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MARSHALL MEDICAL CENTER VISION SERVICE PLAN 401k Plan overview

Plan NameMARSHALL MEDICAL CENTER VISION SERVICE PLAN
Plan identification number 503

MARSHALL MEDICAL CENTER VISION SERVICE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

MARSHALL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:MARSHALL MEDICAL CENTER
Employer identification number (EIN):941450151
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about MARSHALL MEDICAL CENTER

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1957-03-21
Company Identification Number: C0335489
Legal Registered Office Address: 1100 Marshall Way

Placerville
United States of America (USA)
95667

More information about MARSHALL MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARSHALL MEDICAL CENTER VISION SERVICE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032016-11-01
5032016-11-01SCOTT M. COMER2020-02-12
5032015-11-01SCOTT COMER
5032014-11-01SCOTT COMER SCOTT COMER2016-05-04
5032013-11-01SCOTT COMER SCOTT COMER2015-05-11
5032013-05-01SCOTT COMER SCOTT COMER2014-05-14
5032012-05-01SCOTT COMER SCOTT COMER2013-11-15
5032011-05-01SCOTT COMER
5032009-05-01SCOTT COMER

Plan Statistics for MARSHALL MEDICAL CENTER VISION SERVICE PLAN

401k plan membership statisitcs for MARSHALL MEDICAL CENTER VISION SERVICE PLAN

Measure Date Value
2016: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-011,466
Total number of active participants reported on line 7a of the Form 55002016-11-011,413
Number of retired or separated participants receiving benefits2016-11-016
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-011,419
Number of employers contributing to the scheme2016-11-010
2015: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01998
Total number of active participants reported on line 7a of the Form 55002015-11-011,065
Number of retired or separated participants receiving benefits2015-11-015
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-011,070
2014: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-011,099
Total number of active participants reported on line 7a of the Form 55002014-11-01991
Number of retired or separated participants receiving benefits2014-11-017
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01998
2013: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-011,055
Total number of active participants reported on line 7a of the Form 55002013-11-011,094
Number of retired or separated participants receiving benefits2013-11-015
Number of other retired or separated participants entitled to future benefits2013-11-010
Total of all active and inactive participants2013-11-011,099
Total participants, beginning-of-year2013-05-011,082
Total number of active participants reported on line 7a of the Form 55002013-05-011,048
Number of retired or separated participants receiving benefits2013-05-017
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-011,055
2012: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-011,061
Total number of active participants reported on line 7a of the Form 55002012-05-011,082
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-011,082
2011: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-011,064
Total number of active participants reported on line 7a of the Form 55002011-05-011,061
Total of all active and inactive participants2011-05-011,061
2009: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-011,006
Total number of active participants reported on line 7a of the Form 55002009-05-011,019
Number of retired or separated participants receiving benefits2009-05-010
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-011,019
Total participants2009-05-010

Form 5500 Responses for MARSHALL MEDICAL CENTER VISION SERVICE PLAN

2016: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedYes
2016-11-01This submission is the final filingYes
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2009: MARSHALL MEDICAL CENTER VISION SERVICE PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00617058
Policy instance 1
Insurance contract or identification number00617058
Number of Individuals Covered1070
Insurance policy start date2015-11-01
Insurance policy end date2016-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $152,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00617058
Policy instance 1
Insurance contract or identification number00617058
Number of Individuals Covered1099
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00617058
Policy instance 1
Insurance contract or identification number00617058
Number of Individuals Covered1055
Insurance policy start date2013-05-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00617058
Policy instance 1
Insurance contract or identification number00617058
Number of Individuals Covered1082
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00617058
Policy instance 1
Insurance contract or identification number00617058
Number of Individuals Covered1068
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00617058
Policy instance 1
Insurance contract or identification number00617058
Number of Individuals Covered1066
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Vision 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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