401k Plan data: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS plan

GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 401k Plan overview

Plan Name	GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS
Plan identification number	507

GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS has sponsored the creation of one or more 401k plans.

Company Name: GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS

Employer identification number (EIN): 390845590

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
507 2014-07-01
507 2013-07-01
507 2012-07-01 JENNIFER DAX
507 2011-07-01 JENNIFER DAX
507 2009-07-01 DENNIS CARPENTER

Plan Statistics for GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS

401k plan membership statisitcs for GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS

Measure Date Value
2014: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2014 401k membership
Total participants, beginning-of-year 2014-07-01 106
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 109
Total of all active and inactive participants 2014-07-01 109
Total participants 2014-07-01 109
2013: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2013 401k membership
Total participants, beginning-of-year 2013-07-01 220
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 106
Total of all active and inactive participants 2013-07-01 106
Total participants 2013-07-01 106
2012: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2012 401k membership
Total participants, beginning-of-year 2012-07-01 208
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 220
Total of all active and inactive participants 2012-07-01 220
Total participants 2012-07-01 220
2011: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2011 401k membership
Total participants, beginning-of-year 2011-07-01 194
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 208
Total of all active and inactive participants 2011-07-01 208
Total participants 2011-07-01 208
2009: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2009 401k membership
Total participants, beginning-of-year 2009-07-01 158
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 210
Total of all active and inactive participants 2009-07-01 210
Total participants 2009-07-01 210

Measure	Date	Value
2014: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2014 401k membership
Total participants, beginning-of-year	2014-07-01	106
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	109
Total of all active and inactive participants	2014-07-01	109
Total participants	2014-07-01	109
2013: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2013 401k membership
Total participants, beginning-of-year	2013-07-01	220
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	106
Total of all active and inactive participants	2013-07-01	106
Total participants	2013-07-01	106
2012: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2012 401k membership
Total participants, beginning-of-year	2012-07-01	208
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	220
Total of all active and inactive participants	2012-07-01	220
Total participants	2012-07-01	220
2011: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2011 401k membership
Total participants, beginning-of-year	2011-07-01	194
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	208
Total of all active and inactive participants	2011-07-01	208
Total participants	2011-07-01	208
2009: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2009 401k membership
Total participants, beginning-of-year	2009-07-01	158
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	210
Total of all active and inactive participants	2009-07-01	210
Total participants	2009-07-01	210

Form 5500 Responses for GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS

2014: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2011: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2009: GROUP LIFE INS. BENEFITS FOR EMPLOYEES OF GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	GUNDERSEN BOSCOBEL AREA HOSPITAL AND CLINICS
Employer identification number (EIN):	390845590
NAIC Classification:	622000
NAIC Description:	Hospitals