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Plan Name | SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN |
Plan identification number | 504 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | SUSAN B. ALLEN MEMORIAL HOSPITAL |
Employer identification number (EIN): | 480581968 |
NAIC Classification: | 622000 |
NAIC Description: | Hospitals |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
504 | 2015-07-01 | GAY KIMBLE | GAY KIMBLE | 2017-03-16 | |
504 | 2012-07-01 | GAYLE ARNETT | GAYLE ARNETT | 2014-01-27 | |
504 | 2011-07-01 | GAYLE ARNETT | GAYLE ARNETT | 2013-01-29 | |
504 | 2010-07-01 | GAYLE ARNETT | |||
504 | 2009-07-01 | GAYLE ARNETT |
Measure | Date | Value |
---|---|---|
2015: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-07-01 | 102 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-07-01 | 88 |
Number of retired or separated participants receiving benefits | 2015-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-07-01 | 0 |
Total of all active and inactive participants | 2015-07-01 | 88 |
2012: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2012 401k membership | ||
Total participants, beginning-of-year | 2012-07-01 | 101 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 91 |
Number of retired or separated participants receiving benefits | 2012-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 0 |
Total of all active and inactive participants | 2012-07-01 | 91 |
2011: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2011 401k membership | ||
Total participants, beginning-of-year | 2011-07-01 | 108 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 100 |
Total of all active and inactive participants | 2011-07-01 | 100 |
2010: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2010 401k membership | ||
Total participants, beginning-of-year | 2010-07-01 | 108 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 106 |
Total of all active and inactive participants | 2010-07-01 | 106 |
2009: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2009 401k membership | ||
Total participants, beginning-of-year | 2009-07-01 | 110 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 106 |
Total of all active and inactive participants | 2009-07-01 | 106 |
Total participants | 2009-07-01 | 106 |
2015: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2015 form 5500 responses | ||
---|---|---|
2015-07-01 | Type of plan entity | Single employer plan |
2015-07-01 | Submission has been amended | No |
2015-07-01 | This submission is the final filing | No |
2015-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-07-01 | Plan is a collectively bargained plan | No |
2015-07-01 | Plan funding arrangement – Insurance | Yes |
2015-07-01 | Plan benefit arrangement – Insurance | Yes |
2012: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2012 form 5500 responses | ||
2012-07-01 | Type of plan entity | Single employer plan |
2012-07-01 | Submission has been amended | No |
2012-07-01 | This submission is the final filing | No |
2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-07-01 | Plan is a collectively bargained plan | No |
2012-07-01 | Plan funding arrangement – Insurance | Yes |
2012-07-01 | Plan benefit arrangement – Insurance | Yes |
2011: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2011 form 5500 responses | ||
2011-07-01 | Type of plan entity | Single employer plan |
2011-07-01 | Submission has been amended | No |
2011-07-01 | This submission is the final filing | No |
2011-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-07-01 | Plan is a collectively bargained plan | No |
2011-07-01 | Plan funding arrangement – Insurance | Yes |
2011-07-01 | Plan benefit arrangement – Insurance | Yes |
2010: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2010 form 5500 responses | ||
2010-07-01 | Type of plan entity | Single employer plan |
2010-07-01 | Submission has been amended | Yes |
2010-07-01 | This submission is the final filing | No |
2010-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-07-01 | Plan is a collectively bargained plan | No |
2010-07-01 | Plan funding arrangement – Insurance | Yes |
2010-07-01 | Plan benefit arrangement – Insurance | Yes |
2009: SUSAN B. ALLEN MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2009 form 5500 responses | ||
2009-07-01 | Type of plan entity | Single employer plan |
2009-07-01 | Submission has been amended | No |
2009-07-01 | This submission is the final filing | No |
2009-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-07-01 | Plan is a collectively bargained plan | No |
2009-07-01 | Plan funding arrangement – Insurance | Yes |
2009-07-01 | Plan benefit arrangement – Insurance | Yes |
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | VPL 300961 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | LTD119541 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | VPL300961 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | LTD119541 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | VIP530185 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | LTD119541 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | VIP530185 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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