401k Plan data: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN plan

UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 401k Plan overview

Plan Name	UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN
Plan identification number	525

UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Severance pay Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

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

Company Name: UNIONTOWN HOSPITAL

Employer identification number (EIN): 250965588

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about UNIONTOWN HOSPITAL

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE

Incorporation Date:

Company Identification Number: 368225

More information about UNIONTOWN HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
525 2015-01-01 BARBARA WEISS BARBARA WEISS 2016-07-21
525 2014-01-01 BARBARA WEISS BARBARA WEISS 2015-07-31
525 2013-01-01 BARBARA WEISS BARBARA WEISS 2014-10-13
525 2012-01-01 JAMES PROUD JAMES PROUD 2013-07-30
525 2011-01-01 JAMES PROUD
525 2010-01-01 JAMES PROUD
525 2009-01-01 JAMES PROUD

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
525	2015-01-01	BARBARA WEISS	BARBARA WEISS	2016-07-21
525	2014-01-01	BARBARA WEISS	BARBARA WEISS	2015-07-31
525	2013-01-01	BARBARA WEISS	BARBARA WEISS	2014-10-13
525	2012-01-01	JAMES PROUD	JAMES PROUD	2013-07-30
525	2011-01-01	JAMES PROUD
525	2010-01-01	JAMES PROUD
525	2009-01-01	JAMES PROUD

Plan Statistics for UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN

401k plan membership statisitcs for UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN

Measure Date Value
2015: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,112
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,102
Number of retired or separated participants receiving benefits 2015-01-01 14
Total of all active and inactive participants 2015-01-01 1,116
Total participants 2015-01-01 1,116
2014: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,334
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,091
Number of retired or separated participants receiving benefits 2014-01-01 21
Total of all active and inactive participants 2014-01-01 1,112
Total participants 2014-01-01 1,112
2013: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,295
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,063
Number of retired or separated participants receiving benefits 2013-01-01 24
Total of all active and inactive participants 2013-01-01 1,087
Total participants 2013-01-01 1,087
2012: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,499
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,271
Number of retired or separated participants receiving benefits 2012-01-01 24
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 1,295
Total participants 2012-01-01 1,295
2011: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,473
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,485
Number of retired or separated participants receiving benefits 2011-01-01 14
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 1,499
Total participants 2011-01-01 1,499
2010: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,438
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,455
Number of retired or separated participants receiving benefits 2010-01-01 18
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 1,473
Total participants 2010-01-01 1,473
2009: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,308
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,415
Number of retired or separated participants receiving benefits 2009-01-01 23
Total of all active and inactive participants 2009-01-01 1,438
Total participants 2009-01-01 1,438

Measure	Date	Value
2015: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,112
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,102
Number of retired or separated participants receiving benefits	2015-01-01	14
Total of all active and inactive participants	2015-01-01	1,116
Total participants	2015-01-01	1,116
2014: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,334
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,091
Number of retired or separated participants receiving benefits	2014-01-01	21
Total of all active and inactive participants	2014-01-01	1,112
Total participants	2014-01-01	1,112
2013: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,295
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,063
Number of retired or separated participants receiving benefits	2013-01-01	24
Total of all active and inactive participants	2013-01-01	1,087
Total participants	2013-01-01	1,087
2012: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,499
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,271
Number of retired or separated participants receiving benefits	2012-01-01	24
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	1,295
Total participants	2012-01-01	1,295
2011: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,473
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,485
Number of retired or separated participants receiving benefits	2011-01-01	14
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	1,499
Total participants	2011-01-01	1,499
2010: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,438
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,455
Number of retired or separated participants receiving benefits	2010-01-01	18
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	1,473
Total participants	2010-01-01	1,473
2009: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,308
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,415
Number of retired or separated participants receiving benefits	2009-01-01	23
Total of all active and inactive participants	2009-01-01	1,438
Total participants	2009-01-01	1,438

Form 5500 Responses for UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN

2015: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS 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
2014: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS 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 funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS 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 funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS 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	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
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	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	6405-26-58
Policy instance	3
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	019453001
Policy instance	2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010128914
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	64052658
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010128912
Policy instance	1
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	0194533001
Policy instance	2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010128912
Policy instance	1
UPMC HEALTH OPTIONS (National Association of Insurance Commissioners NAIC id number: 15345 )
Policy contract number	019453301
Policy instance	2
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	000064052658
Policy instance	3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010128913
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	6405-26-58
Policy instance	2
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010128912
Policy instance	1
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	6405-26-58
Policy instance	2
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 )
Policy contract number	6405-26-58
Policy instance	1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number	000010128912
Policy instance	2

Potentially related plans

UNIONTOWN HOSPITAL FLEXIBLE BENEFITS PLAN [EIN = 251451183]

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Company Name:	UNIONTOWN HOSPITAL
Employer identification number (EIN):	250965588
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number:	368225