| Plan Name | COMMUNITY HEALTH CENTERS, INC. LIFE INS. PLAN |
| Plan identification number | 506 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | PEAK VISTA COMMUNITY HEALTH CENTERS |
| Employer identification number (EIN): | 840617567 |
| NAIC Classification: | 621112 |
| NAIC Description: | Offices of Physicians, Mental Health Specialists |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 506 | 2012-01-01 | BRADY FITZWATER | |||
| 506 | 2011-01-01 | KATIE LUTZE | |||
| 506 | 2009-01-01 | GINA WISEMAN |
| Measure | Date | Value |
|---|---|---|
| 2012: COMMUNITY HEALTH CENTERS, INC. LIFE INS. PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 453 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 0 |
| 2011: COMMUNITY HEALTH CENTERS, INC. LIFE INS. PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 318 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 453 |
| Total of all active and inactive participants | 2011-01-01 | 453 |
| Total participants | 2011-01-01 | 453 |
| 2009: COMMUNITY HEALTH CENTERS, INC. LIFE INS. PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 253 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 320 |
| Total of all active and inactive participants | 2009-01-01 | 320 |
| Total participants | 2009-01-01 | 320 |
| 2012: COMMUNITY HEALTH CENTERS, INC. LIFE INS. PLAN 2012 form 5500 responses | ||
|---|---|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | This submission is the final filing | Yes |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: COMMUNITY HEALTH CENTERS, INC. LIFE INS. PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | Yes |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: COMMUNITY HEALTH CENTERS, INC. LIFE INS. PLAN 2009 form 5500 responses | ||
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |