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KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 401k Plan overview

Plan NameKENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN
Plan identification number 511

KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

THE KENTUCKY MEDICAL SERVICES FOUNDATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:THE KENTUCKY MEDICAL SERVICES FOUNDATION, INC.
Employer identification number (EIN):610945743
NAIC Classification:561110
NAIC Description:Office Administrative Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5112016-07-01
5112015-07-01
5112014-07-01
5112013-07-01
5112012-07-01DARRELL GRIFFITH
5112011-07-01DARRELL GRIFFITH
5112009-07-01DARRELL GRIFFITH

Plan Statistics for KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN

401k plan membership statisitcs for KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN

Measure Date Value
2016: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01157
Total number of active participants reported on line 7a of the Form 55002016-07-01175
Total of all active and inactive participants2016-07-01175
2015: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01154
Total number of active participants reported on line 7a of the Form 55002015-07-01157
Total of all active and inactive participants2015-07-01157
2014: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01142
Total number of active participants reported on line 7a of the Form 55002014-07-01154
Total of all active and inactive participants2014-07-01154
2013: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01156
Total number of active participants reported on line 7a of the Form 55002013-07-01142
Total of all active and inactive participants2013-07-01142
2012: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01151
Total number of active participants reported on line 7a of the Form 55002012-07-01156
Total of all active and inactive participants2012-07-01156
2011: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01160
Total number of active participants reported on line 7a of the Form 55002011-07-01151
Total of all active and inactive participants2011-07-01151
2009: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01162
Total number of active participants reported on line 7a of the Form 55002009-07-01162
Total of all active and inactive participants2009-07-01162

Form 5500 Responses for KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN

2016: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01This submission is the final filingYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: KENTUCKY MEDICAL SERVICES MEDICAL INSURANCE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number030660
Policy instance 1
Insurance contract or identification number030660
Number of Individuals Covered154
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $35,000
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,573,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,000
Insurance broker organization code?3
Insurance broker namePIKE & PRESTON LLC
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number030660
Policy instance 1
Insurance contract or identification number030660
Number of Individuals Covered142
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $34,700
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,409,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,700
Insurance broker organization code?3
Insurance broker namePIKE & PRESTON LLC
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number697383
Policy instance 1
Insurance contract or identification number697383
Number of Individuals Covered156
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $63,250
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,598,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,250
Insurance broker organization code?3
Insurance broker namePIKE & PRESTON LLC
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number697383
Policy instance 1
Insurance contract or identification number697383
Number of Individuals Covered151
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $58,566
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,471,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA HEALTH PLAN OF TEXAS, INC. (National Association of Insurance Commissioners NAIC id number: 95024 )
Policy contract number697383
Policy instance 1
Insurance contract or identification number697383
Number of Individuals Covered160
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $58,625
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
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,463,529
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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