017 401k membership
Total participants, beginning-of-year2017-08-01155
Total number of active participants reported on line 7a of the Form 55002017-08-01172
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-01172
Number of employers contributing to the scheme2017-08-010
2016: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2016 401k membership
Total participants, beginning-of-year2016-08-01152
Total number of active participants reported on line 7a of the Form 55002016-08-01155
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-01155
Number of employers contributing to the scheme2016-08-010
2015: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2015 401k membership
Total participants, beginning-of-year2015-08-01163
Total number of active participants reported on line 7a of the Form 55002015-08-01152
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-01152
Number of employers contributing to the scheme2015-08-010
2014: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2014 401k membership
Total participants, beginning-of-year2014-08-01132
Total number of active participants reported on line 7a of the Form 55002014-08-01163
Number of retired or separated participants receiving benefits2014-08-010
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-01163
Number of employers contributing to the scheme2014-08-010
2013: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2013 401k membership
Total participants, beginning-of-year2013-08-01145
Total number of active participants reported on line 7a of the Form 55002013-08-01132
Number of retired or separated participants receiving benefits2013-08-010
Number of other retired or separated participants entitled to future benefits2013-08-010
Total of all active and inactive participants2013-08-01132
Number of employers contributing to the scheme2013-08-010
2012: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2012 401k membership
Total participants, beginning-of-year2012-08-01148
Total number of active participants reported on line 7a of the Form 55002012-08-01145
Number of retired or separated participants receiving benefits2012-08-010
Number of other retired or separated participants entitled to future benefits2012-08-010
Total of all active and inactive participants2012-08-01145
Number of employers contributing to the scheme2012-08-010
2011: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2011 401k membership
Total participants, beginning-of-year2011-08-01150
Total number of active participants reported on line 7a of the Form 55002011-08-01148
Number of retired or separated participants receiving benefits2011-08-010
Number of other retired or separated participants entitled to future benefits2011-08-010
Total of all active and inactive participants2011-08-01148
Number of employers contributing to the scheme2011-08-010
2010: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2010 401k membership
Total participants, beginning-of-year2010-08-01164
Total number of active participants reported on line 7a of the Form 55002010-08-01150
Number of retired or separated participants receiving benefits2010-08-010
Number of other retired or separated participants entitled to future benefits2010-08-010
Total of all active and inactive participants2010-08-01150
Number of employers contributing to the scheme2010-08-010
2009: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2009 401k membership
Total participants, beginning-of-year2009-08-01164
Total number of active participants reported on line 7a of the Form 55002009-08-01164
Number of retired or separated participants receiving benefits2009-08-010
Number of other retired or separated participants entitled to future benefits2009-08-010
Total of all active and inactive participants2009-08-01164
Number of employers contributing to the scheme2009-08-010
2008: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2008 401k membership
Total participants, beginning-of-year2008-08-01164
Total number of active participants reported on line 7a of the Form 55002008-08-01164
Number of retired or separated participants receiving benefits2008-08-010
Number of other retired or separated participants entitled to future benefits2008-08-010
Total of all active and inactive participants2008-08-01164
Number of employers contributing to the scheme2008-08-010
2007: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2007 401k membership
Total participants, beginning-of-year2007-08-01100
Total number of active participants reported on line 7a of the Form 55002007-08-01164
Number of retired or separated participants receiving benefits2007-08-010
Number of other retired or separated participants entitled to future benefits2007-08-010
Total of all active and inactive participants2007-08-01164
Number of employers contributing to the scheme2007-08-010

Form 5500 Responses for VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT

2021: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Submission has been amendedYes
2021-08-01This submission is the final filingYes
2021-08-01This return/report is a short plan year return/report (less than 12 months)No
2021-08-01Plan is a collectively bargained planNo
2021-08-01Plan funding arrangement – General assets of the sponsorYes
2021-08-01Plan benefit arrangement – General assets of the sponsorYes
2020: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – General assets of the sponsorYes
2020-08-01Plan benefit arrangement – General assets of the sponsorYes
2019: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – General assets of the sponsorYes
2019-08-01Plan benefit arrangement – General assets of the sponsorYes
2018: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes
2017: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – General assets of the sponsorYes
2012: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – General assets of the sponsorYes
2012-08-01Plan benefit arrangement – General assets of the sponsorYes
2011: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – General assets of the sponsorYes
2011-08-01Plan benefit arrangement – General assets of the sponsorYes
2010: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Plan funding arrangement – General assets of the sponsorYes
2010-08-01Plan benefit arrangement – General assets of the sponsorYes
2009: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – General assets of the sponsorYes
2009-08-01Plan benefit arrangement – General assets of the sponsorYes
2008: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2008 form 5500 responses
2008-08-01Type of plan entitySingle employer plan
2008-08-01Plan funding arrangement – General assets of the sponsorYes
2008-08-01Plan benefit arrangement – General assets of the sponsorYes
2007: VALLEY WIDE HEALTH SYSTEMS, INC DENTAL AND VISION REIMBURSEMENT 2007 form 5500 responses
2007-08-01Type of plan entitySingle employer plan
2007-08-01First time form 5500 has been submittedYes
2007-08-01Plan funding arrangement – General assets of the sponsorYes
2007-08-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76012SF/78012SF
Policy instance 1
Insurance contract or identification number76012SF/78012SF
Number of Individuals Covered172
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COLORADO CHOICE HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 95774 )
Policy contract number76012SF/78012SF
Policy instance 1
Insurance contract or identification number76012SF/78012SF
Number of Individuals Covered176
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Total amount of commissions paid to insurance brokerUSD $6,897
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
COLORADO CHOICE HEALTH BENEFITS (National Association of Insurance Commissioners NAIC id number: 95774 )
Policy contract number76012SF/78012SF
Policy instance 1
Insurance contract or identification number76012SF/78012SF
Number of Individuals Covered154
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $6,244
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $6,244
Amount paid for insurance broker fees0
Insurance broker organization code?3

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