| Plan Name | SAINT FRANCIS COMMUNITY SERVICES, INC. HEALTH, PHARMACY & DENTAL |
| Plan identification number | 509 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | SAINT FRANCIS MINISTRIES, INC. |
| Employer identification number (EIN): | 480543809 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 509 | 2010-04-01 | WAYNE HELLEBUST | MELANIE OWENS | 2011-10-14 | |
| 509 | 2010-04-01 | WAYNE HELLEBUST | 2020-09-04 | ||
| 509 | 2009-04-01 | JANICE BRADEN | MELANIE OWENS | 2010-10-29 |
| Measure | Date | Value |
|---|---|---|
| 2010: SAINT FRANCIS COMMUNITY SERVICES, INC. HEALTH, PHARMACY & DENTAL 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-04-01 | 564 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-04-01 | 604 |
| Total of all active and inactive participants | 2010-04-01 | 604 |
| Number of retired or separated participants receiving benefits | 2010-04-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-04-01 | 0 |
| Number of employers contributing to the scheme | 2010-04-01 | 0 |
| 2009: SAINT FRANCIS COMMUNITY SERVICES, INC. HEALTH, PHARMACY & DENTAL 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-04-01 | 586 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-04-01 | 564 |
| Total of all active and inactive participants | 2009-04-01 | 564 |
| 2010: SAINT FRANCIS COMMUNITY SERVICES, INC. HEALTH, PHARMACY & DENTAL 2010 form 5500 responses | ||
|---|---|---|
| 2010-04-01 | Type of plan entity | Single employer plan |
| 2010-04-01 | Submission has been amended | Yes |
| 2010-04-01 | This submission is the final filing | Yes |
| 2010-04-01 | Plan funding arrangement – Insurance | Yes |
| 2010-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: SAINT FRANCIS COMMUNITY SERVICES, INC. HEALTH, PHARMACY & DENTAL 2009 form 5500 responses | ||
| 2009-04-01 | Type of plan entity | Single employer plan |
| 2009-04-01 | This submission is the final filing | No |
| 2009-04-01 | Plan funding arrangement – Insurance | Yes |
| 2009-04-01 | Plan benefit arrangement – Insurance | Yes |
| BLUE CROSS BLUE SHIELD OF KANSAS (National Association of Insurance Commissioners NAIC id number: 70729 ) | |
| Policy contract number | 07652 |
| Policy instance | 1 |
| DELTA DENTAL OF KANSAS (National Association of Insurance Commissioners NAIC id number: 54615 ) | |
| Policy contract number | 701 |
| Policy instance | 2 |