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THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 401k Plan overview

Plan NameTHE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC.
Plan identification number 502

THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name:WAYNE MEMORIAL HOSPITAL, INC.
Employer identification number (EIN):561484844
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01CHERYL MARTIN2023-07-21
5022021-01-01CHERYL MARTIN2022-07-27
5022020-01-01ALLISON WOLLEN2021-07-06
5022019-01-01ALLISON WOLLEN2020-06-04
5022018-01-01
5022017-01-01
5022016-01-01REBECCA CRAIG
5022015-01-01RICHARD K ROGERS
5022014-01-01RICHARD K. ROGERS
5022013-01-01RICHARD K ROGERS
5022012-01-01RICHARD K ROGERS
5022011-01-01RICHARD K ROGERS
5022009-01-01RICHARD K. ROGERS

Plan Statistics for THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC.

401k plan membership statisitcs for THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC.

Measure Date Value
2022: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2022 401k membership
Total participants, beginning-of-year2022-01-012,225
Total number of active participants reported on line 7a of the Form 55002022-01-012,188
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-012,188
Number of employers contributing to the scheme2022-01-010
2021: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2021 401k membership
Total participants, beginning-of-year2021-01-012,211
Total number of active participants reported on line 7a of the Form 55002021-01-012,225
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-012,225
Number of employers contributing to the scheme2021-01-010
2020: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2020 401k membership
Total participants, beginning-of-year2020-01-011,454
Total number of active participants reported on line 7a of the Form 55002020-01-012,211
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,211
Number of employers contributing to the scheme2020-01-010
2019: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2019 401k membership
Total participants, beginning-of-year2019-01-011,454
Total number of active participants reported on line 7a of the Form 55002019-01-011,454
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 participants2019-01-011,454
Number of employers contributing to the scheme2019-01-010
2018: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2018 401k membership
Total participants, beginning-of-year2018-01-011,369
Total number of active participants reported on line 7a of the Form 55002018-01-011,454
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 participants2018-01-011,454
Number of employers contributing to the scheme2018-01-010
2017: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2017 401k membership
Total participants, beginning-of-year2017-01-011,508
Total number of active participants reported on line 7a of the Form 55002017-01-011,369
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 participants2017-01-011,369
2016: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2016 401k membership
Total participants, beginning-of-year2016-01-011,485
Total number of active participants reported on line 7a of the Form 55002016-01-011,508
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 participants2016-01-011,508
2015: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2015 401k membership
Total participants, beginning-of-year2015-01-011,556
Total number of active participants reported on line 7a of the Form 55002015-01-011,485
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 participants2015-01-011,485
2014: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-011,596
Total number of active participants reported on line 7a of the Form 55002014-01-011,556
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 participants2014-01-011,556
2013: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2013 401k membership
Total participants, beginning-of-year2013-01-011,500
Total number of active participants reported on line 7a of the Form 55002013-01-011,596
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,596
2012: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2012 401k membership
Total participants, beginning-of-year2012-01-011,388
Total number of active participants reported on line 7a of the Form 55002012-01-011,490
Number of retired or separated participants receiving benefits2012-01-0110
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-011,500
2011: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2011 401k membership
Total participants, beginning-of-year2011-01-011,353
Total number of active participants reported on line 7a of the Form 55002011-01-011,388
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 participants2011-01-011,388
2009: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2009 401k membership
Total participants, beginning-of-year2009-01-011,272
Total number of active participants reported on line 7a of the Form 55002009-01-011,280
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 participants2009-01-011,280

Form 5500 Responses for THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC.

2022: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 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: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 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 funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 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 funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 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 funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 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 funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 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 funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 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 funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: THE LIFE, AD&D, STD AND LTD FOR THE EMPLOYEES OF WAYNE MEMORIAL HOSPITAL, INC. 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 funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number224920
Policy instance 1
Insurance contract or identification number224920
Number of Individuals Covered2188
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $74,122
Total amount of fees paid to insurance companyUSD $60,099
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,051,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,061
Amount paid for insurance broker fees15708
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION AND SUPPLEMENTAL COMPENSATION.
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number224920
Policy instance 1
Insurance contract or identification number224920
Number of Individuals Covered2225
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $62,496
Total amount of fees paid to insurance companyUSD $56,396
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,092,646
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,248
Amount paid for insurance broker fees12155
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION, SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number224920
Policy instance 1
Insurance contract or identification number224920
Number of Individuals Covered2211
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $48,616
Total amount of fees paid to insurance companyUSD $23,326
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,062,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,308
Amount paid for insurance broker fees1175
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION SUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017469-00
Policy instance 1
Insurance contract or identification number01-017469-00
Number of Individuals Covered1454
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $25,383
Total amount of fees paid to insurance companyUSD $25,307
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $846,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,112
Amount paid for insurance broker fees25307
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-017469-00
Policy instance 1
Insurance contract or identification number01-017469-00
Number of Individuals Covered1454
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $23,072
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $769,069
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,165
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10149139
Policy instance 1
Insurance contract or identification number10149139
Number of Individuals Covered1369
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $24,850
Total amount of fees paid to insurance companyUSD $25,756
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $621,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,850
Amount paid for insurance broker fees25756
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameMARSH AND MCLENNAN AGENCY

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