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CHHS LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameCHHS LONG TERM DISABILITY PLAN
Plan identification number 505

CHHS LONG TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

CHILDREN'S WISCONSIN has sponsored the creation of one or more 401k plans.

Company Name:CHILDREN'S WISCONSIN
Employer identification number (EIN):391500074
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHHS LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052024-01-01CHRIS SEBRANEK
5052023-01-01
5052023-01-01THOMAS SHANAHAN
5052022-01-01
5052022-01-01THOMAS SHANAHAN
5052021-01-01
5052021-01-01THOMAS SHANAHAN
5052020-01-01
5052019-01-01
5052018-01-01
5052018-01-01
5052017-01-01THOMAS SHANAHAN
5052016-01-01THOMAS SHANAHAN
5052015-01-01THOMAS SHANAHAN
5052014-01-01THOMAS SHANAHAN
5052013-01-01THOMAS SHANAHAN THOMAS SHANAHAN2014-07-28
5052012-01-01THOMAS SHANAHAN
5052011-01-01THOMAS SHANAHAN
5052009-01-01THOMAS SHANAHAN

Plan Statistics for CHHS LONG TERM DISABILITY PLAN

401k plan membership statisitcs for CHHS LONG TERM DISABILITY PLAN

Measure Date Value
2023: CHHS LONG TERM DISABILITY PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-014,946
Total number of active participants reported on line 7a of the Form 55002023-01-015,199
Number of retired or separated participants receiving benefits2023-01-0150
Number of other retired or separated participants entitled to future benefits2023-01-0150
Total of all active and inactive participants2023-01-015,299
2022: CHHS LONG TERM DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-015,031
Total number of active participants reported on line 7a of the Form 55002022-01-014,888
Number of retired or separated participants receiving benefits2022-01-0138
Number of other retired or separated participants entitled to future benefits2022-01-0138
Total of all active and inactive participants2022-01-014,964
2021: CHHS LONG TERM DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-014,896
Total number of active participants reported on line 7a of the Form 55002021-01-014,976
Number of retired or separated participants receiving benefits2021-01-0155
Number of other retired or separated participants entitled to future benefits2021-01-0155
Total of all active and inactive participants2021-01-015,086
2020: CHHS LONG TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-014,712
Total number of active participants reported on line 7a of the Form 55002020-01-014,857
Total of all active and inactive participants2020-01-014,857
Total participants2020-01-014,857
2019: CHHS LONG TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-014,734
Total number of active participants reported on line 7a of the Form 55002019-01-014,712
Total of all active and inactive participants2019-01-014,712
Total participants2019-01-014,712
2018: CHHS LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-014,608
Total number of active participants reported on line 7a of the Form 55002018-01-014,734
Total of all active and inactive participants2018-01-014,734
Total participants2018-01-014,734
2017: CHHS LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014,470
Total number of active participants reported on line 7a of the Form 55002017-01-014,608
Total of all active and inactive participants2017-01-014,608
Total participants2017-01-014,608
2016: CHHS LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014,081
Total number of active participants reported on line 7a of the Form 55002016-01-014,470
Total of all active and inactive participants2016-01-014,470
Total participants2016-01-014,470
2015: CHHS LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,961
Total number of active participants reported on line 7a of the Form 55002015-01-014,081
Total of all active and inactive participants2015-01-014,081
Total participants2015-01-014,081
2014: CHHS LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,858
Total number of active participants reported on line 7a of the Form 55002014-01-013,961
Total of all active and inactive participants2014-01-013,961
Total participants2014-01-013,961
2013: CHHS LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,858
Total number of active participants reported on line 7a of the Form 55002013-01-013,858
Total of all active and inactive participants2013-01-013,858
Total participants2013-01-013,858
2012: CHHS LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,801
Total number of active participants reported on line 7a of the Form 55002012-01-013,858
Total of all active and inactive participants2012-01-013,858
Total participants2012-01-013,858
2011: CHHS LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,853
Total number of active participants reported on line 7a of the Form 55002011-01-013,801
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-013,801
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-013,801
2009: CHHS LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013,447
Total number of active participants reported on line 7a of the Form 55002009-01-013,781
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-013,781
Total participants2009-01-013,781

Form 5500 Responses for CHHS LONG TERM DISABILITY PLAN

2023: CHHS LONG TERM DISABILITY PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: CHHS LONG TERM DISABILITY PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: CHHS LONG TERM DISABILITY PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: CHHS LONG TERM DISABILITY PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: CHHS LONG TERM DISABILITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: CHHS LONG TERM DISABILITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: CHHS LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: CHHS LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: CHHS LONG TERM DISABILITY 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: CHHS LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: CHHS LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: CHHS LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: CHHS LONG TERM DISABILITY 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
2009: CHHS LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 130295
Policy instance 1
Insurance contract or identification numberLTD 130295
Number of Individuals Covered5199
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $13,951
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $739,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 130295
Policy instance 1
Insurance contract or identification numberLTD 130295
Number of Individuals Covered4888
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $606,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberLTD 130295
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number130295
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number130295
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395145G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395145G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395145G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395145G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395145G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395145G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395145G
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395145G
Policy instance 1

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