BRODSTONE MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN
401k plan membership statisitcs for BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN
| Measure | Date | Value |
|---|
| 2015: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-06-01 | 107 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-06-01 | 109 |
| Total of all active and inactive participants | 2015-06-01 | 109 |
| 2014: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-06-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-06-01 | 107 |
| Total of all active and inactive participants | 2014-06-01 | 107 |
| 2013: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-06-01 | 107 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-06-01 | 106 |
| Total of all active and inactive participants | 2013-06-01 | 106 |
| 2012: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-06-01 | 108 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-06-01 | 107 |
| Total of all active and inactive participants | 2012-06-01 | 107 |
| 2011: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-06-01 | 107 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-06-01 | 108 |
| Total of all active and inactive participants | 2011-06-01 | 108 |
| Total participants | 2011-06-01 | 108 |
| 2010: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-06-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-06-01 | 107 |
| Total of all active and inactive participants | 2010-06-01 | 107 |
| Total participants | 2010-06-01 | 107 |
| 2009: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-06-01 | 99 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-06-01 | 102 |
| Total of all active and inactive participants | 2009-06-01 | 102 |
| Total participants | 2009-06-01 | 102 |
| 2008: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-06-01 | 120 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-06-01 | 99 |
| Total of all active and inactive participants | 2008-06-01 | 99 |
| Total participants | 2008-06-01 | 99 |
| 2007: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-06-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-06-01 | 120 |
| Total of all active and inactive participants | 2007-06-01 | 120 |
| Total participants | 2007-06-01 | 120 |
| 2015: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2015 form 5500 responses |
|---|
| 2015-06-01 | Type of plan entity | Single employer plan |
| 2015-06-01 | Submission has been amended | Yes |
| 2015-06-01 | This submission is the final filing | Yes |
| 2015-06-01 | Plan funding arrangement – Insurance | Yes |
| 2015-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2014 form 5500 responses |
|---|
| 2014-06-01 | Type of plan entity | Single employer plan |
| 2014-06-01 | Plan funding arrangement – Insurance | Yes |
| 2014-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2013 form 5500 responses |
|---|
| 2013-06-01 | Type of plan entity | Single employer plan |
| 2013-06-01 | Plan funding arrangement – Insurance | Yes |
| 2013-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2012 form 5500 responses |
|---|
| 2012-06-01 | Type of plan entity | Single employer plan |
| 2012-06-01 | Plan funding arrangement – Insurance | Yes |
| 2012-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2011 form 5500 responses |
|---|
| 2011-06-01 | Type of plan entity | Single employer plan |
| 2011-06-01 | Submission has been amended | No |
| 2011-06-01 | This submission is the final filing | No |
| 2011-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-06-01 | Plan is a collectively bargained plan | No |
| 2011-06-01 | Plan funding arrangement – Insurance | Yes |
| 2011-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2010 form 5500 responses |
|---|
| 2010-06-01 | Type of plan entity | Single employer plan |
| 2010-06-01 | Submission has been amended | No |
| 2010-06-01 | This submission is the final filing | No |
| 2010-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-06-01 | Plan is a collectively bargained plan | No |
| 2010-06-01 | Plan funding arrangement – Insurance | Yes |
| 2010-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2009 form 5500 responses |
|---|
| 2009-06-01 | Type of plan entity | Single employer plan |
| 2009-06-01 | Submission has been amended | No |
| 2009-06-01 | This submission is the final filing | No |
| 2009-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-06-01 | Plan is a collectively bargained plan | No |
| 2009-06-01 | Plan funding arrangement – Insurance | Yes |
| 2009-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2008 form 5500 responses |
|---|
| 2008-06-01 | Type of plan entity | Single employer plan |
| 2008-06-01 | Submission has been amended | No |
| 2008-06-01 | This submission is the final filing | No |
| 2008-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-06-01 | Plan is a collectively bargained plan | No |
| 2008-06-01 | Plan funding arrangement – Insurance | Yes |
| 2008-06-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: BRODSTONE MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2007 form 5500 responses |
|---|
| 2007-06-01 | Type of plan entity | Single employer plan |
| 2007-06-01 | Submission has been amended | No |
| 2007-06-01 | This submission is the final filing | No |
| 2007-06-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-06-01 | Plan is a collectively bargained plan | No |
| 2007-06-01 | Plan funding arrangement – Insurance | Yes |
| 2007-06-01 | Plan benefit arrangement – Insurance | Yes |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | LK 961034 |
| Policy instance | 1 |
| Insurance contract or identification number | LK 961034 | | Number of Individuals Covered | 109 | | Insurance policy start date | 2015-06-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $2,384 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $21,701 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | LK 961034 |
| Policy instance | 1 |
| Insurance contract or identification number | LK 961034 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2014-06-01 | | Insurance policy end date | 2015-05-31 | | Total amount of commissions paid to insurance broker | USD $3,671 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $33,425 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,671 | | Insurance broker organization code? | 3 | | Insurance broker name | TIM OLSON, INC |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | LK 961034 |
| Policy instance | 1 |
| Insurance contract or identification number | LK 961034 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2013-06-01 | | Insurance policy end date | 2014-05-31 | | Total amount of commissions paid to insurance broker | USD $3,913 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $38,262 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,913 | | Insurance broker organization code? | 3 | | Insurance broker name | TIM OLSON, INC |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | LK 961034 |
| Policy instance | 1 |
| Insurance contract or identification number | LK 961034 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2012-06-01 | | Insurance policy end date | 2013-05-31 | | Total amount of commissions paid to insurance broker | USD $3,629 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $32,584 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,629 | | Insurance broker organization code? | 3 | | Insurance broker name | TIM OLSON, INC |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | LK 961034 |
| Policy instance | 1 |
| Insurance contract or identification number | LK 961034 | | Number of Individuals Covered | 108 | | Insurance policy start date | 2011-06-01 | | Insurance policy end date | 2012-05-31 | | Total amount of commissions paid to insurance broker | USD $3,234 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $32,836 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | LK 961034 |
| Policy instance | 1 |
| Insurance contract or identification number | LK 961034 | | Number of Individuals Covered | 107 | | Insurance policy start date | 2010-06-01 | | Insurance policy end date | 2011-05-31 | | Total amount of commissions paid to insurance broker | USD $3,551 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,013 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | LK 961034 |
| Policy instance | 1 |
| Insurance contract or identification number | LK 961034 | | Number of Individuals Covered | 120 | | Insurance policy start date | 2007-06-01 | | Insurance policy end date | 2008-05-31 | | Total amount of commissions paid to insurance broker | USD $3,294 | | Total amount of fees paid to insurance company | USD $0 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,443 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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