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ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 401k Plan overview

Plan NameASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN
Plan identification number 506

ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ASHTABULA COUNTY MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:ASHTABULA COUNTY MEDICAL CENTER
Employer identification number (EIN):340726081
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about ASHTABULA COUNTY MEDICAL CENTER

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1902-02-26
Company Identification Number: 13667
Legal Registered Office Address: 2420 LAKE AVENUE
-
ASHTABULA
United States of America (USA)
44004

More information about ASHTABULA COUNTY MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062018-01-01DON KEPNER
5062017-01-01DON KEPNER
5062016-01-01DON KEPNER
5062015-01-01DON KEPNER DON KEPNER2016-07-18
5062014-01-012015-07-25
5062014-01-01DON KEPNER DON KEPNER2015-07-25
5062013-01-01DON KEPNER
5062012-01-01DON KEPNER DON KEPNER2013-10-07
5062011-01-01DON KEPNER
5062009-01-01PHILIP PAWLOWSKI PHILIP PAWLOWSKI2010-10-15

Plan Statistics for ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN

401k plan membership statisitcs for ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN

Measure Date Value
2018: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,222
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
2017: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,209
Total number of active participants reported on line 7a of the Form 55002017-01-011,222
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 participants2017-01-011,222
2016: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,184
Total number of active participants reported on line 7a of the Form 55002016-01-011,205
Number of retired or separated participants receiving benefits2016-01-0126
Number of other retired or separated participants entitled to future benefits2016-01-0114
Total of all active and inactive participants2016-01-011,245
2015: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,178
Total number of active participants reported on line 7a of the Form 55002015-01-011,178
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 participants2015-01-011,178
2014: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01749
Total number of active participants reported on line 7a of the Form 55002014-01-01797
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 participants2014-01-01797
2013: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01998
Total number of active participants reported on line 7a of the Form 55002013-01-011,051
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,051
2012: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01980
Total number of active participants reported on line 7a of the Form 55002012-01-01998
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01998
2011: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01944
Total number of active participants reported on line 7a of the Form 55002011-01-01980
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01980
2009: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01959
Total number of active participants reported on line 7a of the Form 55002009-01-01966
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01966

Form 5500 Responses for ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN

2018: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ASHTABULA COUNTY MEDICAL CENTER LIFE AND DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberG165239*
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberG165239*
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number463672
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number463672
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number463672
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number463672
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number463672
Policy instance 1
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number085396
Policy instance 1

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