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| Plan Name | OUTREACH COMMUNITY HEALTH CENTERS, INC. GROUP LIFE AND DISABILITY PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | OUTREACH COMMUNITY HEALTH CENTER |
| Employer identification number (EIN): | 391353282 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2019-05-01 | LEIGHANN ZIMMER | 2020-07-22 | ||
| 503 | 2018-05-01 | JULIA HARRIS ROBINSON | 2020-05-07 | ||
| 503 | 2017-05-01 | ||||
| 503 | 2016-05-01 |
| Measure | Date | Value |
|---|---|---|
| 2019: OUTREACH COMMUNITY HEALTH CENTERS, INC. GROUP LIFE AND DISABILITY PLAN 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-05-01 | 118 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-05-01 | 0 |
| Total of all active and inactive participants | 2019-05-01 | 0 |
| Number of employers contributing to the scheme | 2019-05-01 | 0 |
| 2018: OUTREACH COMMUNITY HEALTH CENTERS, INC. GROUP LIFE AND DISABILITY PLAN 2018 401k membership | ||
| Total participants, beginning-of-year | 2018-05-01 | 104 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 118 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 118 |
| Number of employers contributing to the scheme | 2018-05-01 | 0 |
| 2017: OUTREACH COMMUNITY HEALTH CENTERS, INC. GROUP LIFE AND DISABILITY PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-05-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 104 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 104 |
| 2016: OUTREACH COMMUNITY HEALTH CENTERS, INC. GROUP LIFE AND DISABILITY PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-05-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 113 |
| Number of retired or separated participants receiving benefits | 2016-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-05-01 | 0 |
| Total of all active and inactive participants | 2016-05-01 | 113 |
| 2019: OUTREACH COMMUNITY HEALTH CENTERS, INC. GROUP LIFE AND DISABILITY PLAN 2019 form 5500 responses | ||
|---|---|---|
| 2019-05-01 | Type of plan entity | Single employer plan |
| 2019-05-01 | This submission is the final filing | Yes |
| 2019-05-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2019-05-01 | Plan funding arrangement – Insurance | Yes |
| 2019-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: OUTREACH COMMUNITY HEALTH CENTERS, INC. GROUP LIFE AND DISABILITY PLAN 2018 form 5500 responses | ||
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | Plan funding arrangement – Insurance | Yes |
| 2018-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: OUTREACH COMMUNITY HEALTH CENTERS, INC. GROUP LIFE AND DISABILITY PLAN 2017 form 5500 responses | ||
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | Submission has been amended | No |
| 2017-05-01 | This submission is the final filing | No |
| 2017-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-05-01 | Plan is a collectively bargained plan | No |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: OUTREACH COMMUNITY HEALTH CENTERS, INC. GROUP LIFE AND DISABILITY PLAN 2016 form 5500 responses | ||
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | First time form 5500 has been submitted | Yes |
| 2016-05-01 | Submission has been amended | No |
| 2016-05-01 | This submission is the final filing | No |
| 2016-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-05-01 | Plan is a collectively bargained plan | No |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 1076430 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 400254835 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 166545 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 10254834 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 1076430 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 1076430 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||
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