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FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 401k Plan overview

Plan NameFRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D
Plan identification number 502

FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

FRANKLIN PRIMARY HEALTH CENTER INC WELFARE BENEFIT PLAN-BCBS has sponsored the creation of one or more 401k plans.

Company Name:FRANKLIN PRIMARY HEALTH CENTER INC WELFARE BENEFIT PLAN-BCBS
Employer identification number (EIN):630695975
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-06-01
5022021-06-01
5022021-05-01
5022020-05-01
5022019-05-01
5022018-05-01
5022017-05-01
5022016-05-01
5022015-05-01

Plan Statistics for FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D

401k plan membership statisitcs for FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D

Measure Date Value
2022: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2022 401k membership
Total participants, beginning-of-year2022-06-01257
Total number of active participants reported on line 7a of the Form 55002022-06-01523
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01523
2021: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2021 401k membership
Total participants, beginning-of-year2021-06-01257
Total number of active participants reported on line 7a of the Form 55002021-06-01257
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01257
Total participants, beginning-of-year2021-05-01225
Total number of active participants reported on line 7a of the Form 55002021-05-01224
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-01224
Total participants2021-05-01224
2020: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2020 401k membership
Total participants, beginning-of-year2020-05-01289
Total number of active participants reported on line 7a of the Form 55002020-05-01225
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01225
Total participants2020-05-01225
2019: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2019 401k membership
Total participants, beginning-of-year2019-05-01269
Total number of active participants reported on line 7a of the Form 55002019-05-01289
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-01289
2018: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2018 401k membership
Total participants, beginning-of-year2018-05-01250
Total number of active participants reported on line 7a of the Form 55002018-05-01269
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-01269
2017: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2017 401k membership
Total participants, beginning-of-year2017-05-01241
Total number of active participants reported on line 7a of the Form 55002017-05-01250
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-01250
2016: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2016 401k membership
Total participants, beginning-of-year2016-05-01216
Total number of active participants reported on line 7a of the Form 55002016-05-01241
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01241
2015: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2015 401k membership
Total participants, beginning-of-year2015-05-01200
Total number of active participants reported on line 7a of the Form 55002015-05-01216
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-01216

Form 5500 Responses for FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D

2022: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – InsuranceYes
2021: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)No
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-05-01Type of plan entitySingle employer plan
2021-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: FRANKLIN PRIMARY HEALTH CENTER, INC WELFARE BENEFIT PLAN L&D 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01First time form 5500 has been submittedYes
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05390715
Policy instance 1
Insurance contract or identification numberTS05390715
Number of Individuals Covered523
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $41,996
Total amount of fees paid to insurance companyUSD $6,511
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $219,742
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,093
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees3674
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05390715
Policy instance 1
Insurance contract or identification numberTS05390715
Number of Individuals Covered592
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $32,146
Total amount of fees paid to insurance companyUSD $5,957
Are there contracts with allocated funds for individual policies?0
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $220,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,052
Amount paid for insurance broker fees45
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 1
Insurance contract or identification number159814
Number of Individuals Covered224
Insurance policy start date2021-05-01
Insurance policy end date2021-05-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 3
Insurance contract or identification number159814
Number of Individuals Covered223
Insurance policy start date2021-05-01
Insurance policy end date2021-05-31
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 2
Insurance contract or identification number159814
Number of Individuals Covered224
Insurance policy start date2021-05-01
Insurance policy end date2021-05-31
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 3
Insurance contract or identification number159814
Number of Individuals Covered224
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 1
Insurance contract or identification number159814
Number of Individuals Covered225
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 2
Insurance contract or identification number159814
Number of Individuals Covered225
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 1
Insurance contract or identification number159814
Number of Individuals Covered289
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 3
Insurance contract or identification number159814
Number of Individuals Covered287
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 2
Insurance contract or identification number159814
Number of Individuals Covered289
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 3
Insurance contract or identification number159814
Number of Individuals Covered267
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 1
Insurance contract or identification number159814
Number of Individuals Covered269
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 2
Insurance contract or identification number159814
Number of Individuals Covered269
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 3
Insurance contract or identification number159814
Number of Individuals Covered247
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 2
Insurance contract or identification number159814
Number of Individuals Covered250
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 1
Insurance contract or identification number159814
Number of Individuals Covered250
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 3
Insurance contract or identification number159814
Number of Individuals Covered240
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 2
Insurance contract or identification number159814
Number of Individuals Covered241
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 1
Insurance contract or identification number159814
Number of Individuals Covered241
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 2
Insurance contract or identification number159814
Number of Individuals Covered216
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 1
Insurance contract or identification number159814
Number of Individuals Covered216
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159814
Policy instance 3
Insurance contract or identification number159814
Number of Individuals Covered215
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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