401k Plan data: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST plan

REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 401k Plan overview

Plan Name	REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST
Plan identification number	510

REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Other welfare benefit cover

401k Sponsoring company profile

SHIRLEY RYAN ABILITYLAB has sponsored the creation of one or more 401k plans.

Company Name: SHIRLEY RYAN ABILITYLAB

Employer identification number (EIN): 362256036

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about SHIRLEY RYAN ABILITYLAB

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C2807506

More information about SHIRLEY RYAN ABILITYLAB

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
510 2017-01-01 PETER KORNOWSKE
510 2016-01-01 PETER KORNOWSKE PETER KORNOWSKE 2017-07-27
510 2015-01-01 NANCY PARIDY
510 2014-01-01 NANCY PARIDY NANCY PARIDY 2015-07-23
510 2013-01-01 MARY OSBOURNE
510 2012-01-01 APRIL HUGHES
510 2011-01-01 MITCH CARR
510 2010-01-01 MITCH CARR
510 2009-01-01 BRIAN ALEXANDER BRIAN ALEXANDER 2010-07-06

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
510	2017-01-01	PETER KORNOWSKE
510	2016-01-01	PETER KORNOWSKE	PETER KORNOWSKE	2017-07-27
510	2015-01-01	NANCY PARIDY
510	2014-01-01	NANCY PARIDY	NANCY PARIDY	2015-07-23
510	2013-01-01	MARY OSBOURNE
510	2012-01-01	APRIL HUGHES
510	2011-01-01	MITCH CARR
510	2010-01-01	MITCH CARR
510	2009-01-01	BRIAN ALEXANDER	BRIAN ALEXANDER	2010-07-06

Plan Statistics for REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST

401k plan membership statisitcs for REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST

Measure Date Value
2017: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2017 401k membership
Total participants, beginning-of-year 2017-01-01 846
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2016 401k membership
Total participants, beginning-of-year 2016-01-01 1,155
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 826
Number of retired or separated participants receiving benefits 2016-01-01 20
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 846
2015: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2015 401k membership
Total participants, beginning-of-year 2015-01-01 1,427
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 1,142
Number of retired or separated participants receiving benefits 2015-01-01 13
Total of all active and inactive participants 2015-01-01 1,155
Total participants 2015-01-01 1,155
2014: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2014 401k membership
Total participants, beginning-of-year 2014-01-01 1,542
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 1,406
Number of retired or separated participants receiving benefits 2014-01-01 21
Total of all active and inactive participants 2014-01-01 1,427
Total participants 2014-01-01 1,427
2013: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,412
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,533
Number of retired or separated participants receiving benefits 2013-01-01 9
Total of all active and inactive participants 2013-01-01 1,542
Total participants 2013-01-01 1,542
2012: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,288
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,404
Number of retired or separated participants receiving benefits 2012-01-01 8
Total of all active and inactive participants 2012-01-01 1,412
Total participants 2012-01-01 1,412
2011: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,256
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,284
Number of retired or separated participants receiving benefits 2011-01-01 4
Total of all active and inactive participants 2011-01-01 1,288
Total participants 2011-01-01 1,288
2010: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,030
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,235
Number of retired or separated participants receiving benefits 2010-01-01 21
Total of all active and inactive participants 2010-01-01 1,256
Total participants 2010-01-01 1,256
2009: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,215
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 980
Number of retired or separated participants receiving benefits 2009-01-01 50
Total of all active and inactive participants 2009-01-01 1,030
Total participants 2009-01-01 1,030

Measure	Date	Value
2017: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2017 401k membership
Total participants, beginning-of-year	2017-01-01	846
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2016 401k membership
Total participants, beginning-of-year	2016-01-01	1,155
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	826
Number of retired or separated participants receiving benefits	2016-01-01	20
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	846
2015: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2015 401k membership
Total participants, beginning-of-year	2015-01-01	1,427
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	1,142
Number of retired or separated participants receiving benefits	2015-01-01	13
Total of all active and inactive participants	2015-01-01	1,155
Total participants	2015-01-01	1,155
2014: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2014 401k membership
Total participants, beginning-of-year	2014-01-01	1,542
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	1,406
Number of retired or separated participants receiving benefits	2014-01-01	21
Total of all active and inactive participants	2014-01-01	1,427
Total participants	2014-01-01	1,427
2013: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,412
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,533
Number of retired or separated participants receiving benefits	2013-01-01	9
Total of all active and inactive participants	2013-01-01	1,542
Total participants	2013-01-01	1,542
2012: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,288
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,404
Number of retired or separated participants receiving benefits	2012-01-01	8
Total of all active and inactive participants	2012-01-01	1,412
Total participants	2012-01-01	1,412
2011: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,256
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,284
Number of retired or separated participants receiving benefits	2011-01-01	4
Total of all active and inactive participants	2011-01-01	1,288
Total participants	2011-01-01	1,288
2010: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,030
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,235
Number of retired or separated participants receiving benefits	2010-01-01	21
Total of all active and inactive participants	2010-01-01	1,256
Total participants	2010-01-01	1,256
2009: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,215
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	980
Number of retired or separated participants receiving benefits	2009-01-01	50
Total of all active and inactive participants	2009-01-01	1,030
Total participants	2009-01-01	1,030

Form 5500 Responses for REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST

2017: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 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: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 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: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 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: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 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: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 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 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: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 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	No
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: REHABILITATION INSTITUTE OF CHICAGO EMPLOYEE BENEFIT PLAN TRUST 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 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

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

259354

Policy instance

Insurance contract or identification number	259354
Number of Individuals Covered	1961
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of fees paid to insurance company	USD $9,243
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $439,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	9243
Additional information about fees paid to insurance broker	SPECIAL PROGRAMS AND/OR BONUSES
Insurance broker organization code?	3
Insurance broker name	AFFILIATED BENEFIT CONSULTANTS

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Company Name:	SHIRLEY RYAN ABILITYLAB
Employer identification number (EIN):	362256036
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C2807506