?>
Logo

GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 401k Plan overview

Plan NameGROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES
Plan identification number 524

GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

FAIRVIEW HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name:FAIRVIEW HEALTH SERVICES
Employer identification number (EIN):410991680
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5242019-01-01
5242018-01-01
5242017-01-01CAROLYN JACOBSON CAROLYN JACOBSON2018-10-11
5242016-01-01CAROLYN JACOBSON CAROLYN JACOBSON2017-10-16
5242015-01-01CAROLYN JACOBSON CAROLYN JACOBSON2016-08-05
5242014-01-01CAROLYN JACOBSON CAROLYN JACOBSON2015-05-07
5242013-01-01CAROLYN JACOBSON CAROLYN JACOBSON2014-10-03
5242012-01-01PAULA PHILLIPPE
5242011-01-01PAULA PHILLIPPE
5242009-01-01PAULA PHILLIPPE

Plan Statistics for GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES

401k plan membership statisitcs for GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES

Measure Date Value
2019: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2019 401k membership
Total participants, beginning-of-year2019-01-01628
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
2018: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2018 401k membership
Total participants, beginning-of-year2018-01-01607
Total number of active participants reported on line 7a of the Form 55002018-01-01628
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01628
2017: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2017 401k membership
Total participants, beginning-of-year2017-01-01562
Total number of active participants reported on line 7a of the Form 55002017-01-01607
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01607
2016: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2016 401k membership
Total participants, beginning-of-year2016-01-013,141
Total number of active participants reported on line 7a of the Form 55002016-01-01562
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01562
2015: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2015 401k membership
Total participants, beginning-of-year2015-01-0112,165
Total number of active participants reported on line 7a of the Form 55002015-01-013,141
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-013,141
2014: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2014 401k membership
Total participants, beginning-of-year2014-01-0112,395
Total number of active participants reported on line 7a of the Form 55002014-01-0112,165
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0112,165
2013: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2013 401k membership
Total participants, beginning-of-year2013-01-0111,910
Total number of active participants reported on line 7a of the Form 55002013-01-0112,395
Total of all active and inactive participants2013-01-0112,395
2012: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2012 401k membership
Total participants, beginning-of-year2012-01-0111,702
Total number of active participants reported on line 7a of the Form 55002012-01-0111,910
Total of all active and inactive participants2012-01-0111,910
2011: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2011 401k membership
Total participants, beginning-of-year2011-01-0112,412
Total number of active participants reported on line 7a of the Form 55002011-01-0111,702
Total of all active and inactive participants2011-01-0111,702
2009: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2009 401k membership
Total participants, beginning-of-year2009-01-010
Total number of active participants reported on line 7a of the Form 55002009-01-0117,295
Total of all active and inactive participants2009-01-0117,295

Financial Data on GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES

Measure Date Value
2012 : GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2012 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
2011 : GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2011 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
2010 : GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2010 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No

Form 5500 Responses for GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES

2019: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01This submission is the final filingYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 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: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 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: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 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: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 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: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 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: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 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: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: GROUP SHORT TERM DISABILITY PLAN FOR EMPLOYEES OF FAIRVIEW HEALTH SERVICES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number27722
Policy instance 1
Insurance contract or identification number27722
Number of Individuals Covered622
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $245,794
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number27722
Policy instance 1
Insurance contract or identification number27722
Number of Individuals Covered607
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameHARVARD PRINTING GROUP
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number27722
Policy instance 1
Insurance contract or identification number27722
Number of Individuals Covered3141
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of fees paid to insurance companyUSD $1,102
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $810,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1102
Insurance broker nameHARVARD PRINTING GROUP
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number27722
Policy instance 1
Insurance contract or identification number27722
Number of Individuals Covered12165
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $190,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number27722
Policy instance 1
Insurance contract or identification number27722
Number of Individuals Covered12395
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $186,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number27722
Policy instance 1
Insurance contract or identification number27722
Number of Individuals Covered11910
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $176,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number27722
Policy instance 1
Insurance contract or identification number27722
Number of Individuals Covered11702
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $177,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3