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| Plan Name | HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN |
| Plan identification number | 503 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | HENRY MAYO NEWHALL HOSPITAL |
| Employer identification number (EIN): | 952821104 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 503 | 2014-01-01 | MARK PULEO | |||
| 503 | 2013-01-01 | MARK PULEO | |||
| 503 | 2012-01-01 | MARK PULEO | |||
| 503 | 2011-01-01 | MARK PULEO | |||
| 503 | 2009-01-01 | MARK PULEO |
| Measure | Date | Value |
|---|---|---|
| 2014: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 307 |
| 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: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2013 401k membership | ||
| Total participants, beginning-of-year | 2013-01-01 | 305 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 307 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 307 |
| 2012: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-01-01 | 289 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 305 |
| Total of all active and inactive participants | 2012-01-01 | 305 |
| Total participants | 2012-01-01 | 305 |
| 2011: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-01-01 | 285 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 289 |
| Total of all active and inactive participants | 2011-01-01 | 289 |
| Total participants | 2011-01-01 | 289 |
| 2009: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 298 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 302 |
| Total of all active and inactive participants | 2009-01-01 | 302 |
| Total participants | 2009-01-01 | 302 |
| 2014: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 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: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 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: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY PLAN 2011 form 5500 responses | ||
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: HENRY MAYO NEWHALL MEMORIAL HOSPITAL LONG TERM DISABILITY 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 |
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 67727-2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 67727-2 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | LTD 119458 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | LTD 119458 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | LTD 119458 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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