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JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 401k Plan overview

Plan NameJANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN
Plan identification number 503

JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

JANE TODD CRAWFORD MEMORIAL has sponsored the creation of one or more 401k plans.

Company Name:JANE TODD CRAWFORD MEMORIAL
Employer identification number (EIN):204474637
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-07-01
5032023-07-01RICHARD HENDERSHOT
5032022-07-01
5032022-07-01RICHARD HENDERSHOT
5032021-07-01
5032021-07-01RICHARD HENDERSHOT
5032019-07-01
5032019-07-01RICHARD HENDERSHOT
5032018-07-01
5032017-07-01
5032014-07-01RICHARD HENDERSHOT
5032013-07-01RICHARD HENDERSHOT
5032012-07-01REX A TUNGATE
5032011-07-01RICHARD HENDERSHOT
5032010-07-01RICHARD HENDERSHOT
5032009-07-01 REX TUNGATE2011-01-27
5032009-07-01REX TUNGATE

Financial Data on JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN

Measure Date Value
2024 : JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2024 401k financial data
Total income from all sources2024-06-30$81,080
Expenses. Total of all expenses incurred2024-06-30$81,080
Benefits paid (including direct rollovers)2024-06-30$81,080
Total plan assets at end of year2024-06-30$0
Total plan assets at beginning of year2024-06-30$0
Net plan assets at end of year (total assets less liabilities)2024-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2024-06-30$0
Total contributions received or receivable from employer(s)2024-06-30$81,080
2023 : JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2023 401k financial data
Total income from all sources2023-06-30$0
Total plan assets at end of year2023-06-30$0
Total plan assets at beginning of year2023-06-30$0
Net plan assets at end of year (total assets less liabilities)2023-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$0
2022 : JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2022 401k financial data
Total income from all sources2022-06-30$0
Total plan assets at end of year2022-06-30$0
Total plan assets at beginning of year2022-06-30$0
Net plan assets at end of year (total assets less liabilities)2022-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$0
2020 : JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2020 401k financial data
Total income from all sources2020-06-30$68,895
Expenses. Total of all expenses incurred2020-06-30$68,895
Benefits paid (including direct rollovers)2020-06-30$68,895
Total plan assets at end of year2020-06-30$0
Total plan assets at beginning of year2020-06-30$0
Net plan assets at end of year (total assets less liabilities)2020-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$0
Total contributions received or receivable from employer(s)2020-06-30$68,895
2019 : JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2019 401k financial data
Total income from all sources2019-06-30$0
Total plan assets at end of year2019-06-30$0
Total plan assets at beginning of year2019-06-30$0
Net plan assets at end of year (total assets less liabilities)2019-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$0
2015 : JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2015 401k financial data
Value of total assets at end of year2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30No
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in common/collective trusts at end of year2015-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
2011 : JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2011 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Was this plan covered by a fidelity bond2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Did the plan have assets held for investment2011-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No

Form 5500 Responses for JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN

2023: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2023 form 5500 responses
2023-07-01Type of plan entitySingle employer plan
2023-07-01First time form 5500 has been submittedYes
2023-07-01Plan funding arrangement – InsuranceYes
2023-07-01Plan benefit arrangement – InsuranceYes
2022: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2019: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2014: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: JANE TODD CRAWFORD HSOPITAL LIFE INSURANCE PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number871205-OGL
Policy instance 1
Insurance contract or identification number871205-OGL
Number of Individuals Covered171
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Total amount of commissions paid to insurance brokerUSD $7,207
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number871205-OGL
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number871205-OGL
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number871205-OGL
Policy instance 1
Insurance contract or identification number871205-OGL
Number of Individuals Covered171
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $7,390
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number871205-OGL
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number871205-OGL
Policy instance 1

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