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ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN
Plan identification number 501

ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

ARIZONA OBGYN AFFILIATES PC has sponsored the creation of one or more 401k plans.

Company Name:ARIZONA OBGYN AFFILIATES PC
Employer identification number (EIN):205198811
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-04-01
5012016-04-01PAUL PLATZMAN PAUL PLATZMAN2017-10-16
5012015-04-01PAUL PLATZMAN PAUL PLATZMAN2016-10-10
5012014-04-01PAUL PLATZMAN PAUL PLATZMAN2015-10-08
5012013-04-01PAUL PLATZMAN PAUL PLATZMAN2014-09-23
5012012-04-01PAUL PLATZMAN PAUL PLATZMAN2013-10-15

Plan Statistics for ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN

401k plan membership statisitcs for ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN

Measure Date Value
2017: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01148
Total number of active participants reported on line 7a of the Form 55002017-04-01148
Number of retired or separated participants receiving benefits2017-04-012
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-01150
2016: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01321
Total number of active participants reported on line 7a of the Form 55002016-04-01223
Total of all active and inactive participants2016-04-01223
2015: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01321
Total number of active participants reported on line 7a of the Form 55002015-04-01223
Total of all active and inactive participants2015-04-01223
2014: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01152
Total number of active participants reported on line 7a of the Form 55002014-04-01221
Total of all active and inactive participants2014-04-01221
2013: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01189
Total number of active participants reported on line 7a of the Form 55002013-04-01183
Total of all active and inactive participants2013-04-01183
2012: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01169
Total number of active participants reported on line 7a of the Form 55002012-04-01169
Number of retired or separated participants receiving benefits2012-04-011
Total of all active and inactive participants2012-04-01170

Form 5500 Responses for ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN

2017: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – General assets of the sponsorYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – General assets of the sponsorYes
2016: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: ARIZONA OBGYN AFFILIATES PC HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01First time form 5500 has been submittedYes
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberVDT601743
Policy instance 3
CIGNA HEALTH AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 47013 )
Policy contract number0608986
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number608986
Policy instance 1
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number4052554
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0608986
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSOK602692
Policy instance 2
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number4052554
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGD604102
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM604106
Policy instance 5
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0608986
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM604106
Policy instance 4
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number0608986
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSOK602692
Policy instance 2
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00608986
Policy instance 1
HEALTH NET OF AZ (National Association of Insurance Commissioners NAIC id number: 95206 )
Policy contract numberAC5408
Policy instance 2
HEALTH NET OF AZ (National Association of Insurance Commissioners NAIC id number: 95206 )
Policy contract numberAZ5408
Policy instance 3
HEALTH NET (National Association of Insurance Commissioners NAIC id number: 95567 )
Policy contract number00000
Policy instance 4
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1018186
Policy instance 5
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1018186
Policy instance 6
HEALTH NET OF AZ (National Association of Insurance Commissioners NAIC id number: 95206 )
Policy contract numberAZ5407
Policy instance 1

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