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UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 401k Plan overview

Plan NameUNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN
Plan identification number 502

UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

UNION ASSOCIATED PHYSICIANS CLINIC, LLC has sponsored the creation of one or more 401k plans.

Company Name:UNION ASSOCIATED PHYSICIANS CLINIC, LLC
Employer identification number (EIN):270581401
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about UNION ASSOCIATED PHYSICIANS CLINIC, LLC

Jurisdiction of Incorporation: Indiana Secretary of State
Incorporation Date:
Company Identification Number: 009071500078

More information about UNION ASSOCIATED PHYSICIANS CLINIC, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01WAYNE HUTSON

Plan Statistics for UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN

401k plan membership statisitcs for UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN

Measure Date Value
2022: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01402
Total number of active participants reported on line 7a of the Form 55002022-01-0168
Total of all active and inactive participants2022-01-0168
Total participants2022-01-0168
2021: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01423
Total number of active participants reported on line 7a of the Form 55002021-01-01400
Number of retired or separated participants receiving benefits2021-01-012
Total of all active and inactive participants2021-01-01402
Total participants2021-01-01402
2020: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01394
Total number of active participants reported on line 7a of the Form 55002020-01-01421
Number of retired or separated participants receiving benefits2020-01-012
Total of all active and inactive participants2020-01-01423
Total participants2020-01-01423
2019: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01374
Total number of active participants reported on line 7a of the Form 55002019-01-01394
Total of all active and inactive participants2019-01-01394
Total participants2019-01-01394
Number of participants with account balances2019-01-010
2018: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01289
Total number of active participants reported on line 7a of the Form 55002018-01-01374
Total of all active and inactive participants2018-01-01374
Total participants2018-01-01374

Form 5500 Responses for UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN

2022: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: UNION ASSOCIATED PHYSICIANS CLINIC, LLC VISION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30070978
Policy instance 1
Insurance contract or identification number30070978
Number of Individuals Covered68
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $622
Total amount of fees paid to insurance companyUSD $2,098
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2098
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $622
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30070978
Policy instance 1
Insurance contract or identification number30070978
Number of Individuals Covered402
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $6,984
Total amount of fees paid to insurance companyUSD $16,128
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees16128
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $6,984
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30070978
Policy instance 1
Insurance contract or identification number30070978
Number of Individuals Covered423
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,050
Total amount of fees paid to insurance companyUSD $13,988
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13988
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $5,050
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30070978
Policy instance 1
Insurance contract or identification number30070978
Number of Individuals Covered394
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,897
Total amount of fees paid to insurance companyUSD $13,032
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $51,107
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees13032
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Commission paid to Insurance BrokerUSD $4,897
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30070978
Policy instance 1
Insurance contract or identification number30070978
Number of Individuals Covered374
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,965
Total amount of fees paid to insurance companyUSD $12,660
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12660
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Commission paid to Insurance BrokerUSD $4,965

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