MILLCREEK HEALTH SYSTEM D/B/A LECOM HEALTH has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D)
| Measure | Date | Value |
|---|
| 2019: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-08-01 | 548 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-08-01 | 0 |
| Total of all active and inactive participants | 2019-08-01 | 0 |
| 2018: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-08-01 | 441 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-08-01 | 548 |
| Number of retired or separated participants receiving benefits | 2018-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-08-01 | 0 |
| Total of all active and inactive participants | 2018-08-01 | 548 |
| 2017: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-08-01 | 471 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-08-01 | 441 |
| Number of retired or separated participants receiving benefits | 2017-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-08-01 | 0 |
| Total of all active and inactive participants | 2017-08-01 | 441 |
| 2016: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-08-01 | 910 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-08-01 | 471 |
| Number of retired or separated participants receiving benefits | 2016-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-08-01 | 0 |
| Total of all active and inactive participants | 2016-08-01 | 471 |
| 2015: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-08-01 | 613 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-08-01 | 910 |
| Number of retired or separated participants receiving benefits | 2015-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-08-01 | 0 |
| Total of all active and inactive participants | 2015-08-01 | 910 |
| 2014: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-08-01 | 481 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-08-01 | 613 |
| Total of all active and inactive participants | 2014-08-01 | 613 |
| 2013: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-08-01 | 464 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-08-01 | 481 |
| Total of all active and inactive participants | 2013-08-01 | 481 |
| 2012: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-08-01 | 424 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-08-01 | 464 |
| Total of all active and inactive participants | 2012-08-01 | 464 |
| 2011: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-08-01 | 389 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-08-01 | 424 |
| Total of all active and inactive participants | 2011-08-01 | 424 |
| 2009: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-08-01 | 359 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-08-01 | 385 |
| Total of all active and inactive participants | 2009-08-01 | 385 |
| 2019: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2019 form 5500 responses |
|---|
| 2019-08-01 | Type of plan entity | Single employer plan |
| 2019-08-01 | Submission has been amended | No |
| 2019-08-01 | This submission is the final filing | Yes |
| 2019-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-08-01 | Plan is a collectively bargained plan | No |
| 2019-08-01 | Plan funding arrangement – Insurance | Yes |
| 2019-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2018 form 5500 responses |
|---|
| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2017 form 5500 responses |
|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2016 form 5500 responses |
|---|
| 2016-08-01 | Type of plan entity | Single employer plan |
| 2016-08-01 | Plan funding arrangement – Insurance | Yes |
| 2016-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2015 form 5500 responses |
|---|
| 2015-08-01 | Type of plan entity | Single employer plan |
| 2015-08-01 | Plan funding arrangement – Insurance | Yes |
| 2015-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2014 form 5500 responses |
|---|
| 2014-08-01 | Type of plan entity | Single employer plan |
| 2014-08-01 | Plan funding arrangement – Insurance | Yes |
| 2014-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2013 form 5500 responses |
|---|
| 2013-08-01 | Type of plan entity | Single employer plan |
| 2013-08-01 | Plan funding arrangement – Insurance | Yes |
| 2013-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2012 form 5500 responses |
|---|
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2011 form 5500 responses |
|---|
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: MILLCREEK COMMUNITY HOSPITAL (LIFE & AD&D) 2009 form 5500 responses |
|---|
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | This submission is the final filing | No |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 403964 |
| Policy instance | 1 |
| Insurance contract or identification number | 403964 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $10,661 | | Total amount of fees paid to insurance company | USD $541 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | Yes | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | 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 $143,884 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,661 | | Amount paid for insurance broker fees | 541 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5132691 |
| Policy instance | 2 |
| Insurance contract or identification number | E5132691 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2019-08-01 | | Insurance policy end date | 2020-07-31 | | Total amount of commissions paid to insurance broker | USD $16,736 | | Total amount of fees paid to insurance company | USD $3,746 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | 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 $51,236 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,584 | | Amount paid for insurance broker fees | 1093 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 403964 |
| Policy instance | 1 |
| Insurance contract or identification number | 403964 | | Number of Individuals Covered | 458 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $10,843 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $72,436 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,843 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 605866 |
| Policy instance | 2 |
| Insurance contract or identification number | 605866 | | Number of Individuals Covered | 59 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2018-09-01 | | Total amount of commissions paid to insurance broker | USD $945 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $3,783 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $709 | | Insurance broker organization code? | 3 |
|
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E5132691 |
| Policy instance | 3 |
| Insurance contract or identification number | E5132691 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-07-31 | | Total amount of commissions paid to insurance broker | USD $15,142 | | Total amount of fees paid to insurance company | USD $5,136 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $34,778 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,645 | | Amount paid for insurance broker fees | 1585 | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 403964 |
| Policy instance | 1 |
| Insurance contract or identification number | 403964 | | Number of Individuals Covered | 441 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $14,890 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $155,650 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,890 | | Insurance broker organization code? | 3 | | Insurance broker name | THE HDH GROUP, INC |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 605866 |
| Policy instance | 2 |
| Insurance contract or identification number | 605866 | | Number of Individuals Covered | 44 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-07-31 | | Total amount of commissions paid to insurance broker | USD $2,253 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,206 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,741 | | Insurance broker organization code? | 3 | | Insurance broker name | SMITH, THOMAS C |
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