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| Plan Name | METLIFE LIFE |
| Plan identification number | 516 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | COVENANT HOSPICE, INC. |
| Employer identification number (EIN): | 592208300 |
| NAIC Classification: | 621610 |
| NAIC Description: | Home Health Care Services |
Additional information about COVENANT HOSPICE, INC.
| Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
| Incorporation Date: | 1981-08-04 |
| Company Identification Number: | 759452 |
| Legal Registered Office Address: |
501 COMMENDENCIA ST PENSACOLA 32502 |
More information about COVENANT HOSPICE, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 516 | 2014-01-01 | AMY BAJJALY | |||
| 516 | 2013-01-01 | ODIN BERG | ODIN BERG | 2014-07-17 | |
| 516 | 2012-01-01 | DALE KNEE |
| Measure | Date | Value |
|---|---|---|
| 2014: METLIFE LIFE 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 1,388 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 0 |
| 2013: METLIFE LIFE 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 1,847 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,611 |
| Total of all active and inactive participants | 2013-01-01 | 1,611 |
| Total participants | 2013-01-01 | 1,611 |
| 2012: METLIFE LIFE 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 744 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,847 |
| Total of all active and inactive participants | 2012-01-01 | 1,847 |
| Total participants | 2012-01-01 | 1,847 |
| 2014: METLIFE LIFE 2014 form 5500 responses | ||
|---|---|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | Yes |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: METLIFE LIFE 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: METLIFE LIFE 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | First time form 5500 has been submitted | Yes |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | TM05986093 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | TM05986093 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | TM05986093 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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