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CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 401k Plan overview

Plan NameCENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN
Plan identification number 633

CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CENTRAL MONTANA MEDICAL FACILITIES INC has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL MONTANA MEDICAL FACILITIES INC
Employer identification number (EIN):237169043
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
6332018-04-01
6332017-04-01
6332016-04-01
6332015-04-01
6332014-04-01
6332013-04-01
6332012-04-01ALAN ALDRICH
6332011-04-01ALAN ALRICH
6332010-04-01ALAN ALRICH
6332009-04-01ALAN ALRICH

Plan Statistics for CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN

401k plan membership statisitcs for CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN

Measure Date Value
2018: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-0176
Total number of active participants reported on line 7a of the Form 55002018-04-0171
Total of all active and inactive participants2018-04-0171
2017: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-0183
Total number of active participants reported on line 7a of the Form 55002017-04-0176
Total of all active and inactive participants2017-04-0176
2016: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-0193
Total number of active participants reported on line 7a of the Form 55002016-04-0183
Total of all active and inactive participants2016-04-0183
2015: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-0198
Total number of active participants reported on line 7a of the Form 55002015-04-0195
Total of all active and inactive participants2015-04-0195
2014: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01106
Total number of active participants reported on line 7a of the Form 55002014-04-01102
Total of all active and inactive participants2014-04-01102
2013: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01101
Total number of active participants reported on line 7a of the Form 55002013-04-01106
Total of all active and inactive participants2013-04-01106
2012: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-0198
Total number of active participants reported on line 7a of the Form 55002012-04-01104
Total of all active and inactive participants2012-04-01104
2011: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01111
Total number of active participants reported on line 7a of the Form 55002011-04-01114
Total of all active and inactive participants2011-04-01114
2010: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01130
Total number of active participants reported on line 7a of the Form 55002010-04-01125
Total of all active and inactive participants2010-04-01125
2009: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01136
Total number of active participants reported on line 7a of the Form 55002009-04-01130
Total of all active and inactive participants2009-04-01130

Form 5500 Responses for CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN

2018: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan benefit arrangement – InsuranceYes
2017: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan benefit arrangement – InsuranceYes
2016: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan benefit arrangement – InsuranceYes
2015: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2014: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan benefit arrangement – InsuranceYes
2013: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2010: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes
2009: CENTRAL MONTANA MEDICAL CENTER LIFE INSURANCE PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01This submission is the final filingNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-1529
Policy instance 1
Insurance contract or identification numberGL-1529
Number of Individuals Covered73
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $579
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $579
Insurance broker organization code?3
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-1529
Policy instance 1
Insurance contract or identification numberGL-1529
Number of Individuals Covered76
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $608
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $608
Insurance broker organization code?3
Insurance broker nameCLARK A BREVIG
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-1529
Policy instance 1
Insurance contract or identification numberGL-1529
Number of Individuals Covered93
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $613
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,393
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $613
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCLARK A BREVIG
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-1529
Policy instance 1
Insurance contract or identification numberGL-1529
Number of Individuals Covered104
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $764
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $764
Insurance broker organization code?3
Insurance broker nameCLARK A BREVIG
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-1529
Policy instance 1
Insurance contract or identification numberGL-1529
Number of Individuals Covered112
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $733
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $733
Insurance broker organization code?3
Insurance broker nameCLARK A BREVIG
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-1529
Policy instance 1
Insurance contract or identification numberGL-1529
Number of Individuals Covered112
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $728
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $728
Insurance broker organization code?3
Insurance broker nameCLARK A BREVIG
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-1529
Policy instance 1
Insurance contract or identification numberGL-1529
Number of Individuals Covered119
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $742
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )
Policy contract numberGL-1529
Policy instance 1
Insurance contract or identification numberGL-1529
Number of Individuals Covered125
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $766
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $766
Insurance broker organization code?3
Insurance broker nameCLARK A BREVIG

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