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LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 401k Plan overview

Plan NameLONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC
Plan identification number 505

LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

FLAMBEAU HOSPITAL INC has sponsored the creation of one or more 401k plans.

Company Name:FLAMBEAU HOSPITAL INC
Employer identification number (EIN):390973724
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052016-08-01
5052015-08-01
5052014-08-01
5052013-08-01
5052012-08-01PAUL RYBAK
5052011-08-01PAUL RYBAK
5052010-08-01BARBARA J MICHALSKI
5052009-08-01BARBARA J MICHALSKI

Plan Statistics for LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC

401k plan membership statisitcs for LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC

Measure Date Value
2016: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2016 401k membership
Total participants, beginning-of-year2016-08-01155
Total number of active participants reported on line 7a of the Form 55002016-08-010
Total of all active and inactive participants2016-08-010
Total participants2016-08-010
2015: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2015 401k membership
Total participants, beginning-of-year2015-08-01142
Total number of active participants reported on line 7a of the Form 55002015-08-01155
Total of all active and inactive participants2015-08-01155
Total participants2015-08-01155
2014: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2014 401k membership
Total participants, beginning-of-year2014-08-01145
Total number of active participants reported on line 7a of the Form 55002014-08-01142
Total of all active and inactive participants2014-08-01142
Total participants2014-08-01142
2013: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2013 401k membership
Total participants, beginning-of-year2013-08-01144
Total number of active participants reported on line 7a of the Form 55002013-08-01145
Total of all active and inactive participants2013-08-01145
Total participants2013-08-01145
2012: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2012 401k membership
Total participants, beginning-of-year2012-08-01147
Total number of active participants reported on line 7a of the Form 55002012-08-01144
Total of all active and inactive participants2012-08-01144
Total participants2012-08-01144
2011: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2011 401k membership
Total participants, beginning-of-year2011-08-01151
Total number of active participants reported on line 7a of the Form 55002011-08-01147
Total of all active and inactive participants2011-08-01147
Total participants2011-08-01147
2010: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2010 401k membership
Total participants, beginning-of-year2010-08-01144
Total number of active participants reported on line 7a of the Form 55002010-08-01151
Total of all active and inactive participants2010-08-01151
Total participants2010-08-01151
2009: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2009 401k membership
Total participants, beginning-of-year2009-08-01150
Total number of active participants reported on line 7a of the Form 55002009-08-01144
Total of all active and inactive participants2009-08-01144
Total participants2009-08-01144

Form 5500 Responses for LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC

2016: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01This submission is the final filingYes
2016-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: LONG TERM DISABILITY INS FOR EMPLOYEES OF FLAMBEAU HOSPITAL INC 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number214554
Policy instance 1
Insurance contract or identification number214554
Number of Individuals Covered155
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
Total amount of commissions paid to insurance brokerUSD $9,314
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $62,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,314
Insurance broker organization code?3
Insurance broker nameISG ADVISORS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number214554
Policy instance 1
Insurance contract or identification number214554
Number of Individuals Covered142
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $8,660
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $57,734
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,660
Insurance broker nameISG ADVISORS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number214554
Policy instance 1
Insurance contract or identification number214554
Number of Individuals Covered145
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $7,471
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,805
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,471
Insurance broker organization code?3
Insurance broker nameISG ADVISORS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number214554
Policy instance 1
Insurance contract or identification number214554
Number of Individuals Covered144
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $7,517
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,517
Insurance broker organization code?3
Insurance broker nameISG ADVISORS LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number214554
Policy instance 1
Insurance contract or identification number214554
Number of Individuals Covered147
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $7,426
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number214554
Policy instance 1
Insurance contract or identification number214554
Number of Individuals Covered151
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $7,419
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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