401k Plan data: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN plan

CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 401k Plan overview

Plan Name	CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN
Plan identification number	501

CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

CHILTON MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: CHILTON MEMORIAL HOSPITAL

Employer identification number (EIN): 221559402

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-01-01 MEIER,DEBORAH
501 2012-01-01 DEBORAH MEIER DEBORAH MEIER 2013-09-10
501 2011-01-01 DEBORAH MEIER
501 2009-01-01 DEBORAH MEIER
501 2009-01-01 DEBORAH MEIER 2010-09-17

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-01-01	MEIER,DEBORAH
501	2012-01-01	DEBORAH MEIER	DEBORAH MEIER	2013-09-10
501	2011-01-01	DEBORAH MEIER
501	2009-01-01	DEBORAH MEIER
501	2009-01-01		DEBORAH MEIER	2010-09-17

Plan Statistics for CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN

401k plan membership statisitcs for CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN

Measure Date Value
2013: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 717
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 712
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 2013-01-01 712
2012: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 728
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 717
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 717
2011: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 705
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 728
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 728
2009: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 677
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 740
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 740
Total participants 2009-01-01 740

Measure	Date	Value
2013: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	717
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	712
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	712
2012: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	728
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	717
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	717
2011: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	705
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	728
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	728
2009: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	677
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	740
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	740
Total participants	2009-01-01	740

Form 5500 Responses for CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN

2013: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE 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: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: CHILTON MEMORIAL HOSPITAL LIFE INSURANCE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Potentially related plans

CHILTON MEMORIAL HOSPITAL PENSION PLAN [EIN = 223380375]

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Company Name:	CHILTON MEMORIAL HOSPITAL
Employer identification number (EIN):	221559402
NAIC Classification:	622000
NAIC Description:	Hospitals