401k Plan data: MEDICAL INSURANCE plan

MEDICAL INSURANCE 401k Plan overview

Plan Name	MEDICAL INSURANCE
Plan identification number	515

MEDICAL INSURANCE Benefits

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

401k Sponsoring company profile

UNIVERSITY OF NEW HAVEN has sponsored the creation of one or more 401k plans.

Company Name: UNIVERSITY OF NEW HAVEN

Employer identification number (EIN): 060761704

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
515 2012-07-01 P PENNY PECKA
515 2011-07-01 P PENNY PECKA
515 2010-07-01 P PENNY PECKA
515 2009-07-01 P. PENNY PECKA

Plan id#	Filing Submission Date	Name of Administrator
515	2012-07-01	P PENNY PECKA
515	2011-07-01	P PENNY PECKA
515	2010-07-01	P PENNY PECKA
515	2009-07-01	P. PENNY PECKA

Plan Statistics for MEDICAL INSURANCE

401k plan membership statisitcs for MEDICAL INSURANCE

Measure Date Value
2012: MEDICAL INSURANCE 2012 401k membership
Total participants, beginning-of-year 2012-07-01 514
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 0
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 0
2011: MEDICAL INSURANCE 2011 401k membership
Total participants, beginning-of-year 2011-07-01 493
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 514
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 514
2010: MEDICAL INSURANCE 2010 401k membership
Total participants, beginning-of-year 2010-07-01 466
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 472
Number of retired or separated participants receiving benefits 2010-07-01 21
Number of other retired or separated participants entitled to future benefits 2010-07-01 0
Total of all active and inactive participants 2010-07-01 493
2009: MEDICAL INSURANCE 2009 401k membership
Total participants, beginning-of-year 2009-07-01 429
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 447
Number of retired or separated participants receiving benefits 2009-07-01 19
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 466

Measure	Date	Value
2012: MEDICAL INSURANCE 2012 401k membership
Total participants, beginning-of-year	2012-07-01	514
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	0
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	0
2011: MEDICAL INSURANCE 2011 401k membership
Total participants, beginning-of-year	2011-07-01	493
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	514
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	514
2010: MEDICAL INSURANCE 2010 401k membership
Total participants, beginning-of-year	2010-07-01	466
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	472
Number of retired or separated participants receiving benefits	2010-07-01	21
Number of other retired or separated participants entitled to future benefits	2010-07-01	0
Total of all active and inactive participants	2010-07-01	493
2009: MEDICAL INSURANCE 2009 401k membership
Total participants, beginning-of-year	2009-07-01	429
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	447
Number of retired or separated participants receiving benefits	2009-07-01	19
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	466

Form 5500 Responses for MEDICAL INSURANCE

2012: MEDICAL INSURANCE 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	Yes
2012-07-01	This submission is the final filing	Yes
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: MEDICAL INSURANCE 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2010: MEDICAL INSURANCE 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2009: MEDICAL INSURANCE 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	UNIVERSITY OF NEW HAVEN
Employer identification number (EIN):	060761704
NAIC Classification:	611000