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ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 401k Plan overview

Plan NameARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN
Plan identification number 507

ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

ARKANSAS CHILDREN'S, INC has sponsored the creation of one or more 401k plans.

Company Name:ARKANSAS CHILDREN'S, INC
Employer identification number (EIN):710236857
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-01-01CRYSTAL KOHANKE2023-10-12
5072021-01-01 CRYSTAL KOHANKE2022-10-17
5072020-01-01CRYSTAL KOHANKE2021-10-15
5072019-01-01BRENT THOMPSON2020-10-15
5072018-07-01JIMMY DUNCAN2019-10-10

Plan Statistics for ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN

401k plan membership statisitcs for ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN

Measure Date Value
2022: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,877
Total number of active participants reported on line 7a of the Form 55002022-01-011,947
Total of all active and inactive participants2022-01-011,947
Total participants2022-01-010
2021: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,099
Total number of active participants reported on line 7a of the Form 55002021-01-011,877
Total of all active and inactive participants2021-01-011,877
Total participants2021-01-011,877
2020: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,585
Total number of active participants reported on line 7a of the Form 55002020-01-011,099
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 participants2020-01-011,099
Total participants2020-01-011,099
2019: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,861
Total number of active participants reported on line 7a of the Form 55002019-01-011,585
Total of all active and inactive participants2019-01-011,585
Total participants2019-01-011,585
2018: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-011,659
Total number of active participants reported on line 7a of the Form 55002018-07-011,657
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-011,657
Total participants2018-07-011,657

Form 5500 Responses for ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN

2022: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 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: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 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: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 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: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 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: ARKANSAS CHILDREN'S HOSPITAL OPTIONAL HEALTH INSURANCE PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01First time form 5500 has been submittedYes
2018-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0186890
Policy instance 4
Insurance contract or identification numberR0186890
Number of Individuals Covered27
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $662
Other welfare benefits providedACCIDENT & CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $7,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $662
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCI-0000000679
Policy instance 3
Insurance contract or identification numberCI-0000000679
Number of Individuals Covered1450
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $139,914
Total amount of fees paid to insurance companyUSD $81,959
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $820,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $139,914
Amount paid for insurance broker fees65566
Additional information about fees paid to insurance brokerCONSULTING FEES, PRINTING CODES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberACC-0000000678
Policy instance 2
Insurance contract or identification numberACC-0000000678
Number of Individuals Covered2052
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $76,820
Total amount of fees paid to insurance companyUSD $55,882
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $495,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,820
Amount paid for insurance broker fees45974
Additional information about fees paid to insurance brokerCONSULTING FEES, PRINTING COSTS
Insurance broker organization code?3
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0008529269
Policy instance 1
Insurance contract or identification number0008529269
Number of Individuals Covered3624
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $58,084
Total amount of fees paid to insurance companyUSD $4,359
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $762,586
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,030
Insurance broker organization code?3
Amount paid for insurance broker fees1964
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0186890
Policy instance 4
Insurance contract or identification numberR0186890
Number of Individuals Covered33
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,065
Total amount of fees paid to insurance companyUSD $29
Other welfare benefits providedACCIDENT & CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $9,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,065
Amount paid for insurance broker fees29
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCI-0000000679
Policy instance 3
Insurance contract or identification numberCI-0000000679
Number of Individuals Covered1440
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $111,049
Total amount of fees paid to insurance companyUSD $51,525
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $503,427
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,914
Amount paid for insurance broker fees41456
Additional information about fees paid to insurance brokerCONSULTING FEES, PRINTING CODES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberACC-0000000678
Policy instance 2
Insurance contract or identification numberACC-0000000678
Number of Individuals Covered1252
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $61,233
Total amount of fees paid to insurance companyUSD $31,949
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $302,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,477
Amount paid for insurance broker fees25895
Additional information about fees paid to insurance brokerCONSULTING FEES, PRINTING COSTS
Insurance broker organization code?3
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0008529269
Policy instance 1
Insurance contract or identification number0008529269
Number of Individuals Covered3860
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $54,175
Total amount of fees paid to insurance companyUSD $5,442
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $302,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,099
Insurance broker organization code?3
Amount paid for insurance broker fees1357
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCI-0000000679
Policy instance 4
Insurance contract or identification numberCI-0000000679
Number of Individuals Covered1398
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $428,593
Total amount of fees paid to insurance companyUSD $79,706
Other welfare benefits providedCRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $613,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $428,593
Amount paid for insurance broker fees67460
Additional information about fees paid to insurance brokerCONSULTING FEES, PRINTING CODES
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberACC-0000000678
Policy instance 3
Insurance contract or identification numberACC-0000000678
Number of Individuals Covered1326
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $202,726
Total amount of fees paid to insurance companyUSD $59,704
Other welfare benefits providedACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $343,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $202,726
Amount paid for insurance broker fees52829
Additional information about fees paid to insurance brokerCONSULTING FEES, PRINTING COSTS
Insurance broker organization code?3
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0008529269
Policy instance 2
Insurance contract or identification number0008529269
Number of Individuals Covered4171
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $60,398
Total amount of fees paid to insurance companyUSD $4,659
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $912,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,345
Insurance broker organization code?3
Amount paid for insurance broker fees1159
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0186890
Policy instance 1
Insurance contract or identification numberR0186890
Number of Individuals Covered2747
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $16,268
Total amount of fees paid to insurance companyUSD $358
Other welfare benefits providedACCIDENT & CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $84,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,268
Amount paid for insurance broker fees358
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0008529269
Policy instance 2
Insurance contract or identification number0008529269
Number of Individuals Covered4519
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $78,322
Total amount of fees paid to insurance companyUSD $6,841
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,145,366
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,649
Insurance broker organization code?3
Amount paid for insurance broker fees1837
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0186890
Policy instance 1
Insurance contract or identification numberR0186890
Number of Individuals Covered3090
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $537,817
Total amount of fees paid to insurance companyUSD $46,423
Other welfare benefits providedACCIDENT & CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $1,163,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $537,817
Amount paid for insurance broker fees46423
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
PROVIDENT LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68195 )
Policy contract number0008529269
Policy instance 2
Insurance contract or identification number0008529269
Number of Individuals Covered5366
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $25,223
Total amount of fees paid to insurance companyUSD $4,636
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $355,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $599
Insurance broker organization code?3
Amount paid for insurance broker fees2388
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0186890
Policy instance 1
Insurance contract or identification numberR0186890
Number of Individuals Covered3099
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $177,981
Total amount of fees paid to insurance companyUSD $16,121
Other welfare benefits providedACCIDENT & CRITICAL ILLNESS
Welfare Benefit Premiums Paid to CarrierUSD $268,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $177,981
Amount paid for insurance broker fees16121
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3

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