HEALTH CARE SERVICE CORPORATION EMPLOYEES' LONG TERM DISABILITY BENEFIT PLAN 401k Plan overview

HEALTH CARE SERVICE CORPORATION EMPLOYEES' LONG TERM DISABILITY BENEFIT PLAN Benefits

401k Sponsoring company profile

Company Name:	HEALTHCARE SERVICE CORPORATION
Employer identification number (EIN):	361236610
NAIC Classification:	524140

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2012-01-01	GENE GEORGE		GENE GEORGE	2013-10-07
504	2011-01-01	GENE GEORGE
504	2010-01-01	GENE GEORGE
504	2009-01-01	GENE GEORGE,EXECUTIVE DIR. TREASURY		GENE GEORGE,EXECUTIVE DIR. TREASURY	2010-10-13

Plan Statistics for HEALTH CARE SERVICE CORPORATION EMPLOYEES' LONG TERM DISABILITY BENEFIT PLAN

Measure	Date	Value
2012: HEALTH CARE SERVICE CORPORATION EMPLOYEES' LONG TERM DISABILITY BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	16,748
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	17,114
Total of all active and inactive participants	2012-01-01	17,114
Total participants	2012-01-01	17,114
2011: HEALTH CARE SERVICE CORPORATION EMPLOYEES' LONG TERM DISABILITY BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	16,102
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	16,748
Total of all active and inactive participants	2011-01-01	16,748
Total participants	2011-01-01	16,748
2010: HEALTH CARE SERVICE CORPORATION EMPLOYEES' LONG TERM DISABILITY BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	17,597
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	16,102
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	16,102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-01-01	0
Total participants	2010-01-01	16,102
2009: HEALTH CARE SERVICE CORPORATION EMPLOYEES' LONG TERM DISABILITY BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	17,222
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	17,597
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	17,597
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0

Form 5500 Responses for HEALTH CARE SERVICE CORPORATION EMPLOYEES' LONG TERM DISABILITY BENEFIT PLAN

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• HEALTH CARE PLAN [EIN = 251578904]
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• HEALTH CARE PLAN - MICHIGAN HMOS [EIN = 133386776]
• HEALTH CARE PLAN - BLUE CROSS [EIN = 133386776]
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• HEALTH CARE LEGAL CONCULTING INC DEFINED BENEFIT PENSION PLAN [EIN = 330414164]
• HEALTH CARE SERVICE CORP.; BLUE CROSS BLUE SHIELD; MEDICAL INSURANCE; BLUE BALANCE; EIN #36-1236610 [EIN = 043675131]
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• HEALTH CARE ADVISORY GROUP INC 401(K) PROFIT SHARING PLAN & TRUST [EIN = 452624640]
• HEALTH CARE TRANSFORMATION TASK FORCE 403(B) [EIN = 611765045]
• HEALTH CARE PROVIDERS SOCA BENEFIT PLAN [EIN = 341708405]
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• HEALTH CARE MANAGEMENT SYSTEMS, INC. HEALTH AND WELFARE PLAN [EIN = 431342874]
• HEALTH CARE MANAGEMENT SYSTEMS, INC. VISION PLAN [EIN = 431342874]
• HEALTH CARE MANAGEMENT & STAFFING CORP 401(K) PLAN [EIN = 462764126]
• HEALTH CARE COALITION OF SOUTHERN OREGON 403(B) PLAN [EIN = 931065133]
• HEALTH CARE FOUNDATIONS 401(K) PLAN [EIN = 850515840]
• HEALTH CARE COLLABORATIVE OF RURAL MISSOURI [EIN = 300349211]
• HEALTH CARE RESOURCES PLUS INC [EIN = 810776865]
• HEALTH CARE MEDICAL ASSOCIATES, P.C. 401(K) PLAN [EIN = 472622111]
• HEALTH CARE PHARMACY 401K [EIN = 223833297]
• HEALTH CARE MANAGEMENT, INC. MCF BENEFIT PLAN [EIN = 431703999]
• HEALTH CARE PARTNERS MEDICAL GROUP (COATS), LTD. LIFE AND HEALTH BENEFIT PLAN [EIN = 880213519]
• HEALTH CARE BENEFITS PLAN FOR THE EMPLOYEES OF DRA SOFTWARE, LLC [EIN = 261539542]
• HEALTH CARE TRANSFORMATION 401(K) PLAN [EIN = 852091202]
• HEALTH CARE CONSULTING, INC. 401K PLAN [EIN = 510654858]

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