ARIZONA OBGYN AFFILIATES PC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ARIZONA OBGYN AFFILIATES PC VISION PLAN
| Measure | Date | Value |
|---|
| 2017: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-04-01 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-04-01 | 132 |
| Number of retired or separated participants receiving benefits | 2017-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-04-01 | 0 |
| Total of all active and inactive participants | 2017-04-01 | 132 |
| 2016: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-04-01 | 178 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 132 |
| Total of all active and inactive participants | 2016-04-01 | 132 |
| 2015: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-04-01 | 178 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-04-01 | 132 |
| Total of all active and inactive participants | 2015-04-01 | 132 |
| 2014: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-04-01 | 121 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-04-01 | 183 |
| Total of all active and inactive participants | 2014-04-01 | 183 |
| 2013: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-04-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-04-01 | 112 |
| Total of all active and inactive participants | 2013-04-01 | 112 |
| 2017: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2017 form 5500 responses |
|---|
| 2017-04-01 | Type of plan entity | Single employer plan |
| 2017-04-01 | Plan funding arrangement – Insurance | Yes |
| 2017-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2016 form 5500 responses |
|---|
| 2016-04-01 | Type of plan entity | Single employer plan |
| 2016-04-01 | Submission has been amended | No |
| 2016-04-01 | This submission is the final filing | No |
| 2016-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-04-01 | Plan is a collectively bargained plan | No |
| 2016-04-01 | Plan funding arrangement – Insurance | Yes |
| 2016-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2015 form 5500 responses |
|---|
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Submission has been amended | No |
| 2015-04-01 | This submission is the final filing | No |
| 2015-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-04-01 | Plan is a collectively bargained plan | No |
| 2015-04-01 | Plan funding arrangement – Insurance | Yes |
| 2015-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2014 form 5500 responses |
|---|
| 2014-04-01 | Type of plan entity | Single employer plan |
| 2014-04-01 | Submission has been amended | No |
| 2014-04-01 | This submission is the final filing | No |
| 2014-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-04-01 | Plan is a collectively bargained plan | No |
| 2014-04-01 | Plan funding arrangement – Insurance | Yes |
| 2014-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: ARIZONA OBGYN AFFILIATES PC VISION PLAN 2013 form 5500 responses |
|---|
| 2013-04-01 | Type of plan entity | Single employer plan |
| 2013-04-01 | First time form 5500 has been submitted | Yes |
| 2013-04-01 | Submission has been amended | No |
| 2013-04-01 | This submission is the final filing | No |
| 2013-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-04-01 | Plan is a collectively bargained plan | No |
| 2013-04-01 | Plan funding arrangement – Insurance | Yes |
| 2013-04-01 | Plan benefit arrangement – Insurance | Yes |
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 0608986 |
| Policy instance | 1 |
| Insurance contract or identification number | 0608986 | | Number of Individuals Covered | 148 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $11,747 | | Total amount of fees paid to insurance company | USD $5,874 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $118,373 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,747 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | SERVICE/GENERAL AGENT PAYMENTS | | Insurance broker name | LIAZON BENEFITS INC. |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30015858 |
| Policy instance | 1 |
| Insurance contract or identification number | 30015858 | | Number of Individuals Covered | 129 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $945 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $16,593 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $945 | | Insurance broker organization code? | 3 | | Insurance broker name | LOVITT TOUCHE INC |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30015858 |
| Policy instance | 1 |
| Insurance contract or identification number | 30015858 | | Number of Individuals Covered | 176 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $1,077 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $17,531 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,077 | | Insurance broker organization code? | 3 | | Insurance broker name | LOVITT TOUCHE INC |
|
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) |
| Policy contract number | 30015858 |
| Policy instance | 1 |
| Insurance contract or identification number | 30015858 | | Number of Individuals Covered | 110 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $787 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $10,794 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $787 | | Insurance broker organization code? | 3 | | Insurance broker name | LOVITT TOUCHE INC |
|
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