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Plan Name | CARROLL COUNTY MEMORIAL HOSPITAL EMPLOYEE GROUP TERM LIFE INSURANCE AND AD&D PLAN |
Plan identification number | 504 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | CARROLL COUNTY MEMORIAL HOSPITAL |
Employer identification number (EIN): | 440629397 |
NAIC Classification: | 622000 |
NAIC Description: | Hospitals |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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504 | 2018-01-01 | MICHAEL SCHUBACH | 2019-10-04 | ||
504 | 2017-01-01 | MICHAEL SCHUBACH | 2019-10-04 |
Measure | Date | Value |
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2018: CARROLL COUNTY MEMORIAL HOSPITAL EMPLOYEE GROUP TERM LIFE INSURANCE AND AD&D PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-01-01 | 158 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 0 |
Total of all active and inactive participants | 2018-01-01 | 0 |
2017: CARROLL COUNTY MEMORIAL HOSPITAL EMPLOYEE GROUP TERM LIFE INSURANCE AND AD&D PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-01-01 | 141 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 156 |
Total of all active and inactive participants | 2017-01-01 | 156 |
2018: CARROLL COUNTY MEMORIAL HOSPITAL EMPLOYEE GROUP TERM LIFE INSURANCE AND AD&D PLAN 2018 form 5500 responses | ||
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | This submission is the final filing | Yes |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2017: CARROLL COUNTY MEMORIAL HOSPITAL EMPLOYEE GROUP TERM LIFE INSURANCE AND AD&D PLAN 2017 form 5500 responses | ||
2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | First time form 5500 has been submitted | Yes |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||
Policy contract number | 5482639 | ||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||
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UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 ) | |||||||||||||||||||||||||||||
Policy contract number | 5482639 | ||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||
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