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RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameRANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN
Plan identification number 502

RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

RANGE MENTAL HEALTH CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:RANGE MENTAL HEALTH CENTER, INC.
Employer identification number (EIN):410849301
NAIC Classification:621330
NAIC Description:Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-04-01
5022021-04-01
5022020-04-01
5022019-04-01
5022018-04-01
5022017-04-01KARRI SCHUTTE
5022016-04-01KARRI SCHUTTE
5022015-04-01KARRI SCHUTTE
5022014-04-01TIMOTHY M. KILLIAN
5022013-04-01WANDA TARAY
5022012-04-01WANDA TARAY
5022011-04-01WANDA TARAY
5022009-11-01WANDA TARAY
5022008-11-01WANDA TARAY

Plan Statistics for RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN

401k plan membership statisitcs for RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN

Measure Date Value
2021: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01110
Total number of active participants reported on line 7a of the Form 55002021-04-01107
Total of all active and inactive participants2021-04-01107
2020: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-01138
Total number of active participants reported on line 7a of the Form 55002020-04-01107
Number of retired or separated participants receiving benefits2020-04-013
Total of all active and inactive participants2020-04-01110
2019: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-01143
Total number of active participants reported on line 7a of the Form 55002019-04-01138
Total of all active and inactive participants2019-04-01138
2018: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01176
Total number of active participants reported on line 7a of the Form 55002018-04-01139
Number of retired or separated participants receiving benefits2018-04-011
Total of all active and inactive participants2018-04-01140
2017: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01170
Total number of active participants reported on line 7a of the Form 55002017-04-01175
Number of retired or separated participants receiving benefits2017-04-010
Total of all active and inactive participants2017-04-01175
2016: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01167
Total number of active participants reported on line 7a of the Form 55002016-04-01177
Number of retired or separated participants receiving benefits2016-04-017
Total of all active and inactive participants2016-04-01184
2015: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01175
Total number of active participants reported on line 7a of the Form 55002015-04-01168
Number of retired or separated participants receiving benefits2015-04-018
Number of other retired or separated participants entitled to future benefits2015-04-010
Total of all active and inactive participants2015-04-01176
2014: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01191
Total number of active participants reported on line 7a of the Form 55002014-04-01167
Total of all active and inactive participants2014-04-01167
2013: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01190
Total number of active participants reported on line 7a of the Form 55002013-04-01191
Total of all active and inactive participants2013-04-01191
Total participants2013-04-01191
2012: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01199
Total number of active participants reported on line 7a of the Form 55002012-04-01190
Total of all active and inactive participants2012-04-01190
Total participants2012-04-01190
2011: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01192
Total number of active participants reported on line 7a of the Form 55002011-04-01199
Total of all active and inactive participants2011-04-01199
Total participants2011-04-01199
2009: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01203
Total number of active participants reported on line 7a of the Form 55002009-11-01201
Total of all active and inactive participants2009-11-01201
Total participants2009-11-01201
2008: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2008 401k membership
Total participants, beginning-of-year2008-11-01207
Total number of active participants reported on line 7a of the Form 55002008-11-01203
Total of all active and inactive participants2008-11-01203
Total participants2008-11-01203

Form 5500 Responses for RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN

2021: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedYes
2021-04-01This submission is the final filingYes
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – InsuranceYes
2020: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan benefit arrangement – InsuranceYes
2019: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY 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: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
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
2011: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2009: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – InsuranceYes
2008: RANGE MENTAL HEALTH CENTER, INC. LONG TERM DISABILITY PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo
2008-11-01Plan funding arrangement – InsuranceYes
2008-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50029159
Policy instance 1
Insurance contract or identification number50029159
Number of Individuals Covered96
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $4,474
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,158
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50029159
Policy instance 1
Insurance contract or identification number50029159
Number of Individuals Covered110
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $4,290
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,028
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50029159
Policy instance 1
Insurance contract or identification number50029159
Number of Individuals Covered138
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $5,294
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,737
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50029159
Policy instance 1
Insurance contract or identification number50029159
Number of Individuals Covered139
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $5,604
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,963
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,648
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010174056 00
Policy instance 1
Insurance contract or identification number000010174056 00
Number of Individuals Covered171
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $7,547
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,714
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,547
Insurance broker organization code?3
Insurance broker nameJOHNSON INS CONSLNTS AGCY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010174056 00
Policy instance 1
Insurance contract or identification number000010174056 00
Number of Individuals Covered168
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $5,761
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,410
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,761
Insurance broker organization code?3
Insurance broker nameJOHNSON INS CONSLNTS AGCY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010174056 00
Policy instance 1
Insurance contract or identification number000010174056 00
Number of Individuals Covered167
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $5,278
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,184
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,278
Insurance broker organization code?3
Insurance broker nameJOHNSON INS CONSLNTS AGCY INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010174056 00
Policy instance 1
Insurance contract or identification number000010174056 00
Number of Individuals Covered191
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $5,234
Are there contracts with allocated funds for individual policies?No
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 BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $34,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,234
Insurance broker organization code?3
Insurance broker nameJOHNSON INS CONSLNTS AGCY INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867567GRH
Policy instance 1
Insurance contract or identification number867567GRH
Number of Individuals Covered190
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $5,467
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,467
Insurance broker organization code?3
Insurance broker nameJOHNSON INS CONSLTS AGNCY INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867867-GLT
Policy instance 1
Insurance contract or identification number867867-GLT
Number of Individuals Covered199
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $6,643
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number867567-GLT
Policy instance 1
Insurance contract or identification number867567-GLT
Number of Individuals Covered192
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $7,928
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,928
Insurance broker organization code?3
Insurance broker nameJOHNSON INS CONSLTS AGNCY INC

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