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COMMUNITY HEALTH CONNECTIONS 401k Plan overview

Plan NameCOMMUNITY HEALTH CONNECTIONS
Plan identification number 502

COMMUNITY HEALTH CONNECTIONS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

COMMUNITY HEALTH CONNECTION, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HEALTH CONNECTION, INC.
Employer identification number (EIN):043766364
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Additional information about COMMUNITY HEALTH CONNECTION, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 2008-06-27
Company Identification Number: 1790590
Legal Registered Office Address: 297 WOODLAND AVE
-
COLUMBUS
United States of America (USA)
43203

More information about COMMUNITY HEALTH CONNECTION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HEALTH CONNECTIONS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01W JAMES MCCARTHY2023-07-14
5022021-01-01W. JAMES MCCARTHY2022-07-20

Plan Statistics for COMMUNITY HEALTH CONNECTIONS

401k plan membership statisitcs for COMMUNITY HEALTH CONNECTIONS

Measure Date Value
2022: COMMUNITY HEALTH CONNECTIONS 2022 401k membership
Total participants, beginning-of-year2022-01-01128
Total number of active participants reported on line 7a of the Form 55002022-01-01131
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 participants2022-01-01131
Number of employers contributing to the scheme2022-01-010
2021: COMMUNITY HEALTH CONNECTIONS 2021 401k membership
Total participants, beginning-of-year2021-01-01128
Total number of active participants reported on line 7a of the Form 55002021-01-01128
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01128
Number of employers contributing to the scheme2021-01-010

Form 5500 Responses for COMMUNITY HEALTH CONNECTIONS

2022: COMMUNITY HEALTH CONNECTIONS 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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: COMMUNITY HEALTH CONNECTIONS 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
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

Insurance Providers Used on plan

COMMUNITY CARE (National Association of Insurance Commissioners NAIC id number: 1001 )
Policy contract numberC04193
Policy instance 1
Insurance contract or identification numberC04193
Number of Individuals Covered153
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 $49,805
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $566,975
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees49889
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number555659
Policy instance 2
Insurance contract or identification number555659
Number of Individuals Covered131
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $16,599
Total amount of fees paid to insurance companyUSD $1,082
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $124,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,519
Amount paid for insurance broker fees1082
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
COMMUNITY CARE (National Association of Insurance Commissioners NAIC id number: 1001 )
Policy contract numberC04193
Policy instance 1
Insurance contract or identification numberC04193
Number of Individuals Covered152
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 $39,760
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $564,256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees29428
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number555659
Policy instance 2
Insurance contract or identification number555659
Number of Individuals Covered128
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $5,186
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT, ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $39,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,878
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number758695
Policy instance 3
Insurance contract or identification number758695
Number of Individuals Covered124
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $6,400
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,793
Amount paid for insurance broker fees0
Insurance broker organization code?3

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