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MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 401k Plan overview

Plan NameMARY FREE BED HOSPITAL GROUP INSURANCE PLAN
Plan identification number 506

MARY FREE BED HOSPITAL GROUP INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

MARY FREE BED HOSPITAL AND REHABILITATION CENTER has sponsored the creation of one or more 401k plans.

Company Name:MARY FREE BED HOSPITAL AND REHABILITATION CENTER
Employer identification number (EIN):381359265
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARY FREE BED HOSPITAL GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062018-01-01KAREN POWELL2019-10-10 HAYLEY VAN HECK2019-10-10
5062018-01-01KAREN POWELL2020-07-17
5062017-01-01
5062016-01-01
5062015-01-01
5062014-01-01
5062013-01-01
5062012-01-01KAREN RICHTER
5062011-01-01MARY OSBOURNE
5062010-01-01MARY OSBOURNE
5062009-12-01WILLIAM BLESSING

Plan Statistics for MARY FREE BED HOSPITAL GROUP INSURANCE PLAN

401k plan membership statisitcs for MARY FREE BED HOSPITAL GROUP INSURANCE PLAN

Measure Date Value
2018: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,046
Total number of active participants reported on line 7a of the Form 55002018-01-011,173
Total of all active and inactive participants2018-01-011,173
2017: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01887
Total number of active participants reported on line 7a of the Form 55002017-01-011,046
Total of all active and inactive participants2017-01-011,046
2016: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01767
Total number of active participants reported on line 7a of the Form 55002016-01-01887
Total of all active and inactive participants2016-01-01887
2015: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01717
Total number of active participants reported on line 7a of the Form 55002015-01-01767
Total of all active and inactive participants2015-01-01767
2014: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01674
Total number of active participants reported on line 7a of the Form 55002014-01-01717
Total of all active and inactive participants2014-01-01717
2013: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01607
Total number of active participants reported on line 7a of the Form 55002013-01-01674
Total of all active and inactive participants2013-01-01674
2012: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01530
Total number of active participants reported on line 7a of the Form 55002012-01-01607
Total of all active and inactive participants2012-01-01607
2011: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01452
Total number of active participants reported on line 7a of the Form 55002011-01-01530
Number of retired or separated participants receiving benefits2011-01-010
Total of all active and inactive participants2011-01-01530
Total participants2011-01-01530
2010: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01452
Total number of active participants reported on line 7a of the Form 55002010-01-01452
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01452
2009: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-01452
Total number of active participants reported on line 7a of the Form 55002009-12-01452
Number of retired or separated participants receiving benefits2009-12-010
Number of other retired or separated participants entitled to future benefits2009-12-010
Total of all active and inactive participants2009-12-01452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-12-010
Total participants2009-12-01452

Form 5500 Responses for MARY FREE BED HOSPITAL GROUP INSURANCE PLAN

2018: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MARY FREE BED HOSPITAL GROUP 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: MARY FREE BED HOSPITAL GROUP 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: MARY FREE BED HOSPITAL GROUP 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: MARY FREE BED HOSPITAL GROUP 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: MARY FREE BED HOSPITAL GROUP 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: MARY FREE BED HOSPITAL GROUP INSURANCE 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 planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: MARY FREE BED HOSPITAL GROUP INSURANCE PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberEAB1000010
Policy instance 1
Insurance contract or identification numberEAB1000010
Number of Individuals Covered1173
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $610,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberEAB1000010
Policy instance 1
Insurance contract or identification numberEAB1000010
Number of Individuals Covered1046
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $9,664
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $483,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,664
Insurance broker organization code?3
Insurance broker nameAON RISK SERVICES CENTRAL, INC.

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