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MEDICAL SOCIETY HEALTHCARE TRUST 401k Plan overview

Plan NameMEDICAL SOCIETY HEALTHCARE TRUST
Plan identification number 501

MEDICAL SOCIETY HEALTHCARE TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

BOT, MEDICAL SOCIETY HEALTHCARE TRUST has sponsored the creation of one or more 401k plans.

Company Name:BOT, MEDICAL SOCIETY HEALTHCARE TRUST
Employer identification number (EIN):872160747
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL SOCIETY HEALTHCARE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01LIBBY MCDANNELL
5012021-10-01LIBBY MCDANNELL2022-07-06

Plan Statistics for MEDICAL SOCIETY HEALTHCARE TRUST

401k plan membership statisitcs for MEDICAL SOCIETY HEALTHCARE TRUST

Measure Date Value
2022: MEDICAL SOCIETY HEALTHCARE TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-0163
Total number of active participants reported on line 7a of the Form 55002022-01-01140
Number of retired or separated participants receiving benefits2022-01-010
Total of all active and inactive participants2022-01-01140
2021: MEDICAL SOCIETY HEALTHCARE TRUST 2021 401k membership
Total participants, beginning-of-year2021-10-010
Total number of active participants reported on line 7a of the Form 55002021-10-0162
Number of retired or separated participants receiving benefits2021-10-011
Total of all active and inactive participants2021-10-0163

Financial Data on MEDICAL SOCIETY HEALTHCARE TRUST

Measure Date Value
2022 : MEDICAL SOCIETY HEALTHCARE TRUST 2022 401k financial data
Total plan liabilities at end of year2022-12-31$60,873
Total plan liabilities at beginning of year2022-12-31$69,395
Total income from all sources2022-12-31$904,877
Expenses. Total of all expenses incurred2022-12-31$898,079
Benefits paid (including direct rollovers)2022-12-31$789,374
Total plan assets at end of year2022-12-31$65,915
Total plan assets at beginning of year2022-12-31$67,639
Value of fidelity bond covering the plan2022-12-31$5,000
Expenses. Other expenses not covered elsewhere2022-12-31$11,615
Other income received2022-12-31$1,733
Net income (gross income less expenses)2022-12-31$6,798
Net plan assets at end of year (total assets less liabilities)2022-12-31$5,042
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-1,756
Total contributions received or receivable from employer(s)2022-12-31$903,144
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$97,090
2021 : MEDICAL SOCIETY HEALTHCARE TRUST 2021 401k financial data
Total plan liabilities at end of year2021-12-31$69,395
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$48,492
Expenses. Total of all expenses incurred2021-12-31$50,248
Benefits paid (including direct rollovers)2021-12-31$42,324
Total plan assets at end of year2021-12-31$67,639
Total plan assets at beginning of year2021-12-31$0
Value of fidelity bond covering the plan2021-12-31$5,000
Expenses. Other expenses not covered elsewhere2021-12-31$658
Net income (gross income less expenses)2021-12-31$-1,756
Net plan assets at end of year (total assets less liabilities)2021-12-31$-1,756
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$48,492
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$7,266

Form 5500 Responses for MEDICAL SOCIETY HEALTHCARE TRUST

2022: MEDICAL SOCIETY HEALTHCARE TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: MEDICAL SOCIETY HEALTHCARE TRUST 2021 form 5500 responses
2021-10-01Type of plan entityMulitple employer plan
2021-10-01First time form 5500 has been submittedYes
2021-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )
Policy contract number30044146
Policy instance 1
Insurance contract or identification number30044146
Number of Individuals Covered12
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number011480
Policy instance 2
Insurance contract or identification number011480
Number of Individuals Covered75
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $219
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,386
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees219
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 )
Policy contract number57000 TO 57013
Policy instance 3
Insurance contract or identification number57000 TO 57013
Number of Individuals Covered188
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $829,491
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: 53031 )
Policy contract number30044146
Policy instance 1
Insurance contract or identification number30044146
Number of Individuals Covered8
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number011480
Policy instance 2
Insurance contract or identification number011480
Number of Individuals Covered62
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $251
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS BLUE SHIELD OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53589 )
Policy contract number57000 TO 57006
Policy instance 3
Insurance contract or identification number57000 TO 57006
Number of Individuals Covered62
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,971
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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