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| Plan Name | HANNIBAL REGIONAL HEALTHCARE SYSTEM LIFE INSURANCE PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HANNIBAL REGIONAL HEALTHCARE SYSTEM, INC. |
| Employer identification number (EIN): | 400662495 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2017-01-01 | SUSAN WATHEN | SUSAN WATHEN | 2018-07-17 | |
| 502 | 2016-01-01 | SUSAN WATHEN | 2017-07-21 | SUSAN WATHEN | 2017-07-21 |
| Measure | Date | Value |
|---|---|---|
| 2017: HANNIBAL REGIONAL HEALTHCARE SYSTEM LIFE INSURANCE PLAN 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 763 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 928 |
| Total of all active and inactive participants | 2017-01-01 | 928 |
| Total participants | 2017-01-01 | 928 |
| 2016: HANNIBAL REGIONAL HEALTHCARE SYSTEM LIFE INSURANCE PLAN 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 734 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 763 |
| Total of all active and inactive participants | 2016-01-01 | 763 |
| Total participants | 2016-01-01 | 763 |
| 2017: HANNIBAL REGIONAL HEALTHCARE SYSTEM LIFE INSURANCE 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 | No |
| 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 | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: HANNIBAL REGIONAL HEALTHCARE SYSTEM LIFE INSURANCE 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 | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 303749 | ||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||
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