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HUDSON HOSPITAL LIFE AND AD&D PLAN 401k Plan overview

Plan NameHUDSON HOSPITAL LIFE AND AD&D PLAN
Plan identification number 503

HUDSON HOSPITAL LIFE AND AD&D PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

HUDSON HOSPITAL, INC has sponsored the creation of one or more 401k plans.

Company Name:HUDSON HOSPITAL, INC
Employer identification number (EIN):390804125
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUDSON HOSPITAL LIFE AND AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-01-01DOUG JOHNSON DOUG JOHNSON2019-07-18
5032017-01-01
5032016-01-01 DOUG JOHNSON2019-05-15
5032015-01-01 DOUGLAS JOHNSON2019-06-10
5032014-01-01DOUG JOHNSON2019-06-10 DOUG JOHNSON2019-06-10
5032013-01-01DOUG JOHNSON DOUG JOHNSON2019-06-07

Plan Statistics for HUDSON HOSPITAL LIFE AND AD&D PLAN

401k plan membership statisitcs for HUDSON HOSPITAL LIFE AND AD&D PLAN

Measure Date Value
2018: HUDSON HOSPITAL LIFE AND AD&D PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01262
Total number of active participants reported on line 7a of the Form 55002018-01-01291
Total of all active and inactive participants2018-01-01291
2017: HUDSON HOSPITAL LIFE AND AD&D PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01271
Total number of active participants reported on line 7a of the Form 55002017-01-01262
Total of all active and inactive participants2017-01-01262
2016: HUDSON HOSPITAL LIFE AND AD&D PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01280
Total number of active participants reported on line 7a of the Form 55002016-01-01271
Total of all active and inactive participants2016-01-01271
2015: HUDSON HOSPITAL LIFE AND AD&D PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01293
Total number of active participants reported on line 7a of the Form 55002015-01-01282
Total of all active and inactive participants2015-01-01282
2014: HUDSON HOSPITAL LIFE AND AD&D PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01301
Total number of active participants reported on line 7a of the Form 55002014-01-01293
Total of all active and inactive participants2014-01-01293
2013: HUDSON HOSPITAL LIFE AND AD&D PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01283
Total number of active participants reported on line 7a of the Form 55002013-01-01281
Total of all active and inactive participants2013-01-01281

Form 5500 Responses for HUDSON HOSPITAL LIFE AND AD&D PLAN

2018: HUDSON HOSPITAL LIFE AND AD&D PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01This submission is the final filingYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HUDSON HOSPITAL LIFE AND AD&D 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: HUDSON HOSPITAL LIFE AND AD&D 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: HUDSON HOSPITAL LIFE AND AD&D 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 planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HUDSON HOSPITAL LIFE AND AD&D 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: HUDSON HOSPITAL LIFE AND AD&D PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163797
Policy instance 1
Insurance contract or identification number163797
Number of Individuals Covered286
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
Other welfare benefits providedACCIDENT DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number220452
Policy instance 1
Insurance contract or identification number220452
Number of Individuals Covered256
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $209,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number220452
Policy instance 1
Insurance contract or identification number220452
Number of Individuals Covered288
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $24,327
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT DEALTH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $243,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,327
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number220452
Policy instance 1
Insurance contract or identification number220452
Number of Individuals Covered282
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $24,378
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENT DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $24,783
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,378
Insurance broker organization code?3

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