Medical Benefits Mutual Life Insurance CO.

Form 5500

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO

1975 Tamarack Road P.O. Box 1009, Newark, Oh 43058 (740) 522-8425 EIN:31-4210910 Plan Admin:Medical Benefits Mutual Life Insurance Company

Year	Plan Name	Participants BOY/EOY	Assets BOY/EOY
2022	Plan NameMEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY150 / 149 Assets BOY/EOY$22,778,947 / $19,245,168	2022	MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. PROFIT SHARING PLAN - Plan #001	150 / 149	$22,778,947 / $19,245,168
2022	Plan NameMEDBEN EMPLOYEE MEDICAL WELFARE BENEFIT PLAN Plan #501 Participants BOY/EOY115 / 113 Assets BOY/EOY$19,858 / $10,723	2022	MEDBEN EMPLOYEE MEDICAL WELFARE BENEFIT PLAN - Plan #501	115 / 113	$19,858 / $10,723
2022	Plan NameMEDBEN EMPLOYEE PRESCRIPTION WELFARE BENEFIT PLAN Plan #502 Participants BOY/EOY107 / 105 Assets BOY/EOY$633 / $223	2022	MEDBEN EMPLOYEE PRESCRIPTION WELFARE BENEFIT PLAN - Plan #502	107 / 105	$633 / $223
2021	Plan NameMEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY165 / 150 Assets BOY/EOY$20,884,500 / $22,778,947	2021	MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. PROFIT SHARING PLAN - Plan #001	165 / 150	$20,884,500 / $22,778,947
2021	Plan NameMEDBEN EMPLOYEE MEDICAL WELFARE BENEFIT PLAN Plan #501 Participants BOY/EOY121 / 134 Assets BOY/EOY$10,703 / $19,858	2021	MEDBEN EMPLOYEE MEDICAL WELFARE BENEFIT PLAN - Plan #501	121 / 134	$10,703 / $19,858
2021	Plan NameMEDBEN EMPLOYEE PRESCRIPTION WELFARE BENEFIT PLAN Plan #502 Participants BOY/EOY121 / 126 Assets BOY/EOY$850 / $633	2021	MEDBEN EMPLOYEE PRESCRIPTION WELFARE BENEFIT PLAN - Plan #502	121 / 126	$850 / $633
2020	Plan NameMEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY164 / 165 Assets BOY/EOY$18,476,736 / $20,884,500	2020	MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. PROFIT SHARING PLAN - Plan #001	164 / 165	$18,476,736 / $20,884,500
2020	Plan NameMEDBEN EMPLOYEE MEDICAL WELFARE BENEFIT PLAN Plan #501 Participants BOY/EOY122 / 121 Assets BOY/EOY$9,708 / $10,703	2020	MEDBEN EMPLOYEE MEDICAL WELFARE BENEFIT PLAN - Plan #501	122 / 121	$9,708 / $10,703
2020	Plan NameMEDBEN EMPLOYEE PRESCRIPTION WELFARE BENEFIT PLAN Plan #502 Participants BOY/EOY122 / 121 Assets BOY/EOY$1,020 / $850	2020	MEDBEN EMPLOYEE PRESCRIPTION WELFARE BENEFIT PLAN - Plan #502	122 / 121	$1,020 / $850
2019	Plan NameMEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. PROFIT SHARING PLAN Plan #001 Participants BOY/EOY157 / 161 Assets BOY/EOY$15,011,053 / $18,476,736	2019	MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. PROFIT SHARING PLAN - Plan #001	157 / 161	$15,011,053 / $18,476,736
2019	Plan NameMEDBEN EMPLOYEE MEDICAL WELFARE BENEFIT PLAN Plan #501 Participants BOY/EOY115 / 122 Assets BOY/EOY$14,642 / $9,708	2019	MEDBEN EMPLOYEE MEDICAL WELFARE BENEFIT PLAN - Plan #501	115 / 122	$14,642 / $9,708
2019	Plan NameMEDBEN EMPLOYEE PRESCRIPTION WELFARE BENEFIT PLAN Plan #502 Participants BOY/EOY133 / 122 Assets BOY/EOY$0 / $1,020	2019	MEDBEN EMPLOYEE PRESCRIPTION WELFARE BENEFIT PLAN - Plan #502	133 / 122	$0 / $1,020