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| Plan Name | JOHNSON HEALTH CENTER LIFE PLAN |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | JOHNSON HEALTH CENTER |
| Employer identification number (EIN): | 541287905 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
Additional information about JOHNSON HEALTH CENTER
| Jurisdiction of Incorporation: | Virginia Secretary of State |
| Incorporation Date: | 1984-06-25 |
| Company Identification Number: | 0257952 |
| Legal Registered Office Address: |
134 ELON ROAD 801 MAIN ST 11TH FL MADISON HEIGHTS United States of America (USA) 24572 |
More information about JOHNSON HEALTH CENTER
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2017-03-01 | ||||
| 504 | 2017-03-01 | SHARON M. SAUNDERS | |||
| 504 | 2016-03-01 | ||||
| 504 | 2016-03-01 | SHARON SAUNDERS |
| Measure | Date | Value |
|---|---|---|
| 2017: JOHNSON HEALTH CENTER LIFE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-03-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 0 |
| Total of all active and inactive participants | 2017-03-01 | 0 |
| 2016: JOHNSON HEALTH CENTER LIFE PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-03-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-03-01 | 109 |
| Total of all active and inactive participants | 2016-03-01 | 109 |
| 2017: JOHNSON HEALTH CENTER LIFE PLAN 2017 form 5500 responses | ||
|---|---|---|
| 2017-03-01 | Type of plan entity | Single employer plan |
| 2017-03-01 | Submission has been amended | No |
| 2017-03-01 | This submission is the final filing | Yes |
| 2017-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-03-01 | Plan is a collectively bargained plan | No |
| 2017-03-01 | Plan funding arrangement – Insurance | Yes |
| 2017-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: JOHNSON HEALTH CENTER LIFE PLAN 2016 form 5500 responses | ||
| 2016-03-01 | Type of plan entity | Single employer plan |
| 2016-03-01 | First time form 5500 has been submitted | Yes |
| 2016-03-01 | Submission has been amended | No |
| 2016-03-01 | This submission is the final filing | No |
| 2016-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-03-01 | Plan is a collectively bargained plan | No |
| 2016-03-01 | Plan funding arrangement – Insurance | Yes |
| 2016-03-01 | Plan benefit arrangement – Insurance | Yes |
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |
| Policy contract number | 23798000V |
| Policy instance | 1 |
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) | |
| Policy contract number | 23798000V |
| Policy instance | 1 |
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