401k Plan data: UNION SECURITY INSURANCE COMPANY plan

UNION SECURITY INSURANCE COMPANY 401k Plan overview

Plan Name	UNION SECURITY INSURANCE COMPANY
Plan identification number	501

UNION SECURITY INSURANCE COMPANY Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

VALLEY HOSPICE, INC. has sponsored the creation of one or more 401k plans.

Company Name: VALLEY HOSPICE, INC.

Employer identification number (EIN): 341459104

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNION SECURITY INSURANCE COMPANY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2014-01-01 NATALIE BOLOCK NATALIE BOLOCK 2015-05-21
501 2013-01-01 NATALIE BOLOCK
501 2012-01-01 NATALIE BOLOCK NATALIE BOLOCK 2013-04-25
501 2011-01-01 NATALIE BOLOCK
501 2009-01-01 NATALIE BOLOCK

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2014-01-01	NATALIE BOLOCK	NATALIE BOLOCK	2015-05-21
501	2013-01-01	NATALIE BOLOCK
501	2012-01-01	NATALIE BOLOCK	NATALIE BOLOCK	2013-04-25
501	2011-01-01	NATALIE BOLOCK
501	2009-01-01	NATALIE BOLOCK

Plan Statistics for UNION SECURITY INSURANCE COMPANY

401k plan membership statisitcs for UNION SECURITY INSURANCE COMPANY

Measure Date Value
2014: UNION SECURITY INSURANCE COMPANY 2014 401k membership
Total participants, beginning-of-year 2014-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 105
Total of all active and inactive participants 2014-01-01 105
Total participants 2014-01-01 105
2013: UNION SECURITY INSURANCE COMPANY 2013 401k membership
Total participants, beginning-of-year 2013-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 116
Number of retired or separated participants receiving benefits 2013-01-01 4
Total of all active and inactive participants 2013-01-01 120
Total participants 2013-01-01 120
2012: UNION SECURITY INSURANCE COMPANY 2012 401k membership
Total participants, beginning-of-year 2012-01-01 438
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 383
Total of all active and inactive participants 2012-01-01 383
Total participants 2012-01-01 383
2011: UNION SECURITY INSURANCE COMPANY 2011 401k membership
Total participants, beginning-of-year 2011-01-01 95
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 100
Number of retired or separated participants receiving benefits 2011-01-01 2
Total of all active and inactive participants 2011-01-01 102
Total participants 2011-01-01 102
Number of employers contributing to the scheme 2011-01-01 102
2009: UNION SECURITY INSURANCE COMPANY 2009 401k membership
Total participants, beginning-of-year 2009-01-01 400
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 432
Total of all active and inactive participants 2009-01-01 432
Total participants 2009-01-01 432

Measure	Date	Value
2014: UNION SECURITY INSURANCE COMPANY 2014 401k membership
Total participants, beginning-of-year	2014-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	105
Total of all active and inactive participants	2014-01-01	105
Total participants	2014-01-01	105
2013: UNION SECURITY INSURANCE COMPANY 2013 401k membership
Total participants, beginning-of-year	2013-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	116
Number of retired or separated participants receiving benefits	2013-01-01	4
Total of all active and inactive participants	2013-01-01	120
Total participants	2013-01-01	120
2012: UNION SECURITY INSURANCE COMPANY 2012 401k membership
Total participants, beginning-of-year	2012-01-01	438
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	383
Total of all active and inactive participants	2012-01-01	383
Total participants	2012-01-01	383
2011: UNION SECURITY INSURANCE COMPANY 2011 401k membership
Total participants, beginning-of-year	2011-01-01	95
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	100
Number of retired or separated participants receiving benefits	2011-01-01	2
Total of all active and inactive participants	2011-01-01	102
Total participants	2011-01-01	102
Number of employers contributing to the scheme	2011-01-01	102
2009: UNION SECURITY INSURANCE COMPANY 2009 401k membership
Total participants, beginning-of-year	2009-01-01	400
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	432
Total of all active and inactive participants	2009-01-01	432
Total participants	2009-01-01	432

Form 5500 Responses for UNION SECURITY INSURANCE COMPANY

2014: UNION SECURITY INSURANCE COMPANY 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 benefit arrangement – Insurance	Yes
2013: UNION SECURITY INSURANCE COMPANY 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 benefit arrangement – Insurance	Yes
2012: UNION SECURITY INSURANCE COMPANY 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 benefit arrangement – Insurance	Yes
2011: UNION SECURITY INSURANCE COMPANY 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	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: UNION SECURITY INSURANCE COMPANY 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	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	VALLEY HOSPICE, INC.
Employer identification number (EIN):	341459104
NAIC Classification:	621610
NAIC Description:	Home Health Care Services