401k Plan data: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN plan

WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN
Plan identification number	503

WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

WHEATON FRANCISCAN SERVICES INC has sponsored the creation of one or more 401k plans.

Company Name: WHEATON FRANCISCAN SERVICES INC

Employer identification number (EIN): 363262111

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2017-01-01 JOHN OLIVERIO JOHN OLIVERIO 2018-10-10
503 2016-01-01 JOHN OLIVERIO JOHN OLIVERIO 2017-10-10
503 2015-01-01 VERONICA A BARICEVIC, VP BENEFITS
503 2014-01-01 VERONICA A BARICEVIC, VP BENEFITS
503 2013-01-01 VERONICA A BARICEVIC, VP BENEFITS
503 2012-01-01 VERONICA A BARICEVIC, VP BENEFITS
503 2011-01-01 VERONICA A BARICEVIC, VP BENEFITS
503 2010-01-01 VERONICA A BARICEVIC, VP BENEFITS JONATHAN W SOHN, SENIOR VP AND CFO 2011-10-17

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2017-01-01	JOHN OLIVERIO	JOHN OLIVERIO	2018-10-10
503	2016-01-01	JOHN OLIVERIO	JOHN OLIVERIO	2017-10-10
503	2015-01-01	VERONICA A BARICEVIC, VP BENEFITS
503	2014-01-01	VERONICA A BARICEVIC, VP BENEFITS
503	2013-01-01	VERONICA A BARICEVIC, VP BENEFITS
503	2012-01-01	VERONICA A BARICEVIC, VP BENEFITS
503	2011-01-01	VERONICA A BARICEVIC, VP BENEFITS
503	2010-01-01	VERONICA A BARICEVIC, VP BENEFITS	JONATHAN W SOHN, SENIOR VP AND CFO	2011-10-17

Plan Statistics for WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN

401k plan membership statisitcs for WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN

Measure Date Value
2017: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 11,176
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 10,285
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 10,285
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 10,285
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 11,261
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 11,245
Total of all active and inactive participants 2015-01-01 11,245
Total participants 2015-01-01 11,245
2014: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 11,874
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 11,239
Total of all active and inactive participants 2014-01-01 11,239
Total participants 2014-01-01 11,239
2013: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 11,916
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 11,874
Total of all active and inactive participants 2013-01-01 11,874
Total participants 2013-01-01 11,874
2012: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 11,756
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11,805
Total of all active and inactive participants 2012-01-01 11,805
Total participants 2012-01-01 11,805
2011: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 11,653
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 11,743
Total of all active and inactive participants 2011-01-01 11,743
Total participants 2011-01-01 11,743
2010: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 11,935
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 11,585
Total of all active and inactive participants 2010-01-01 11,585
Total participants 2010-01-01 11,585

Measure	Date	Value
2017: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	11,176
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	10,285
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	10,285
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	10,285
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	11,261
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	11,245
Total of all active and inactive participants	2015-01-01	11,245
Total participants	2015-01-01	11,245
2014: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11,874
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	11,239
Total of all active and inactive participants	2014-01-01	11,239
Total participants	2014-01-01	11,239
2013: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	11,916
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	11,874
Total of all active and inactive participants	2013-01-01	11,874
Total participants	2013-01-01	11,874
2012: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	11,756
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11,805
Total of all active and inactive participants	2012-01-01	11,805
Total participants	2012-01-01	11,805
2011: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	11,653
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	11,743
Total of all active and inactive participants	2011-01-01	11,743
Total participants	2011-01-01	11,743
2010: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	11,935
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	11,585
Total of all active and inactive participants	2010-01-01	11,585
Total participants	2010-01-01	11,585

Form 5500 Responses for WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN

2017: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: WHEATON FRANCISCAN SERVICES INC LONG TERM DISABILITY PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	602773
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	602773
Policy instance	1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number	602773
Policy instance	1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLK980066
Policy instance	1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLK980066
Policy instance	1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract number	FLK980066
Policy instance	1

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Company Name:	WHEATON FRANCISCAN SERVICES INC
Employer identification number (EIN):	363262111
NAIC Classification:	622000
NAIC Description:	Hospitals