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PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 401k Plan overview

Plan NamePROMISE HOSPITAL OF EAST LA MEDICAL PLAN
Plan identification number 501

PROMISE HOSPITAL OF EAST LA MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

PROMISE HOSPITAL OF EAST LA LP has sponsored the creation of one or more 401k plans.

Company Name:PROMISE HOSPITAL OF EAST LA LP
Employer identification number (EIN):432034671
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PROMISE HOSPITAL OF EAST LA MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-06-01DAVID ARMSTRONG
5012013-06-01DAVID ARMSTRONG
5012012-06-01DAVID J. ARMSTRONG, ESQ.
5012012-01-01DAVID J. ARMSTRONG, ESQ.
5012011-01-01DAVID J. ARMSTRONG, ESQ.
5012008-01-01DAVID ARMSTRONG
5012007-01-01DAVID ARMSTRONG
5012006-01-01DAVID ARMSTRONG
5012005-01-01DAVID ARMSTRONG
5012004-12-01DAVID ARMSTRONG

Plan Statistics for PROMISE HOSPITAL OF EAST LA MEDICAL PLAN

401k plan membership statisitcs for PROMISE HOSPITAL OF EAST LA MEDICAL PLAN

Measure Date Value
2014: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01988
Total number of active participants reported on line 7a of the Form 55002014-06-010
Number of retired or separated participants receiving benefits2014-06-010
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-010
2013: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-01936
Total number of active participants reported on line 7a of the Form 55002013-06-01988
Number of retired or separated participants receiving benefits2013-06-010
Number of other retired or separated participants entitled to future benefits2013-06-010
Total of all active and inactive participants2013-06-01988
2012: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-01933
Total number of active participants reported on line 7a of the Form 55002012-06-01936
Total of all active and inactive participants2012-06-01936
Total participants2012-06-01936
Total participants, beginning-of-year2012-01-01979
Total number of active participants reported on line 7a of the Form 55002012-01-01933
Total of all active and inactive participants2012-01-01933
2011: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,197
Total number of active participants reported on line 7a of the Form 55002011-01-01979
Total of all active and inactive participants2011-01-01979
2008: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-01347
Total number of active participants reported on line 7a of the Form 55002008-01-01426
Total of all active and inactive participants2008-01-01426
Total participants2008-01-01426
2007: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-01445
Total number of active participants reported on line 7a of the Form 55002007-01-01347
Total of all active and inactive participants2007-01-01347
Total participants2007-01-01347
2006: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-01472
Total number of active participants reported on line 7a of the Form 55002006-01-01445
Total of all active and inactive participants2006-01-01445
Total participants2006-01-01445
2005: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2005 401k membership
Total participants, beginning-of-year2005-01-01307
Total number of active participants reported on line 7a of the Form 55002005-01-01472
Total of all active and inactive participants2005-01-01472
Total participants2005-01-01472
2004: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2004 401k membership
Total participants, beginning-of-year2004-12-010
Total number of active participants reported on line 7a of the Form 55002004-12-01307
Total of all active and inactive participants2004-12-01307
Total participants2004-12-01307

Form 5500 Responses for PROMISE HOSPITAL OF EAST LA MEDICAL PLAN

2014: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingYes
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – General assets of the sponsorYes
2014-06-01Plan benefit arrangement – General assets of the sponsorYes
2013: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedYes
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – InsuranceYes
2012: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – General assets of the sponsorYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – General assets of the sponsorYes
2012-01-01Type of plan entitySingle employer plan
2012-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2008: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan benefit arrangement – InsuranceYes
2007: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan benefit arrangement – InsuranceYes
2006: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Submission has been amendedNo
2006-01-01This submission is the final filingNo
2006-01-01This return/report is a short plan year return/report (less than 12 months)No
2006-01-01Plan is a collectively bargained planNo
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan benefit arrangement – InsuranceYes
2005: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2005 form 5500 responses
2005-01-01Type of plan entitySingle employer plan
2005-01-01Submission has been amendedNo
2005-01-01This submission is the final filingNo
2005-01-01This return/report is a short plan year return/report (less than 12 months)No
2005-01-01Plan is a collectively bargained planNo
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan benefit arrangement – InsuranceYes
2004: PROMISE HOSPITAL OF EAST LA MEDICAL PLAN 2004 form 5500 responses
2004-12-01Type of plan entitySingle employer plan
2004-12-01First time form 5500 has been submittedYes
2004-12-01Submission has been amendedNo
2004-12-01This submission is the final filingNo
2004-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2004-12-01Plan is a collectively bargained planNo
2004-12-01Plan funding arrangement – InsuranceYes
2004-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number165250
Policy instance 1
Insurance contract or identification number165250
Number of Individuals Covered988
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $134,135
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $3,158,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $134,135
Insurance broker organization code?3
Insurance broker nameRACHEL SAPOZNIK
SHARP HEALTH PLAN (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number38450
Policy instance 2
Insurance contract or identification number38450
Number of Individuals Covered179
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $44,018
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $880,369
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number165250
Policy instance 1
Insurance contract or identification number165250
Number of Individuals Covered936
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $111,807
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,047,359
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $111,807
Insurance broker organization code?3
Insurance broker nameRACHEL SAPOZNIK
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number165250
Policy instance 1
Insurance contract or identification number165250
Number of Individuals Covered933
Insurance policy start date2012-01-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $63,456
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,558,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $63,456
Insurance broker organization code?3
Insurance broker nameRACHEL SAPOZNIK
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number165250
Policy instance 1
Insurance contract or identification number165250
Number of Individuals Covered979
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $123,622
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,371,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number165250
Policy instance 1
Insurance contract or identification number165250
Number of Individuals Covered229
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $65,384
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,322,008
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )
Policy contract number165250
Policy instance 2
Insurance contract or identification number165250
Number of Individuals Covered898
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,947
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
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $424,292
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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