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MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 401k Plan overview

Plan NameMEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN
Plan identification number 510

MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

MEDCENTRAL HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:MEDCENTRAL HEALTH SYSTEM
Employer identification number (EIN):340714456
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about MEDCENTRAL HEALTH SYSTEM

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1903-06-17
Company Identification Number: 38425
Legal Registered Office Address: 335 GLESSNER AVENUE
-
MANSFIELD
United States of America (USA)
44903

More information about MEDCENTRAL HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102017-01-01
5102016-01-01
5102015-01-01RICK HOBACK
5102014-01-01RICK HOBACK
5102013-01-01RICK HOBACK
5102012-01-01RICK HOBACK
5102011-01-01RICK HOBACK
5102009-01-01RICK HOBACK

Plan Statistics for MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN

401k plan membership statisitcs for MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN

Measure Date Value
2017: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-010
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
2016: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,892
Total number of active participants reported on line 7a of the Form 55002016-01-011,895
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,895
2015: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,834
Total number of active participants reported on line 7a of the Form 55002015-01-011,892
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,892
2014: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,820
Total number of active participants reported on line 7a of the Form 55002014-01-011,744
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,744
2013: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,866
Total number of active participants reported on line 7a of the Form 55002013-01-011,820
Total of all active and inactive participants2013-01-011,820
2012: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,835
Total number of active participants reported on line 7a of the Form 55002012-01-011,866
Total of all active and inactive participants2012-01-011,866
2011: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,846
Total number of active participants reported on line 7a of the Form 55002011-01-011,835
Total of all active and inactive participants2011-01-011,835
2009: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,174
Total number of active participants reported on line 7a of the Form 55002009-01-011,922
Total of all active and inactive participants2009-01-011,922

Form 5500 Responses for MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN

2017: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: MEDCENTRAL HEALTH SYSTEM EMPLOYEES' GROUP LONG TERM DISABILITY INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 960843
Policy instance 1
Insurance contract or identification numberLK 960843
Number of Individuals Covered1892
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $446,354
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 960843
Policy instance 1
Insurance contract or identification numberLK 960843
Number of Individuals Covered1744
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,515
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
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $430,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,515
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 960843
Policy instance 1
Insurance contract or identification numberLK 960843
Number of Individuals Covered1820
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $40,719
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
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $407,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,719
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 960843
Policy instance 1
Insurance contract or identification numberLK 960843
Number of Individuals Covered1866
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $40,030
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
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $400,299
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,030
Insurance broker organization code?3
Insurance broker nameGARDNER & WHITE CORPORATION
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 960843
Policy instance 1
Insurance contract or identification numberLK 960843
Number of Individuals Covered1835
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $36,945
Total amount of fees paid to insurance companyUSD $5,383
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $369,446
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK 960843
Policy instance 1
Insurance contract or identification numberLK 960843
Number of Individuals Covered1846
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $35,706
Total amount of fees paid to insurance companyUSD $5,186
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $357,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,706
Amount paid for insurance broker fees5186
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameGARDNER & WHITE CORPORATION

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