J.C. BLAIR MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.
Additional information about J.C. BLAIR MEMORIAL HOSPITAL
Submission information for form 5500 for 401k plan GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES
401k plan membership statisitcs for GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES
| Measure | Date | Value |
|---|
| 2020: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-09-01 | 84 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-09-01 | 74 |
| Total of all active and inactive participants | 2020-09-01 | 74 |
| 2019: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-09-01 | 165 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 84 |
| Total of all active and inactive participants | 2019-09-01 | 84 |
| 2018: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-09-01 | 176 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 165 |
| Total of all active and inactive participants | 2018-09-01 | 165 |
| 2017: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-09-01 | 163 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 176 |
| Total of all active and inactive participants | 2017-09-01 | 176 |
| 2016: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-09-01 | 216 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 163 |
| Total of all active and inactive participants | 2016-09-01 | 163 |
| 2015: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-09-01 | 213 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 216 |
| Total of all active and inactive participants | 2015-09-01 | 216 |
| 2014: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-09-01 | 243 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 213 |
| Total of all active and inactive participants | 2014-09-01 | 213 |
| 2013: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-09-01 | 202 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 243 |
| Total of all active and inactive participants | 2013-09-01 | 243 |
| 2012: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-09-01 | 167 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-09-01 | 202 |
| Total of all active and inactive participants | 2012-09-01 | 202 |
| 2011: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-09-01 | 151 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 167 |
| Total of all active and inactive participants | 2011-09-01 | 167 |
| 2009: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-09-01 | 400 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 428 |
| Total of all active and inactive participants | 2009-09-01 | 428 |
| 2020: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2020 form 5500 responses |
|---|
| 2020-09-01 | Type of plan entity | Single employer plan |
| 2020-09-01 | Plan funding arrangement – Insurance | Yes |
| 2020-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2019 form 5500 responses |
|---|
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2018 form 5500 responses |
|---|
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | Plan funding arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2017 form 5500 responses |
|---|
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2016 form 5500 responses |
|---|
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2015 form 5500 responses |
|---|
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2014 form 5500 responses |
|---|
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2013 form 5500 responses |
|---|
| 2013-09-01 | Type of plan entity | Single employer plan |
| 2013-09-01 | Plan funding arrangement – Insurance | Yes |
| 2013-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2012 form 5500 responses |
|---|
| 2012-09-01 | Type of plan entity | Single employer plan |
| 2012-09-01 | Plan funding arrangement – Insurance | Yes |
| 2012-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2011 form 5500 responses |
|---|
| 2011-09-01 | Type of plan entity | Single employer plan |
| 2011-09-01 | Plan funding arrangement – Insurance | Yes |
| 2011-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES 2009 form 5500 responses |
|---|
| 2009-09-01 | Type of plan entity | Single employer plan |
| 2009-09-01 | This submission is the final filing | No |
| 2009-09-01 | Plan funding arrangement – Insurance | Yes |
| 2009-09-01 | Plan benefit arrangement – Insurance | Yes |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | G 670385 |
| Policy instance | 4 |
| Insurance contract or identification number | G 670385 | | Number of Individuals Covered | 33 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $1,480 | | Total amount of fees paid to insurance company | USD $2,083 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,480 | | Amount paid for insurance broker fees | 2083 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEESADMINISTRATIVE FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAR 672906 |
| Policy instance | 3 |
| Insurance contract or identification number | VAR 672906 | | Number of Individuals Covered | 111 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $238 | | Total amount of fees paid to insurance company | USD $147 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $238 | | Amount paid for insurance broker fees | 147 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 669884 |
| Policy instance | 2 |
| Insurance contract or identification number | LTD 669884 | | Number of Individuals Covered | 282 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $4,245 | | Total amount of fees paid to insurance company | USD $2,623 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,245 | | Amount paid for insurance broker fees | 2623 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 668923 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 668923 | | Number of Individuals Covered | 74 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $4,377 | | Total amount of fees paid to insurance company | USD $2,728 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,377 | | Amount paid for insurance broker fees | 2728 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE FEES | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | G 670385 |
| Policy instance | 4 |
| Insurance contract or identification number | G 670385 | | Number of Individuals Covered | 41 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $2,349 | | Total amount of fees paid to insurance company | USD $3,853 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,349 | | Amount paid for insurance broker fees | 3853 | | Additional information about fees paid to insurance broker | ADMIN FEE | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAR 672906 |
| Policy instance | 3 |
| Insurance contract or identification number | VAR 672906 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $327 | | Total amount of fees paid to insurance company | USD $292 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $327 | | Amount paid for insurance broker fees | 292 | | Additional information about fees paid to insurance broker | ADMIN FEE | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 669884 |
| Policy instance | 2 |
| Insurance contract or identification number | LTD 669884 | | Number of Individuals Covered | 410 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $6,755 | | Total amount of fees paid to insurance company | USD $6,155 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,755 | | Amount paid for insurance broker fees | 6155 | | Additional information about fees paid to insurance broker | ADMIN FEE | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 668923 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 668923 | | Number of Individuals Covered | 410 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $6,535 | | Total amount of fees paid to insurance company | USD $5,399 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,535 | | Amount paid for insurance broker fees | 5399 | | Additional information about fees paid to insurance broker | ADMIN FEESADMIN FEE | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | G 670385 |
| Policy instance | 4 |
| Insurance contract or identification number | G 670385 | | Number of Individuals Covered | 70 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $2,406 | | Total amount of fees paid to insurance company | USD $3,376 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,406 | | Amount paid for insurance broker fees | 3376 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAR 672906 |
| Policy instance | 3 |
| Insurance contract or identification number | VAR 672906 | | Number of Individuals Covered | 138 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $326 | | Total amount of fees paid to insurance company | USD $191 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $326 | | Amount paid for insurance broker fees | 191 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 669884 |
| Policy instance | 2 |
| Insurance contract or identification number | LTD 669884 | | Number of Individuals Covered | 165 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $7,751 | | Total amount of fees paid to insurance company | USD $4,305 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,751 | | Amount paid for insurance broker fees | 4305 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 668923 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 668923 | | Number of Individuals Covered | 165 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $5,572 | | Total amount of fees paid to insurance company | USD $3,399 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,572 | | Amount paid for insurance broker fees | 3399 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | G 670385 |
| Policy instance | 4 |
| Insurance contract or identification number | G 670385 | | Number of Individuals Covered | 37 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $3,110 | | Total amount of fees paid to insurance company | USD $3,650 | | Temporary Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VAR 672906 |
| Policy instance | 3 |
| Insurance contract or identification number | VAR 672906 | | Number of Individuals Covered | 82 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $351 | | Total amount of fees paid to insurance company | USD $168 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | GL 668923 |
| Policy instance | 1 |
| Insurance contract or identification number | GL 668923 | | Number of Individuals Covered | 528 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $67,459 | | Total amount of fees paid to insurance company | USD $3,307 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | LTD 669884 |
| Policy instance | 2 |
| Insurance contract or identification number | LTD 669884 | | Number of Individuals Covered | 238 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $6,871 | | Total amount of fees paid to insurance company | USD $3,450 | | Long Term Disability Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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