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NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN 401k Plan overview

Plan NameNORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN
Plan identification number 501

NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CARE REGIONAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:CARE REGIONAL MEDICAL CENTER
Employer identification number (EIN):742950758
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-04-01KERRY UPTON2020-10-22
5012018-04-01KERRY UPTON2019-09-09
5012017-04-01
5012013-04-02KERRY UPTON KERRY UPTON2014-10-13
5012013-04-02
5012012-04-02KERRY UPTON KERRY UPTON2013-07-24
5012011-04-01SHERRY GWYNN SHERRY GWYNN2012-07-13

Form 5500 Responses for NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN

2019: NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan benefit arrangement – InsuranceYes
2018: NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2013: NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN 2013 form 5500 responses
2013-04-02Type of plan entitySingle employer plan
2013-04-02Submission has been amendedNo
2013-04-02This submission is the final filingNo
2013-04-02This return/report is a short plan year return/report (less than 12 months)No
2013-04-02Plan is a collectively bargained planNo
2013-04-02Plan funding arrangement – InsuranceYes
2013-04-02Plan funding arrangement – General assets of the sponsorYes
2013-04-02Plan benefit arrangement – General assets of the sponsorYes
2012: NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN 2012 form 5500 responses
2012-04-02Type of plan entitySingle employer plan
2012-04-02Submission has been amendedNo
2012-04-02This submission is the final filingNo
2012-04-02This return/report is a short plan year return/report (less than 12 months)No
2012-04-02Plan is a collectively bargained planNo
2012-04-02Plan funding arrangement – General assets of the sponsorYes
2012-04-02Plan benefit arrangement – General assets of the sponsorYes
2011: NORTH BAY HOSPITAL DBA CARE REGIONAL MEDICAL CENTER EMPLOYEE INJURY BENEFIT PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – General assets of the sponsorYes
2011-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AWTL
Policy instance 3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF022705
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number147327
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AWTL
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number500825
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number147327
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AWTL
Policy instance 3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number500825
Policy instance 2
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number147327
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number744538
Policy instance 1

Potentially related plans

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