401k Plan data: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN plan

ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN
Plan identification number	901

ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ATLANTICARE HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name: ATLANTICARE HEALTH SYSTEM, INC.

Employer identification number (EIN): 223265213

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
901 2016-01-01 RICHARD LOVERING
901 2015-01-01
901 2014-01-01 RICHARD LOVERING 2015-10-13
901 2013-01-01 RICHARD LOVERING 2014-12-30
901 2012-01-01 RICHARD LOVERING 2014-12-30
901 2011-01-01 RICHARD LOVERING 2014-12-30
901 2010-01-01 RICHARD LOVERING 2014-12-30
901 2009-01-01 RICHARD LOVERING 2014-12-30
901 2008-01-01 RICHARD LOVERING 2014-12-30
901 2007-01-01 RICHARD LOVERING 2014-12-30
901 2006-01-01 RICHARD LOVERING 2014-12-30
901 2005-01-01 RICHARD LOVERING 2014-12-30
901 2004-01-01 RICHARD LOVERING 2014-12-30
901 2003-01-01 RICHARD LOVERING 2014-12-30
901 2002-01-01 RICHARD LOVERING 2014-12-30
901 2001-01-01 RICHARD LOVERING 2014-12-30
901 2000-01-01 RICHARD LOVERING 2014-12-30
901 1999-01-01 RICHARD LOVERING
901 1998-01-01 RICHARD LOVERING
901 1997-01-01 RICHARD LOVERING

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
901	2016-01-01	RICHARD LOVERING
901	2015-01-01
901	2014-01-01	RICHARD LOVERING	2015-10-13
901	2013-01-01	RICHARD LOVERING	2014-12-30
901	2012-01-01	RICHARD LOVERING	2014-12-30
901	2011-01-01	RICHARD LOVERING	2014-12-30
901	2010-01-01	RICHARD LOVERING	2014-12-30
901	2009-01-01	RICHARD LOVERING	2014-12-30
901	2008-01-01	RICHARD LOVERING	2014-12-30
901	2007-01-01	RICHARD LOVERING	2014-12-30
901	2006-01-01	RICHARD LOVERING	2014-12-30
901	2005-01-01	RICHARD LOVERING	2014-12-30
901	2004-01-01	RICHARD LOVERING	2014-12-30
901	2003-01-01	RICHARD LOVERING	2014-12-30
901	2002-01-01	RICHARD LOVERING	2014-12-30
901	2001-01-01	RICHARD LOVERING	2014-12-30
901	2000-01-01	RICHARD LOVERING	2014-12-30
901	1999-01-01	RICHARD LOVERING
901	1998-01-01	RICHARD LOVERING
901	1997-01-01	RICHARD LOVERING

Plan Statistics for ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN

401k plan membership statisitcs for ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN

Measure Date Value
2016: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 207
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
2015: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 205
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 205
1999: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1999 401k membership
Total participants, beginning-of-year 1999-01-01 2,623
Total number of active participants reported on line 7a of the Form 5500 1999-01-01 36
Number of retired or separated participants receiving benefits 1999-01-01 0
Number of other retired or separated participants entitled to future benefits 1999-01-01 0
Total of all active and inactive participants 1999-01-01 36
1998: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1998 401k membership
Total participants, beginning-of-year 1998-01-01 2,715
Total number of active participants reported on line 7a of the Form 5500 1998-01-01 2,623
Number of retired or separated participants receiving benefits 1998-01-01 0
Number of other retired or separated participants entitled to future benefits 1998-01-01 0
Total of all active and inactive participants 1998-01-01 2,623
1997: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1997 401k membership
Total participants, beginning-of-year 1997-01-01 2,760
Total number of active participants reported on line 7a of the Form 5500 1997-01-01 2,715
Number of retired or separated participants receiving benefits 1997-01-01 0
Number of other retired or separated participants entitled to future benefits 1997-01-01 0
Total of all active and inactive participants 1997-01-01 2,715

Measure	Date	Value
2016: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	207
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
2015: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	205
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	205
1999: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1999 401k membership
Total participants, beginning-of-year	1999-01-01	2,623
Total number of active participants reported on line 7a of the Form 5500	1999-01-01	36
Number of retired or separated participants receiving benefits	1999-01-01	0
Number of other retired or separated participants entitled to future benefits	1999-01-01	0
Total of all active and inactive participants	1999-01-01	36
1998: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1998 401k membership
Total participants, beginning-of-year	1998-01-01	2,715
Total number of active participants reported on line 7a of the Form 5500	1998-01-01	2,623
Number of retired or separated participants receiving benefits	1998-01-01	0
Number of other retired or separated participants entitled to future benefits	1998-01-01	0
Total of all active and inactive participants	1998-01-01	2,623
1997: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1997 401k membership
Total participants, beginning-of-year	1997-01-01	2,760
Total number of active participants reported on line 7a of the Form 5500	1997-01-01	2,715
Number of retired or separated participants receiving benefits	1997-01-01	0
Number of other retired or separated participants entitled to future benefits	1997-01-01	0
Total of all active and inactive participants	1997-01-01	2,715

Financial Data on ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN

Measure	Date	Value
1999 : ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1999 401k financial data
Total unrealized appreciation/depreciation of assets	1999-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	1999-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	1999-12-31	$0
Total income from all sources (including contributions)	1999-12-31	$391,948
Total loss/gain on sale of assets	1999-12-31	$0
Total of all expenses incurred	1999-12-31	$442,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	1999-12-31	$428,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)	1999-12-31	$349,820
Value of total assets at end of year	1999-12-31	$814,889
Value of total assets at beginning of year	1999-12-31	$865,346
Total of administrative expenses incurred including professional, contract, advisory and management fees	1999-12-31	$13,906
Total interest from all sources	1999-12-31	$35,264
Total dividends received (eg from common stock, registered investment company shares)	1999-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	1999-12-31	No
Administrative expenses professional fees incurred	1999-12-31	$13,906
Was this plan covered by a fidelity bond	1999-12-31	Yes
Value of fidelity bond cover	1999-12-31	$500,000
If this is an individual account plan, was there a blackout period	1999-12-31	No
Were there any nonexempt tranactions with any party-in-interest	1999-12-31	No
Other income not declared elsewhere	1999-12-31	$6,864
Total non interest bearing cash at end of year	1999-12-31	$36,913
Total non interest bearing cash at beginning of year	1999-12-31	$57,939
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	1999-12-31	No
Value of net income/loss	1999-12-31	$-50,457
Value of net assets at end of year (total assets less liabilities)	1999-12-31	$814,889
Value of net assets at beginning of year (total assets less liabilities)	1999-12-31	$865,346
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	1999-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	1999-12-31	No
Were any leases to which the plan was party in default or uncollectible	1999-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	1999-12-31	$777,976
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	1999-12-31	$807,407
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	1999-12-31	$807,407
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	1999-12-31	$35,264
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	1999-12-31	No
Was there a failure to transmit to the plan any participant contributions	1999-12-31	No
Has the plan failed to provide any benefit when due under the plan	1999-12-31	No
Contributions received in cash from employer	1999-12-31	$349,820
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	1999-12-31	$428,499
Did the plan have assets held for investment	1999-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	1999-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	1999-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	1999-12-31	No
Opinion of an independent qualified public accountant for this plan	1999-12-31	Unqualified
Accountancy firm name	1999-12-31	WITHUM SMITH BROWN
Accountancy firm EIN	1999-12-31	222027092
1998 : ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1998 401k financial data
Total unrealized appreciation/depreciation of assets	1998-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	1998-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	1998-12-31	$0
Total income from all sources (including contributions)	1998-12-31	$333,683
Total loss/gain on sale of assets	1998-12-31	$0
Total of all expenses incurred	1998-12-31	$407,722
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	1998-12-31	$397,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)	1998-12-31	$256,800
Value of total assets at end of year	1998-12-31	$865,346
Value of total assets at beginning of year	1998-12-31	$939,385
Total of administrative expenses incurred including professional, contract, advisory and management fees	1998-12-31	$10,205
Total interest from all sources	1998-12-31	$43,459
Total dividends received (eg from common stock, registered investment company shares)	1998-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	1998-12-31	No
Administrative expenses professional fees incurred	1998-12-31	$10,205
Was this plan covered by a fidelity bond	1998-12-31	Yes
Value of fidelity bond cover	1998-12-31	$500,000
If this is an individual account plan, was there a blackout period	1998-12-31	No
Were there any nonexempt tranactions with any party-in-interest	1998-12-31	No
Other income not declared elsewhere	1998-12-31	$33,424
Total non interest bearing cash at end of year	1998-12-31	$57,939
Total non interest bearing cash at beginning of year	1998-12-31	$9,306
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	1998-12-31	No
Value of net income/loss	1998-12-31	$-74,039
Value of net assets at end of year (total assets less liabilities)	1998-12-31	$865,346
Value of net assets at beginning of year (total assets less liabilities)	1998-12-31	$939,385
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	1998-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	1998-12-31	No
Were any leases to which the plan was party in default or uncollectible	1998-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	1998-12-31	$807,407
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	1998-12-31	$930,079
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	1998-12-31	$930,079
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	1998-12-31	$43,459
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	1998-12-31	No
Was there a failure to transmit to the plan any participant contributions	1998-12-31	No
Has the plan failed to provide any benefit when due under the plan	1998-12-31	No
Contributions received in cash from employer	1998-12-31	$256,800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	1998-12-31	$397,517
Did the plan have assets held for investment	1998-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	1998-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	1998-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	1998-12-31	No
Opinion of an independent qualified public accountant for this plan	1998-12-31	Unqualified
Accountancy firm name	1998-12-31	WITHUM SMITH BROWN
Accountancy firm EIN	1998-12-31	222027092
1997 : ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1997 401k financial data
Total unrealized appreciation/depreciation of assets	1997-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	1997-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	1997-12-31	$0
Total income from all sources (including contributions)	1997-12-31	$306,076
Total loss/gain on sale of assets	1997-12-31	$0
Total of all expenses incurred	1997-12-31	$298,512
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	1997-12-31	$287,642
Total contributions o plan (from employers,participants, others, non cash contrinutions)	1997-12-31	$256,800
Value of total assets at end of year	1997-12-31	$939,385
Value of total assets at beginning of year	1997-12-31	$931,821
Total of administrative expenses incurred including professional, contract, advisory and management fees	1997-12-31	$10,870
Total interest from all sources	1997-12-31	$49,179
Total dividends received (eg from common stock, registered investment company shares)	1997-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	1997-12-31	No
Administrative expenses professional fees incurred	1997-12-31	$10,870
Was this plan covered by a fidelity bond	1997-12-31	Yes
Value of fidelity bond cover	1997-12-31	$500,000
If this is an individual account plan, was there a blackout period	1997-12-31	No
Were there any nonexempt tranactions with any party-in-interest	1997-12-31	No
Other income not declared elsewhere	1997-12-31	$97
Total non interest bearing cash at end of year	1997-12-31	$9,306
Total non interest bearing cash at beginning of year	1997-12-31	$152
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	1997-12-31	No
Value of net income/loss	1997-12-31	$7,564
Value of net assets at end of year (total assets less liabilities)	1997-12-31	$939,385
Value of net assets at beginning of year (total assets less liabilities)	1997-12-31	$931,821
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	1997-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	1997-12-31	No
Were any leases to which the plan was party in default or uncollectible	1997-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	1997-12-31	$930,079
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	1997-12-31	$931,669
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	1997-12-31	$931,669
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	1997-12-31	$49,179
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	1997-12-31	No
Was there a failure to transmit to the plan any participant contributions	1997-12-31	No
Has the plan failed to provide any benefit when due under the plan	1997-12-31	No
Contributions received in cash from employer	1997-12-31	$256,800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	1997-12-31	$287,642
Did the plan have assets held for investment	1997-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	1997-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	1997-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	1997-12-31	No
Opinion of an independent qualified public accountant for this plan	1997-12-31	Unqualified
Accountancy firm name	1997-12-31	WITHUM SMITH BROWN
Accountancy firm EIN	1997-12-31	222027092

Form 5500 Responses for ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN

2016: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
1999: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1999 form 5500 responses
1999-01-01	Type of plan entity	Single employer plan
1999-01-01	Submission has been amended	No
1999-01-01	This submission is the final filing	No
1999-01-01	This return/report is a short plan year return/report (less than 12 months)	No
1999-01-01	Plan is a collectively bargained plan	No
1999-01-01	Plan funding arrangement – Trust	Yes
1999-01-01	Plan benefit arrangement - Trust	Yes
1998: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1998 form 5500 responses
1998-01-01	Type of plan entity	Single employer plan
1998-01-01	Submission has been amended	No
1998-01-01	This submission is the final filing	No
1998-01-01	This return/report is a short plan year return/report (less than 12 months)	No
1998-01-01	Plan is a collectively bargained plan	No
1998-01-01	Plan funding arrangement – Trust	Yes
1998-01-01	Plan benefit arrangement - Trust	Yes
1997: ATLANTIC CITY MEDICAL CENTER GROUP LONG TERM DISABILITY PLAN 1997 form 5500 responses
1997-01-01	Type of plan entity	Single employer plan
1997-01-01	Submission has been amended	No
1997-01-01	This submission is the final filing	No
1997-01-01	This return/report is a short plan year return/report (less than 12 months)	No
1997-01-01	Plan is a collectively bargained plan	No
1997-01-01	Plan funding arrangement – Trust	Yes
1997-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

0000518855

Policy instance

Insurance contract or identification number	0000518855
Number of Individuals Covered	7
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $347
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $6,930
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $347
Insurance broker organization code?	3
Insurance broker name	KIRNER, THOMAS, E

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Company Name:	ATLANTICARE HEALTH SYSTEM, INC.
Employer identification number (EIN):	223265213
NAIC Classification:	622000
NAIC Description:	Hospitals