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COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 401k Plan overview

Plan NameCOLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN
Plan identification number 502

COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

MARIETTA MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:MARIETTA MEMORIAL HOSPITAL
Employer identification number (EIN):314379509
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about MARIETTA MEMORIAL HOSPITAL

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1921-12-08
Company Identification Number: 99453
Legal Registered Office Address: 401 MATTHEW STREET
-
MARIETTA
United States of America (USA)
45750

More information about MARIETTA MEMORIAL HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-01-01DEEANN GEHLAUF
5022015-01-01DEEANN GEHLAUF DEEANN GEHLAUF2016-10-13
5022014-01-01DEEANN GEHLAUF
5022013-01-01DEEANN GEHLAUF
5022012-01-01DEEANN GEHLAUF DEEANN GEHLAUF2013-10-15
5022011-01-01DEEANN GEHLAUF
5022009-01-01DEEANN GEHLAUF DEEANN GEHLAUF2010-10-15

Plan Statistics for COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN

401k plan membership statisitcs for COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN

Measure Date Value
2016: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
2015: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,891
Total number of active participants reported on line 7a of the Form 55002015-01-011
Total of all active and inactive participants2015-01-011
2014: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,886
Total number of active participants reported on line 7a of the Form 55002014-01-011,891
Total of all active and inactive participants2014-01-011,891
2013: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,567
Total number of active participants reported on line 7a of the Form 55002013-01-011,886
Total of all active and inactive participants2013-01-011,886
Total participants2013-01-011,886
2012: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,110
Total number of active participants reported on line 7a of the Form 55002012-01-011,567
Total of all active and inactive participants2012-01-011,567
Total participants2012-01-011,567
2011: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,167
Total number of active participants reported on line 7a of the Form 55002011-01-011,110
Total of all active and inactive participants2011-01-011,110
Total participants2011-01-011,110
2009: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01934
Total number of active participants reported on line 7a of the Form 55002009-01-01872
Total of all active and inactive participants2009-01-01872
Total participants2009-01-01872

Form 5500 Responses for COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN

2016: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: COLONIAL LIFE, ACCIDENT AND SICKNESS AND FLEX BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7036825
Policy instance 1
Insurance contract or identification numberE7036825
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $54
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedPRE-TAX AND AFTER-TAX PREMIUM
Welfare Benefit Premiums Paid to CarrierUSD $373
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4
Amount paid for insurance broker fees0
Insurance broker organization code?5
Insurance broker nameINTEGRATED EMPLOYEE BENEFIT SOLUT
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7036825
Policy instance 1
Insurance contract or identification numberE7036825
Number of Individuals Covered1891
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $80
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedPRE TAX AND AFTER TAX PREMIUM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $989
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $1
Amount paid for insurance broker fees0
Insurance broker nameINTEGRATED EMPLOYEE BENEFIT SOLUT
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE788581
Policy instance 3
Insurance contract or identification numberE788581
Number of Individuals Covered1857
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedPRE-TAX AND AFTER TAXPREMIUM
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $119
Insurance broker nameVARIOUS
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7885981
Policy instance 1
Insurance contract or identification numberE7885981
Number of Individuals Covered1567
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedPRE-TAX AND AFTER TAX PRFEMIUM
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $876
Insurance broker organization code?3
Insurance broker nameVARIOUS
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00361602
Policy instance 4
Insurance contract or identification number00361602
Number of Individuals Covered76
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,974
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,785
Insurance broker organization code?3
Insurance broker nameVARIOUS
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12049686
Policy instance 5
Insurance contract or identification number12049686
Number of Individuals Covered134
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00361602
Policy instance 4
Insurance contract or identification number00361602
Number of Individuals Covered110
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $6,004
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,258
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number10343
Policy instance 3
Insurance contract or identification number10343
Number of Individuals Covered112
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $273,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract number10343
Policy instance 2
Insurance contract or identification number10343
Number of Individuals Covered112
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $853
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $8,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7885981
Policy instance 1
Insurance contract or identification numberE7885981
Number of Individuals Covered1110
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $918
Other welfare benefits providedPRE-TAX AND AFTER-TAX PREMIUM
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12049686
Policy instance 5
Insurance contract or identification number12049686
Number of Individuals Covered134
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,509
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract number
Policy instance 3
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $270
Other welfare benefits providedPRE-TAX AND AFTER TAX PREMIUM
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7885981
Policy instance 1
Insurance contract or identification numberE7885981
Number of Individuals Covered1167
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Other welfare benefits providedPRE-TAX AND AFTER-TAX PREMIUM
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number10299
Policy instance 2
Insurance contract or identification number10299
Number of Individuals Covered1167
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $14,289
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $285,783
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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