BUTTE-SILVER BOW PRIMARY HEALTH CARE CLINIC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BUTTE-SILVERBOW PRIMARY HEALTHCARE CLINIC INC. LIFE & AD&D
401k plan membership statisitcs for BUTTE-SILVERBOW PRIMARY HEALTHCARE CLINIC INC. LIFE & AD&D
| Measure | Date | Value |
|---|
| 2020: BUTTE-SILVERBOW PRIMARY HEALTHCARE CLINIC INC. LIFE & AD&D 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-04-01 | 152 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-04-01 | 0 |
| Number of retired or separated participants receiving benefits | 2020-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-04-01 | 0 |
| Total of all active and inactive participants | 2020-04-01 | 0 |
| Number of employers contributing to the scheme | 2020-04-01 | 0 |
| 2019: BUTTE-SILVERBOW PRIMARY HEALTHCARE CLINIC INC. LIFE & AD&D 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-04-01 | 133 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-04-01 | 152 |
| Number of retired or separated participants receiving benefits | 2019-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-04-01 | 0 |
| Total of all active and inactive participants | 2019-04-01 | 152 |
| Number of employers contributing to the scheme | 2019-04-01 | 0 |
| 2018: BUTTE-SILVERBOW PRIMARY HEALTHCARE CLINIC INC. LIFE & AD&D 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-04-01 | 122 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-04-01 | 133 |
| Number of retired or separated participants receiving benefits | 2018-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-04-01 | 0 |
| Total of all active and inactive participants | 2018-04-01 | 133 |
| Number of employers contributing to the scheme | 2018-04-01 | 0 |
| 2020: BUTTE-SILVERBOW PRIMARY HEALTHCARE CLINIC INC. LIFE & AD&D 2020 form 5500 responses |
|---|
| 2020-04-01 | Type of plan entity | Single employer plan |
| 2020-04-01 | This submission is the final filing | Yes |
| 2020-04-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-04-01 | Plan funding arrangement – Insurance | Yes |
| 2020-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: BUTTE-SILVERBOW PRIMARY HEALTHCARE CLINIC INC. LIFE & AD&D 2019 form 5500 responses |
|---|
| 2019-04-01 | Type of plan entity | Single employer plan |
| 2019-04-01 | Plan funding arrangement – Insurance | Yes |
| 2019-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: BUTTE-SILVERBOW PRIMARY HEALTHCARE CLINIC INC. LIFE & AD&D 2018 form 5500 responses |
|---|
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | First time form 5500 has been submitted | Yes |
| 2018-04-01 | Plan funding arrangement – Insurance | Yes |
| 2018-04-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0BBW9 |
| Policy instance | 1 |
| Insurance contract or identification number | GLUG0BBW9 | | Number of Individuals Covered | 146 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2020-06-30 | | Total amount of commissions paid to insurance broker | USD $71 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $710 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $71 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0BBW9 |
| Policy instance | 1 |
| Insurance contract or identification number | GLUG0BBW9 | | Number of Individuals Covered | 152 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $230 | | Total amount of fees paid to insurance company | USD $119 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,295 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $230 | | Amount paid for insurance broker fees | 119 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GLUG0BBW9 |
| Policy instance | 1 |
| Insurance contract or identification number | GLUG0BBW9 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $206 | | Total amount of fees paid to insurance company | USD $39 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $2,059 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $206 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION |
|
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