401k Plan data: PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN plan

PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN 401k Plan overview

Plan Name	PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN
Plan identification number	510

PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Long-term disability cover

401k Sponsoring company profile

PROVISION HEALTH PARTNERS, LLC has sponsored the creation of one or more 401k plans.

Company Name: PROVISION HEALTH PARTNERS, LLC

Employer identification number (EIN): 412136525

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2015-07-01 LAURIE MACNAIR
510 2014-07-01 LAURIE MACNAIR
510 2014-01-01 LAURIE MACNAIR

Plan id#	Filing Submission Date	Name of Administrator
510	2015-07-01	LAURIE MACNAIR
510	2014-07-01	LAURIE MACNAIR
510	2014-01-01	LAURIE MACNAIR

Plan Statistics for PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN

401k plan membership statisitcs for PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN

Measure Date Value
2015: PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 208
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 0
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 0
2014: PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 164
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 208
Number of retired or separated participants receiving benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 208
Total participants 2014-07-01 208
Total participants, beginning-of-year 2014-01-01 160
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 164
Number of retired or separated participants receiving benefits 2014-01-01 2
Total of all active and inactive participants 2014-01-01 166
Total participants 2014-01-01 166

Measure	Date	Value
2015: PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	208
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	0
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	0
2014: PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	164
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	208
Number of retired or separated participants receiving benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	208
Total participants	2014-07-01	208
Total participants, beginning-of-year	2014-01-01	160
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	164
Number of retired or separated participants receiving benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	166
Total participants	2014-01-01	166

Form 5500 Responses for PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN

2015: PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Mulitple employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	Yes
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: PROVISION HEALTH PARTNERS GROUP MEDICAL PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Mulitple employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

PROVISION HEALTH CORPORATION 401 K PROFIT SHARING PLAN TRUST [EIN = 205450088]

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Company Name:	PROVISION HEALTH PARTNERS, LLC
Employer identification number (EIN):	412136525
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations