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FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 401k Plan overview

Plan NameFRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN
Plan identification number 508

FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

FRANKLIN COMMUNITY HEALTH NETWORK has sponsored the creation of one or more 401k plans.

Company Name:FRANKLIN COMMUNITY HEALTH NETWORK
Employer identification number (EIN):223209406
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5082015-01-01
5082015-01-01
5082014-01-01WAYNE BENNETT WAYNE BENNETT2015-09-30
5082013-01-01JOLINE HART JOLINE HART2014-10-13
5082012-01-01JOLINE HART JOLINE HART2013-10-09
5082011-01-01JOLINE HART JOLINE HART2012-09-19
5082010-01-01MELANIE MEADER MELANIE MEADER2011-10-17
5082009-01-01JOLINE HART JOLINE HART2010-07-29

Plan Statistics for FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN

Measure Date Value
2015: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01624
Total number of active participants reported on line 7a of the Form 55002015-01-01578
Total of all active and inactive participants2015-01-01578
Number of retired or separated participants receiving benefits2015-01-010
2014: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01428
Total number of active participants reported on line 7a of the Form 55002014-01-01422
Total of all active and inactive participants2014-01-01422
2013: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01487
Total number of active participants reported on line 7a of the Form 55002013-01-01437
Total of all active and inactive participants2013-01-01437
2012: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01447
Total number of active participants reported on line 7a of the Form 55002012-01-01473
Total of all active and inactive participants2012-01-01473
2011: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01521
Total number of active participants reported on line 7a of the Form 55002011-01-01498
Total of all active and inactive participants2011-01-01498
2010: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01504
Total number of active participants reported on line 7a of the Form 55002010-01-01488
Total of all active and inactive participants2010-01-01488
2009: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01504
Total number of active participants reported on line 7a of the Form 55002009-01-01508
Total of all active and inactive participants2009-01-01508

Form 5500 Responses for FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN

2015: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY 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: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY 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: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY 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: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY 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
2010: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: FRANKLIN COMMUNITY HEALTH NETWORK SHORT TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
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

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number4072190001
Policy instance 1
Insurance contract or identification number4072190001
Number of Individuals Covered576
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10,406
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $331,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered420
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $26,998
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
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $196,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,998
Insurance broker organization code?3
Insurance broker nameLANDRY SCOTT
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered437
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $32,428
Total amount of fees paid to insurance companyUSD $8,073
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $218,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,428
Insurance broker organization code?3
Amount paid for insurance broker fees8073
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker nameUSI INS SVCS LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered470
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $35,197
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
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $216,010
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,197
Insurance broker organization code?3
Insurance broker nameSCOTT H. LANDRY
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered491
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $36,756
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
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $245,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered488
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $36,082
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
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $241,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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