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CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 401k Plan overview

Plan NameCHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN
Plan identification number 506

CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 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

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

Company Name:CHRIST COMMUNITY HEALTH SERVICES, INC.
Employer identification number (EIN):621583270
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062012-04-01DAVID WAGNER2019-07-21
5062011-04-01DAVID WAGNER2019-07-21
5062010-04-01DAVID WAGNER2019-07-21
5062009-04-01DAVID WAGNER2019-07-21
5062008-04-01DAVID WAGNER2019-07-21
5062007-04-01DAVID WAGNER2019-07-21
5062006-04-01DAVID WAGNER2019-07-21

Plan Statistics for CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN

401k plan membership statisitcs for CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN

Measure Date Value
2012: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01253
Total number of active participants reported on line 7a of the Form 55002012-04-010
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-010
Number of employers contributing to the scheme2012-04-010
2011: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01223
Total number of active participants reported on line 7a of the Form 55002011-04-01253
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-010
Total of all active and inactive participants2011-04-01253
Number of employers contributing to the scheme2011-04-010
2010: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01201
Total number of active participants reported on line 7a of the Form 55002010-04-01223
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-010
Total of all active and inactive participants2010-04-01223
Number of employers contributing to the scheme2010-04-010
2009: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-01160
Total number of active participants reported on line 7a of the Form 55002009-04-01201
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-010
Total of all active and inactive participants2009-04-01201
Number of employers contributing to the scheme2009-04-010
2008: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2008 401k membership
Total participants, beginning-of-year2008-04-01116
Total number of active participants reported on line 7a of the Form 55002008-04-01160
Number of retired or separated participants receiving benefits2008-04-010
Number of other retired or separated participants entitled to future benefits2008-04-010
Total of all active and inactive participants2008-04-01160
Number of employers contributing to the scheme2008-04-010
2007: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2007 401k membership
Total participants, beginning-of-year2007-04-0194
Total number of active participants reported on line 7a of the Form 55002007-04-01116
Number of retired or separated participants receiving benefits2007-04-010
Number of other retired or separated participants entitled to future benefits2007-04-010
Total of all active and inactive participants2007-04-01116
Number of employers contributing to the scheme2007-04-010
2006: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2006 401k membership
Total participants, beginning-of-year2006-04-01100
Total number of active participants reported on line 7a of the Form 55002006-04-0194
Number of retired or separated participants receiving benefits2006-04-010
Number of other retired or separated participants entitled to future benefits2006-04-010
Total of all active and inactive participants2006-04-0194
Number of employers contributing to the scheme2006-04-010

Form 5500 Responses for CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN

2012: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01This submission is the final filingYes
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
2010: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes
2009: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan benefit arrangement – InsuranceYes
2008: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2008 form 5500 responses
2008-04-01Type of plan entitySingle employer plan
2008-04-01Plan funding arrangement – InsuranceYes
2008-04-01Plan benefit arrangement – InsuranceYes
2007: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2007 form 5500 responses
2007-04-01Type of plan entitySingle employer plan
2007-04-01Plan funding arrangement – InsuranceYes
2007-04-01Plan benefit arrangement – InsuranceYes
2006: CHRIST COMMUNITY HEALTH SERVICES, INC. LIFE AND DISABILITY PLAN 2006 form 5500 responses
2006-04-01Type of plan entitySingle employer plan
2006-04-01First time form 5500 has been submittedYes
2006-04-01Plan funding arrangement – InsuranceYes
2006-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10076586
Policy instance 1
Insurance contract or identification number10076586
Number of Individuals Covered132
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $56,316
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10076586
Policy instance 1
Insurance contract or identification number10076586
Number of Individuals Covered253
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $8,833
Total amount of fees paid to insurance companyUSD $0
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 $58,888
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $8,833
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 number10076586
Policy instance 1
Insurance contract or identification number10076586
Number of Individuals Covered223
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $18,521
Total amount of fees paid to insurance companyUSD $0
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 $123,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $18,521
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 number10076586
Policy instance 1
Insurance contract or identification number10076586
Number of Individuals Covered201
Insurance policy start date2009-04-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $2,092
Total amount of fees paid to insurance companyUSD $0
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 $13,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $2,092
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 number10076586
Policy instance 1
Insurance contract or identification number10076586
Number of Individuals Covered106
Insurance policy start date2008-04-01
Insurance policy end date2009-03-31
Total amount of commissions paid to insurance brokerUSD $8,402
Total amount of fees paid to insurance companyUSD $0
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 $56,013
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $8,402
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 number10076586
Policy instance 1
Insurance contract or identification number10076586
Number of Individuals Covered116
Insurance policy start date2007-04-01
Insurance policy end date2008-03-31
Total amount of commissions paid to insurance brokerUSD $8,628
Total amount of fees paid to insurance companyUSD $616
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 $57,517
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $8,628
Amount paid for insurance broker fees616
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10076586
Policy instance 1
Insurance contract or identification number10076586
Number of Individuals Covered94
Insurance policy start date2006-04-01
Insurance policy end date2007-03-31
Total amount of commissions paid to insurance brokerUSD $1,326
Total amount of fees paid to insurance companyUSD $0
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 $8,841
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $1,085
Amount paid for insurance broker fees0
Insurance broker organization code?3

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