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TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 401k Plan overview

Plan NameTRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN
Plan identification number 501

TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

TRINITY CLINIC has sponsored the creation of one or more 401k plans.

Company Name:TRINITY CLINIC
Employer identification number (EIN):752616977
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about TRINITY CLINIC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1995-05-17
Company Identification Number: 0135608801
Legal Registered Office Address: 1315 DOCTORS DR

TYLER
United States of America (USA)
75701

More information about TRINITY CLINIC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01
5012016-01-01
5012015-01-01THOMAS A. WILKEN
5012014-01-01THOMAS A. WILKEN
5012013-01-01TOM WILKEN
5012012-01-01TOM WILKEN
5012011-01-01ORAN FERRELL
5012010-01-01ORAN FERRELL
5012009-01-01ORAN FERRELL
5012009-01-01ORAN FERRELL

Plan Statistics for TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN

401k plan membership statisitcs for TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN

Measure Date Value
2017: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,147
Total number of active participants reported on line 7a of the Form 55002017-01-010
Total of all active and inactive participants2017-01-010
Total participants2017-01-010
2016: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,096
Total number of active participants reported on line 7a of the Form 55002016-01-011,147
Total of all active and inactive participants2016-01-011,147
Total participants2016-01-011,147
2015: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,016
Total number of active participants reported on line 7a of the Form 55002015-01-011,096
Total of all active and inactive participants2015-01-011,096
Total participants2015-01-011,096
2014: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,135
Total number of active participants reported on line 7a of the Form 55002014-01-011,016
Total of all active and inactive participants2014-01-011,016
Total participants2014-01-011,016
2013: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01318
Total number of active participants reported on line 7a of the Form 55002013-01-01309
Total of all active and inactive participants2013-01-01309
Total participants2013-01-01309
2012: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01291
Total number of active participants reported on line 7a of the Form 55002012-01-01318
Total of all active and inactive participants2012-01-01318
Total participants2012-01-01318
2011: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01266
Total number of active participants reported on line 7a of the Form 55002011-01-01284
Total of all active and inactive participants2011-01-01284
Total participants2011-01-01284
2010: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01243
Total number of active participants reported on line 7a of the Form 55002010-01-01266
Total of all active and inactive participants2010-01-01266
Total participants2010-01-01266
2009: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01230
Total number of active participants reported on line 7a of the Form 55002009-01-01243
Total of all active and inactive participants2009-01-01243
Total participants2009-01-01243

Form 5500 Responses for TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN

2017: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: TRINITY CLINIC HEALTH & DENTAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number34366
Policy instance 1
Insurance contract or identification number34366
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-06-30
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number34366
Policy instance 1
Insurance contract or identification number34366
Number of Individuals Covered1096
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $3,956
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3956
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number34366
Policy instance 1
Insurance contract or identification number34366
Number of Individuals Covered1016
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number34366
Policy instance 1
Insurance contract or identification number34366
Number of Individuals Covered1135
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number34366
Policy instance 1
Insurance contract or identification number34366
Number of Individuals Covered1175
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number34366
Policy instance 1
Insurance contract or identification number34366
Number of Individuals Covered1054
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number34366
Policy instance 1
Insurance contract or identification number34366
Number of Individuals Covered993
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $244,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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