401k Plan data: SELF FUNDED MEDICAL PLAN plan

SELF FUNDED MEDICAL PLAN 401k Plan overview

Plan Name	SELF FUNDED MEDICAL PLAN
Plan identification number	501

SELF FUNDED MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

CENTRAL VERMONT PUBLIC SERVICE CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: CENTRAL VERMONT PUBLIC SERVICE CORPORATION

Employer identification number (EIN): 030111290

NAIC Classification: 221100

Additional information about CENTRAL VERMONT PUBLIC SERVICE CORPORATION

Jurisdiction of Incorporation: Vermont Secretary of State Corporations Division

Incorporation Date: 1929-08-20

Company Identification Number: 45772

Legal Registered Office Address: 30 MAIN STREET, 6TH FLOOR

BURLINGTON
United States of America (USA)
05401

More information about CENTRAL VERMONT PUBLIC SERVICE CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SELF FUNDED MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2011-01-01 JAMIE FALCO
501 2010-01-01 JAMIE FALCO
501 2009-01-01 JAMIE FALCO

Plan id#	Filing Submission Date	Name of Administrator
501	2011-01-01	JAMIE FALCO
501	2010-01-01	JAMIE FALCO
501	2009-01-01	JAMIE FALCO

Plan Statistics for SELF FUNDED MEDICAL PLAN

401k plan membership statisitcs for SELF FUNDED MEDICAL PLAN

Measure Date Value
2011: SELF FUNDED MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 977
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 618
Number of retired or separated participants receiving benefits 2011-01-01 345
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 963
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 7
Total participants 2011-01-01 970
2010: SELF FUNDED MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 999
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 613
Number of retired or separated participants receiving benefits 2010-01-01 334
Number of other retired or separated participants entitled to future benefits 2010-01-01 19
Total of all active and inactive participants 2010-01-01 966
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-01-01 11
Total participants 2010-01-01 977
2009: SELF FUNDED MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 863
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 480
Number of retired or separated participants receiving benefits 2009-01-01 324
Number of other retired or separated participants entitled to future benefits 2009-01-01 10
Total of all active and inactive participants 2009-01-01 814
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 10
Total participants 2009-01-01 824
Number of participants with account balances 2009-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2011: SELF FUNDED MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	977
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	618
Number of retired or separated participants receiving benefits	2011-01-01	345
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	963
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	7
Total participants	2011-01-01	970
2010: SELF FUNDED MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	999
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	613
Number of retired or separated participants receiving benefits	2010-01-01	334
Number of other retired or separated participants entitled to future benefits	2010-01-01	19
Total of all active and inactive participants	2010-01-01	966
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	11
Total participants	2010-01-01	977
2009: SELF FUNDED MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	863
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	480
Number of retired or separated participants receiving benefits	2009-01-01	324
Number of other retired or separated participants entitled to future benefits	2009-01-01	10
Total of all active and inactive participants	2009-01-01	814
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	10
Total participants	2009-01-01	824
Number of participants with account balances	2009-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Form 5500 Responses for SELF FUNDED MEDICAL PLAN

2011: SELF FUNDED MEDICAL PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: SELF FUNDED MEDICAL PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: SELF FUNDED MEDICAL PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	CENTRAL VERMONT PUBLIC SERVICE CORPORATION
Employer identification number (EIN):	030111290
NAIC Classification:	221100

Jurisdiction of Incorporation:	Vermont Secretary of State Corporations Division
Incorporation Date:	1929-08-20
Company Identification Number:	45772
Legal Registered Office Address:	30 MAIN STREET, 6TH FLOOR BURLINGTON United States of America (USA) 05401