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| Plan Name | HAMILTON HEALTH CENTER, INC. GROUP MEDICAL PLAN 511 |
| Plan identification number | 511 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HAMILTON HEALTH CENTER |
| Employer identification number (EIN): | 231858363 |
| NAIC Classification: | 621498 |
| NAIC Description: | All Other Outpatient Care Centers |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 511 | 2024-01-01 | TERESE DELAPLAINE | |||
| 511 | 2023-10-01 | ||||
| 511 | 2023-10-01 | FRACKSON SAKALA | |||
| 511 | 2022-10-01 | ||||
| 511 | 2022-10-01 | FRANK SAKALA | |||
| 511 | 2021-10-01 | ||||
| 511 | 2021-10-01 | FRANK SAKALA |
| Measure | Date | Value |
|---|---|---|
| 2023: HAMILTON HEALTH CENTER, INC. GROUP MEDICAL PLAN 511 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-10-01 | 146 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-10-01 | 149 |
| Number of retired or separated participants receiving benefits | 2023-10-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2023-10-01 | 0 |
| Total of all active and inactive participants | 2023-10-01 | 151 |
| 2022: HAMILTON HEALTH CENTER, INC. GROUP MEDICAL PLAN 511 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-10-01 | 183 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-10-01 | 146 |
| Number of retired or separated participants receiving benefits | 2022-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-10-01 | 0 |
| Total of all active and inactive participants | 2022-10-01 | 146 |
| 2021: HAMILTON HEALTH CENTER, INC. GROUP MEDICAL PLAN 511 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-10-01 | 192 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 180 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
| Total of all active and inactive participants | 2021-10-01 | 183 |
| 2023: HAMILTON HEALTH CENTER, INC. GROUP MEDICAL PLAN 511 2023 form 5500 responses | ||
|---|---|---|
| 2023-10-01 | Type of plan entity | Single employer plan |
| 2023-10-01 | Submission has been amended | No |
| 2023-10-01 | This submission is the final filing | No |
| 2023-10-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-10-01 | Plan is a collectively bargained plan | No |
| 2023-10-01 | Plan funding arrangement – Insurance | Yes |
| 2023-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2022: HAMILTON HEALTH CENTER, INC. GROUP MEDICAL PLAN 511 2022 form 5500 responses | ||
| 2022-10-01 | Type of plan entity | Single employer plan |
| 2022-10-01 | Submission has been amended | No |
| 2022-10-01 | This submission is the final filing | No |
| 2022-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-10-01 | Plan is a collectively bargained plan | No |
| 2022-10-01 | Plan funding arrangement – Insurance | Yes |
| 2022-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: HAMILTON HEALTH CENTER, INC. GROUP MEDICAL PLAN 511 2021 form 5500 responses | ||
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | First time form 5500 has been submitted | Yes |
| 2021-10-01 | Submission has been amended | No |
| 2021-10-01 | This submission is the final filing | No |
| 2021-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-10-01 | Plan is a collectively bargained plan | No |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | UNI-203442 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 30500779-211 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
| UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | UNI-203442 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 30500779-211 | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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