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TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 401k Plan overview

Plan NameTOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS
Plan identification number 503

TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

CHAMPLAIN VALLEY PHYSICIANS HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
Employer identification number (EIN):141338471
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about CHAMPLAIN VALLEY PHYSICIANS HOSPITAL

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1910-10-13
Company Identification Number: 29737
Legal Registered Office Address: 75 BEEKMAN STREET
Clinton
PLATTSBURGH
United States of America (USA)
12901

More information about CHAMPLAIN VALLEY PHYSICIANS HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-01-01JUDY PETERSON2022-10-14 MICHELLE LEBEAU2022-10-14
5032021-01-01JUDY PETERSON2023-07-06 MICHELLE LEBEAU2023-07-06
5032020-01-01
5032019-01-01
5032018-01-01
5032017-01-01MICHELLE LEBEAU
5032016-01-01STEPHENS MUNDY
5032015-01-01STEPHENS MUNDY
5032014-01-01STEPHENS MUNDY
5032013-01-01STEPHENS MUNDY
5032012-01-01STEPHENS MUNDY
5032011-01-01STEPHENS MUNDY
5032010-01-01STEPHENS MUNDY
5032009-01-01STEPHENS MUNDY

Plan Statistics for TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS

401k plan membership statisitcs for TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS

Measure Date Value
2021: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2021 401k membership
Total participants, beginning-of-year2021-01-012,104
Total number of active participants reported on line 7a of the Form 55002021-01-011,753
Number of retired or separated participants receiving benefits2021-01-0124
Total of all active and inactive participants2021-01-011,777
2020: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2020 401k membership
Total participants, beginning-of-year2020-01-012,169
Total number of active participants reported on line 7a of the Form 55002020-01-012,067
Number of retired or separated participants receiving benefits2020-01-0137
Total of all active and inactive participants2020-01-012,104
Total participants2020-01-012,104
2019: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2019 401k membership
Total participants, beginning-of-year2019-01-012,168
Total number of active participants reported on line 7a of the Form 55002019-01-012,136
Number of retired or separated participants receiving benefits2019-01-0133
Total of all active and inactive participants2019-01-012,169
Total participants2019-01-012,169
2018: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2018 401k membership
Total participants, beginning-of-year2018-01-012,063
Total number of active participants reported on line 7a of the Form 55002018-01-012,168
Number of retired or separated participants receiving benefits2018-01-0120
Number of other retired or separated participants entitled to future benefits2018-01-018
Total of all active and inactive participants2018-01-012,196
Total participants2018-01-012,196
2017: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2017 401k membership
Total participants, beginning-of-year2017-01-012,119
Total number of active participants reported on line 7a of the Form 55002017-01-012,023
Number of retired or separated participants receiving benefits2017-01-0130
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-012,063
Total participants2017-01-012,063
2016: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2016 401k membership
Total participants, beginning-of-year2016-01-012,169
Total number of active participants reported on line 7a of the Form 55002016-01-012,078
Number of retired or separated participants receiving benefits2016-01-0133
Number of other retired or separated participants entitled to future benefits2016-01-018
Total of all active and inactive participants2016-01-012,119
Total participants2016-01-012,119
2015: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2015 401k membership
Total participants, beginning-of-year2015-01-011,835
Total number of active participants reported on line 7a of the Form 55002015-01-012,120
Number of retired or separated participants receiving benefits2015-01-0137
Number of other retired or separated participants entitled to future benefits2015-01-0112
Total of all active and inactive participants2015-01-012,169
Total participants2015-01-012,169
2014: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2014 401k membership
Total participants, beginning-of-year2014-01-011,800
Total number of active participants reported on line 7a of the Form 55002014-01-011,800
Number of retired or separated participants receiving benefits2014-01-0135
Total of all active and inactive participants2014-01-011,835
Total participants2014-01-011,835
2013: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2013 401k membership
Total participants, beginning-of-year2013-01-011,923
Total number of active participants reported on line 7a of the Form 55002013-01-011,933
Number of retired or separated participants receiving benefits2013-01-0119
Total of all active and inactive participants2013-01-011,952
Total participants2013-01-011,952
2012: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2012 401k membership
Total participants, beginning-of-year2012-01-011,963
Total number of active participants reported on line 7a of the Form 55002012-01-011,910
Number of retired or separated participants receiving benefits2012-01-0113
Total of all active and inactive participants2012-01-011,923
Total participants2012-01-011,923
2011: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2011 401k membership
Total participants, beginning-of-year2011-01-012,002
Total number of active participants reported on line 7a of the Form 55002011-01-011,948
Number of other retired or separated participants entitled to future benefits2011-01-0115
Total of all active and inactive participants2011-01-011,963
Total participants2011-01-011,963
2010: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2010 401k membership
Total participants, beginning-of-year2010-01-011,934
Total number of active participants reported on line 7a of the Form 55002010-01-011,932
Number of other retired or separated participants entitled to future benefits2010-01-0170
Total of all active and inactive participants2010-01-012,002
Total participants2010-01-012,002
2009: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2009 401k membership
Total participants, beginning-of-year2009-01-011,835
Total number of active participants reported on line 7a of the Form 55002009-01-011,881
Number of retired or separated participants receiving benefits2009-01-0153
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,934
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-011,934

Form 5500 Responses for TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS

2021: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: TOTAL HEALTH CARE PLAN EMPLOYEES AND DEPENDENTS 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

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