LIFE LINE HOSPITAL GROUP HEALTH PLAN 401k Plan overview

LIFE LINE HOSPITAL GROUP HEALTH PLAN Benefits

401k Sponsoring company profile

Company Name:	LIFE LINE HOSPITAL
Employer identification number (EIN):	753195992
NAIC Classification:	622000
NAIC Description:	Hospitals

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2016-05-01
501	2015-05-01
501	2014-05-01
501	2013-05-01
501	2012-05-01	TERRI TESTA
501	2011-05-01	WILLIAM VAN FOSSAN		WILLIAM VAN FOSSAN	2012-09-28

Plan Statistics for LIFE LINE HOSPITAL GROUP HEALTH PLAN

Measure	Date	Value
2016: LIFE LINE HOSPITAL GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-05-01	80
Total number of active participants reported on line 7a of the Form 5500	2016-05-01	68
Total of all active and inactive participants	2016-05-01	68
Total participants	2016-05-01	68
2015: LIFE LINE HOSPITAL GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-05-01	84
Total number of active participants reported on line 7a of the Form 5500	2015-05-01	79
Number of retired or separated participants receiving benefits	2015-05-01	1
Number of other retired or separated participants entitled to future benefits	2015-05-01	0
Total of all active and inactive participants	2015-05-01	80
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-05-01	0
Total participants	2015-05-01	80
Number of participants with account balances	2015-05-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-05-01	0
2014: LIFE LINE HOSPITAL GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-05-01	124
Total number of active participants reported on line 7a of the Form 5500	2014-05-01	81
Number of retired or separated participants receiving benefits	2014-05-01	2
Number of other retired or separated participants entitled to future benefits	2014-05-01	1
Total of all active and inactive participants	2014-05-01	84
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-05-01	0
Total participants	2014-05-01	84
Number of participants with account balances	2014-05-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-05-01	0
2013: LIFE LINE HOSPITAL GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-05-01	133
Total number of active participants reported on line 7a of the Form 5500	2013-05-01	118
Number of retired or separated participants receiving benefits	2013-05-01	3
Number of other retired or separated participants entitled to future benefits	2013-05-01	3
Total of all active and inactive participants	2013-05-01	124
Total participants	2013-05-01	124
2012: LIFE LINE HOSPITAL GROUP HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-05-01	176
Total number of active participants reported on line 7a of the Form 5500	2012-05-01	127
Number of retired or separated participants receiving benefits	2012-05-01	4
Number of other retired or separated participants entitled to future benefits	2012-05-01	2
Total of all active and inactive participants	2012-05-01	133
2011: LIFE LINE HOSPITAL GROUP HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-05-01	103
Total number of active participants reported on line 7a of the Form 5500	2011-05-01	176
Number of retired or separated participants receiving benefits	2011-05-01	4
Number of other retired or separated participants entitled to future benefits	2011-05-01	0
Total of all active and inactive participants	2011-05-01	180

Form 5500 Responses for LIFE LINE HOSPITAL GROUP HEALTH PLAN

Insurance Providers Used on plan

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