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Form 5500 · Retirement plan · WAUSEON, OH

FULTON COUNTY HEALTH CENTER

The filing calls this plan FULTON COUNTY HEALTH CENTER TAX DEFERRED ANNUITY PLAN.

FULTON COUNTY HEALTH CENTER of WAUSEON, OH files a Form 5500 for its retirement plan. Schedule A discloses 2 annuity or guaranteed-interest contracts held by the plan, written by STANDARD INSURANCE COMPANY and 1 other insurer. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.

Agent of record (Schedule A)
Not disclosed
Insurance company
STANDARD INSURANCE COMPANY
Contract year ends
Decemberas filed for plan year 2025

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 34-4428214 · plan 005 · plan year 2025, filed Sep 1, 2026

Participants at the start of the year
1,019
Contracts on file
2
Contract value
$3,465,878
Plan year end
December

Plan brief

Schedule A lists 2 insurance contracts held by the plan — annuities, guaranteed-interest accounts or similar funding vehicles. The largest number are with STANDARD INSURANCE COMPANY.

The contracts held $3,465,878 at the end of the plan year, as reported on Schedule A.

The filing discloses no agent commission on these contracts.

A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.

The contract year ended in December.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
STANDARD INSURANCE COMPANYAnnuity / GIC0December—$0
TRANSAMERICA LIFE INSURANCE COMPANYAnnuity / GIC1,019December$3,465,878$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
FULTON COUNTY HEALTH CENTER
EIN 34-4428214
TRANSAMERICA RETIREMENT SOLUTIONS
Claims processing · Recordkeeping and information management · EIN 13-3689044
$65,940
paid directly by the plan
CAPITAL ASSET ADVISORY SERVICES LLC
INVESTMENT ADVISOR · EIN 38-3470125
$65,382
paid directly by the plan
NATIONAL FINANCIAL SERVICES
SECURITIES BROKER · EIN 38-3470125
$0
paid directly by the plan

The plan administrator is from line 3a of the main form. The service providers are named on Schedule C of this filing. We publish company names only.

Reported to OSHA

Reported to OSHA for 2025: 759 employees, 9 recordable cases, 32 days away from work.

EmployeesThe company's own average for the year
759
Hours worked
854,181
Recordable cases
9
Days away from work
32

Source: OSHA Injury Tracking Application establishment data, 2025.

What the plan holds

Plan assets at year end
$40,121,038
Paid out in benefits
$2,219,276
Participants at the start of the year
1,019
Participants with account balances
1,019

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule H

Who runs the plan

RecordkeeperEIN 13-3689044
TRANSAMERICA RETIREMENT SOLUTIONS
Independent accountantEIN 33-1498605
PLANTE & MORAN, PLLC
Accountant's opinion (Schedule H, line 3a)
Unmodified

The recordkeeper and the accountant are named on Schedule C of this filing. The opinion and the fee are from Schedule H.

Other plans filed by this employer

Employee Benefits PlanInsured benefit plan · 9 Schedule A contractsRenews ~Jan 1Employees' Pension PlanRetirement plan · 1 Schedule A contract

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