401k Plan data: MERITER HEALTH SERVICES EXTRA DENTAL PLAN plan

MERITER HEALTH SERVICES EXTRA DENTAL PLAN 401k Plan overview

Plan Name	MERITER HEALTH SERVICES EXTRA DENTAL PLAN
Plan identification number	512

MERITER HEALTH SERVICES EXTRA DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

MERITER HEALTH SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: MERITER HEALTH SERVICES, INC.

Employer identification number (EIN): 391412318

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MERITER HEALTH SERVICES EXTRA DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
512 2012-01-01 DARREN BOYER
512 2011-01-01 DARREN BOYER
512 2009-01-01 LAURIE ORYALL

Plan id#	Filing Submission Date	Name of Administrator
512	2012-01-01	DARREN BOYER
512	2011-01-01	DARREN BOYER
512	2009-01-01	LAURIE ORYALL

Plan Statistics for MERITER HEALTH SERVICES EXTRA DENTAL PLAN

401k plan membership statisitcs for MERITER HEALTH SERVICES EXTRA DENTAL PLAN

Measure Date Value
2012: MERITER HEALTH SERVICES EXTRA DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,344
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,374
Total of all active and inactive participants 2012-01-01 1,374
Total participants 2012-01-01 1,374
2011: MERITER HEALTH SERVICES EXTRA DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,280
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,259
Total of all active and inactive participants 2011-01-01 1,259
Total participants 2011-01-01 1,259
2009: MERITER HEALTH SERVICES EXTRA DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 1,125
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 1,163
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 1,163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 1,163

Measure	Date	Value
2012: MERITER HEALTH SERVICES EXTRA DENTAL PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,344
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,374
Total of all active and inactive participants	2012-01-01	1,374
Total participants	2012-01-01	1,374
2011: MERITER HEALTH SERVICES EXTRA DENTAL PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,280
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,259
Total of all active and inactive participants	2011-01-01	1,259
Total participants	2011-01-01	1,259
2009: MERITER HEALTH SERVICES EXTRA DENTAL PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	1,125
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	1,163
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	1,163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	1,163

Form 5500 Responses for MERITER HEALTH SERVICES EXTRA DENTAL PLAN

2012: MERITER HEALTH SERVICES EXTRA DENTAL PLAN 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: MERITER HEALTH SERVICES EXTRA DENTAL PLAN 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
2009: MERITER HEALTH SERVICES EXTRA DENTAL PLAN 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

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Company Name:	MERITER HEALTH SERVICES, INC.
Employer identification number (EIN):	391412318
NAIC Classification:	622000
NAIC Description:	Hospitals