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COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 401k Plan overview

Plan NameCOMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN
Plan identification number 502

COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

COMMUNITY MEDICAL CENTER INC has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY MEDICAL CENTER INC
Employer identification number (EIN):470421272
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01
5022021-05-01
5022020-05-01
5022019-05-01
5022018-05-01SHANNON WEINMANN
5022017-05-01SHANNON WEINMANN
5022016-05-01AMY BEHRENDS
5022015-05-01AMY BEHRENDS
5022014-05-01AMY BEHRENDS
5022013-05-01AMY BEHRENDS
5022012-05-01AMY BEHRENDS
5022012-04-30AMY BEHRENDS
5022011-05-01AMY BEHRENDS
5022009-05-01AMY BEHRENDS

Plan Statistics for COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN

401k plan membership statisitcs for COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN

Measure Date Value
2022: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01197
Total number of active participants reported on line 7a of the Form 55002022-05-01265
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-01265
2021: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01227
Total number of active participants reported on line 7a of the Form 55002021-05-01197
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-01197
2020: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01226
Total number of active participants reported on line 7a of the Form 55002020-05-01227
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01227
2019: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01309
Total number of active participants reported on line 7a of the Form 55002019-05-01226
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-01226
2018: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01147
Total number of active participants reported on line 7a of the Form 55002018-05-01309
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-01309
2017: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01146
Total number of active participants reported on line 7a of the Form 55002017-05-01147
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-01147
2016: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01137
Total number of active participants reported on line 7a of the Form 55002016-05-01146
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01146
2015: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01136
Total number of active participants reported on line 7a of the Form 55002015-05-01137
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-01137
2014: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01136
Total number of active participants reported on line 7a of the Form 55002014-05-01136
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-01136
2013: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01135
Total number of active participants reported on line 7a of the Form 55002013-05-01136
Total of all active and inactive participants2013-05-01136
2012: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01130
Total number of active participants reported on line 7a of the Form 55002012-05-01135
Total of all active and inactive participants2012-05-01135
Total participants, beginning-of-year2012-04-30130
Total number of active participants reported on line 7a of the Form 55002012-04-30135
Total of all active and inactive participants2012-04-30135
2011: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01125
Total number of active participants reported on line 7a of the Form 55002011-05-01130
Total of all active and inactive participants2011-05-01130
2009: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01132
Total number of active participants reported on line 7a of the Form 55002009-05-01125
Total of all active and inactive participants2009-05-01125
Total participants2009-05-01125

Form 5500 Responses for COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN

2022: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedYes
2012-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-04-30Type of plan entitySingle employer plan
2012-04-30Submission has been amendedYes
2012-04-30Plan funding arrangement – InsuranceYes
2012-04-30Plan benefit arrangement – InsuranceYes
2011: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2009: COMMUNITY MEDICAL CENTER INC GROUP LIFE INSURANCE PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-OGL
Policy instance 1
Insurance contract or identification number855743-OGL
Number of Individuals Covered265
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $2,776
Total amount of fees paid to insurance companyUSD $1,013
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,840
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,776
Amount paid for insurance broker fees1013
Additional information about fees paid to insurance brokerCOMMISSIONS ON PLAN
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-OGL
Policy instance 1
Insurance contract or identification number855743-OGL
Number of Individuals Covered197
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $2,801
Total amount of fees paid to insurance companyUSD $1,025
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,178
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,801
Amount paid for insurance broker fees1025
Additional information about fees paid to insurance brokerCOMMISSIONS ON PLAN
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-OGL
Policy instance 1
Insurance contract or identification number855743-OGL
Number of Individuals Covered227
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $2,904
Total amount of fees paid to insurance companyUSD $1,077
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,904
Amount paid for insurance broker fees1077
Additional information about fees paid to insurance brokerCOMMISSIONS ON PLAN
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-OGL
Policy instance 1
Insurance contract or identification number855743-OGL
Number of Individuals Covered226
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $2,997
Total amount of fees paid to insurance companyUSD $1,039
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,828
Amount paid for insurance broker fees1039
Additional information about fees paid to insurance brokerCOMMISSIONS ON PLAN
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-OGL
Policy instance 1
Insurance contract or identification number855743-OGL
Number of Individuals Covered309
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $2,719
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,719
Additional information about fees paid to insurance brokerCOMMISSIONS ON PLAN
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-OGL
Policy instance 1
Insurance contract or identification number855743-OGL
Number of Individuals Covered307
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $3,228
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,228
Additional information about fees paid to insurance brokerCOMMISSIONS ON PLAN
Insurance broker organization code?3
Insurance broker nameINSPRO INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-0GL
Policy instance 1
Insurance contract or identification number855743-0GL
Number of Individuals Covered325
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $2,817
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,817
Additional information about fees paid to insurance brokerCOMMISSIONS ON PLAN
Insurance broker organization code?3
Insurance broker nameINSPRO INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-0GL
Policy instance 1
Insurance contract or identification number855743-0GL
Number of Individuals Covered305
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $2,620
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,173
Additional information about fees paid to insurance brokerCOMMISSIONS ON PLAN
Insurance broker organization code?3
Insurance broker nameINSPRO INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-0GL
Policy instance 1
Insurance contract or identification number855743-0GL
Number of Individuals Covered302
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $3,217
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,232
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,217
Additional information about fees paid to insurance broker3
Insurance broker nameLAMAIR MULOCK CONDON CO
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-0GL
Policy instance 1
Insurance contract or identification number855743-0GL
Number of Individuals Covered310
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $3,489
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-0GL
Policy instance 1
Insurance contract or identification number855743-0GL
Number of Individuals Covered310
Insurance policy start date2012-04-30
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $3,489
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,887
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,488
Additional information about fees paid to insurance broker3
Insurance broker nameINTERNAL MEDICAL ADMINISTRATORS INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-0GL
Policy instance 1
Insurance contract or identification number855743-0GL
Number of Individuals Covered295
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $3,002
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,403
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number855743-0GL
Policy instance 1
Insurance contract or identification number855743-0GL
Number of Individuals Covered301
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $2,899
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,899
Insurance broker organization code?3
Insurance broker nameLAMAIR MULOCK CONDON CO

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