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GOULD MEDICAL GROUP VISION CARE PLAN 401k Plan overview

Plan NameGOULD MEDICAL GROUP VISION CARE PLAN
Plan identification number 507

GOULD MEDICAL GROUP VISION CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

SUTTER GOULD MEDICAL FOUNDATION has sponsored the creation of one or more 401k plans.

Company Name:SUTTER GOULD MEDICAL FOUNDATION
Employer identification number (EIN):941682256
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about SUTTER GOULD MEDICAL FOUNDATION

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1282751

More information about SUTTER GOULD MEDICAL FOUNDATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOULD MEDICAL GROUP VISION CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072015-01-01MARTIN F. PRICCO, M.D.
5072014-01-01MARTIN F. PRICCO, M.D.
5072013-01-01MARTIN F. PRICCO, M.D.
5072012-01-01MARTIN F. PRICCO, M.D.
5072011-01-01MARTIN PRICCO
5072009-01-01MARTIN PRICCO

Plan Statistics for GOULD MEDICAL GROUP VISION CARE PLAN

401k plan membership statisitcs for GOULD MEDICAL GROUP VISION CARE PLAN

Measure Date Value
2015: GOULD MEDICAL GROUP VISION CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01207
Total number of active participants reported on line 7a of the Form 55002015-01-01227
Total of all active and inactive participants2015-01-01227
Total participants2015-01-01227
2014: GOULD MEDICAL GROUP VISION CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01187
Total number of active participants reported on line 7a of the Form 55002014-01-01207
Total of all active and inactive participants2014-01-01207
Total participants2014-01-01207
2013: GOULD MEDICAL GROUP VISION CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01167
Total number of active participants reported on line 7a of the Form 55002013-01-01187
Total of all active and inactive participants2013-01-01187
Total participants2013-01-01187
2012: GOULD MEDICAL GROUP VISION CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01165
Total number of active participants reported on line 7a of the Form 55002012-01-01167
Total of all active and inactive participants2012-01-01167
Total participants2012-01-01167
2011: GOULD MEDICAL GROUP VISION CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01173
Total number of active participants reported on line 7a of the Form 55002011-01-01165
Total of all active and inactive participants2011-01-01165
2009: GOULD MEDICAL GROUP VISION CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01161
Total number of active participants reported on line 7a of the Form 55002009-01-01164
Total of all active and inactive participants2009-01-01164

Form 5500 Responses for GOULD MEDICAL GROUP VISION CARE PLAN

2015: GOULD MEDICAL GROUP VISION CARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: GOULD MEDICAL GROUP VISION CARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GOULD MEDICAL GROUP VISION CARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GOULD MEDICAL GROUP VISION CARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GOULD MEDICAL GROUP VISION CARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: GOULD MEDICAL GROUP VISION CARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number12296492
Policy instance 1
Insurance contract or identification number12296492
Number of Individuals Covered227
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $52,503
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 number12296492
Policy instance 1
Insurance contract or identification number12296492
Number of Individuals Covered207
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,576
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 number12296492
Policy instance 1
Insurance contract or identification number12296492
Number of Individuals Covered187
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,710
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 number12296492
Policy instance 1
Insurance contract or identification number12296492
Number of Individuals Covered167
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,090
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 number12296492
Policy instance 1
Insurance contract or identification number12296492
Number of Individuals Covered165
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,883
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 number12296492
Policy instance 1
Insurance contract or identification number12296492
Number of Individuals Covered173
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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