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FREEMAN HOSPITAL VISION SERVICE PLAN 401k Plan overview

Plan NameFREEMAN HOSPITAL VISION SERVICE PLAN
Plan identification number 510

FREEMAN HOSPITAL VISION SERVICE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

FREEMAN HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:FREEMAN HEALTH SYSTEM
Employer identification number (EIN):431704371
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about FREEMAN HEALTH SYSTEM

Jurisdiction of Incorporation: Missouri Secretary of State
Incorporation Date:
Company Identification Number: N00051816

More information about FREEMAN HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FREEMAN HOSPITAL VISION SERVICE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102016-01-01STEVE GRADDY
5102016-01-01STEVE GRADDY
5102015-01-01STEVE GRADDY
5102014-01-01STEVE GRADDY STEVE GRADDY2015-07-08
5102013-01-01STEVE GRADDY
5102012-01-01STEVE GRADDY
5102011-01-01JOE KIRK
5102010-01-01JOE KIRK
5102009-01-01JOE KIRK

Plan Statistics for FREEMAN HOSPITAL VISION SERVICE PLAN

401k plan membership statisitcs for FREEMAN HOSPITAL VISION SERVICE PLAN

Measure Date Value
2016: FREEMAN HOSPITAL VISION SERVICE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,052
Total number of active participants reported on line 7a of the Form 55002016-01-012,020
Number of retired or separated participants receiving benefits2016-01-015
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-012,025
2015: FREEMAN HOSPITAL VISION SERVICE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,076
Total number of active participants reported on line 7a of the Form 55002015-01-012,052
Number of retired or separated participants receiving benefits2015-01-019
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-012,061
2014: FREEMAN HOSPITAL VISION SERVICE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,970
Total number of active participants reported on line 7a of the Form 55002014-01-012,069
Number of retired or separated participants receiving benefits2014-01-017
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-012,076
2013: FREEMAN HOSPITAL VISION SERVICE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,814
Total number of active participants reported on line 7a of the Form 55002013-01-011,961
Number of retired or separated participants receiving benefits2013-01-019
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,970
2012: FREEMAN HOSPITAL VISION SERVICE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,785
Total number of active participants reported on line 7a of the Form 55002012-01-011,814
Number of retired or separated participants receiving benefits2012-01-0113
Number of other retired or separated participants entitled to future benefits2012-01-017
Total of all active and inactive participants2012-01-011,834
2011: FREEMAN HOSPITAL VISION SERVICE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,620
Total number of active participants reported on line 7a of the Form 55002011-01-011,785
Number of retired or separated participants receiving benefits2011-01-0121
Total of all active and inactive participants2011-01-011,806
2010: FREEMAN HOSPITAL VISION SERVICE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,477
Total number of active participants reported on line 7a of the Form 55002010-01-011,605
Number of retired or separated participants receiving benefits2010-01-0115
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-011,620
2009: FREEMAN HOSPITAL VISION SERVICE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,525
Total number of active participants reported on line 7a of the Form 55002009-01-011,463
Number of retired or separated participants receiving benefits2009-01-0114
Total of all active and inactive participants2009-01-011,477
Total participants2009-01-010

Form 5500 Responses for FREEMAN HOSPITAL VISION SERVICE PLAN

2016: FREEMAN HOSPITAL VISION SERVICE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: FREEMAN HOSPITAL VISION SERVICE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: FREEMAN HOSPITAL VISION SERVICE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: FREEMAN HOSPITAL VISION SERVICE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: FREEMAN HOSPITAL VISION SERVICE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: FREEMAN HOSPITAL VISION SERVICE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: FREEMAN HOSPITAL VISION SERVICE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: FREEMAN HOSPITAL VISION SERVICE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12223597
Policy instance 1
Insurance contract or identification number12223597
Number of Individuals Covered2052
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12223597
Policy instance 1
Insurance contract or identification number12223597
Number of Individuals Covered2069
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12223597
Policy instance 1
Insurance contract or identification number12223597
Number of Individuals Covered1961
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker name
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12223597
Policy instance 1
Insurance contract or identification number12223597
Number of Individuals Covered1791
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $27,384
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,384
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12223597
Policy instance 1
Insurance contract or identification number12223597
Number of Individuals Covered1805
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $25,120
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12223597
Policy instance 1
Insurance contract or identification number12223597
Number of Individuals Covered1605
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $25,218
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,218
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC

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