401k Plan data: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL plan

HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 401k Plan overview

Plan Name	HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL
Plan identification number	501

HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental

401k Sponsoring company profile

HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL has sponsored the creation of one or more 401k plans.

Company Name: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL

Employer identification number (EIN): 710747497

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-01-01
501 2015-01-01 THOMAS G. MAY, CPA RICHARD COOPER
501 2015-01-01
501 2014-01-01 R. KEVIN NORTON
501 2014-01-01 SETH GIVENS R. KEVIN NORTON
501 2013-01-01 LESLIE BROWN RICHARD COOPER 2014-07-29
501 2012-01-01 LESLIE BROWN RICHARD COOPER 2013-08-21
501 2011-01-01 LESLIE BROWN RICHARD COOPER 2012-10-01
501 2009-01-01 LESLIE BROWN RICHARD COOPER 2010-07-21

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2016-01-01
501	2015-01-01	THOMAS G. MAY, CPA	RICHARD COOPER
501	2015-01-01
501	2014-01-01	R. KEVIN NORTON
501	2014-01-01	SETH GIVENS	R. KEVIN NORTON
501	2013-01-01	LESLIE BROWN	RICHARD COOPER	2014-07-29
501	2012-01-01	LESLIE BROWN	RICHARD COOPER	2013-08-21
501	2011-01-01	LESLIE BROWN	RICHARD COOPER	2012-10-01
501	2009-01-01	LESLIE BROWN	RICHARD COOPER	2010-07-21

Plan Statistics for HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL

401k plan membership statisitcs for HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL

Measure Date Value
2016: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2016 401k membership
Total participants, beginning-of-year 2016-01-01 142
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 142
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 142
2015: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2015 401k membership
Total participants, beginning-of-year 2015-01-01 143
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 142
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 142
2014: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2014 401k membership
Total participants, beginning-of-year 2014-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 143
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 143
2013: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2013 401k membership
Total participants, beginning-of-year 2013-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 143
Number of retired or separated participants receiving benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 143
2012: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2012 401k membership
Total participants, beginning-of-year 2012-01-01 128
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 123
Number of retired or separated participants receiving benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 123
2011: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 128
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 128
2009: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 164
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 164

Measure	Date	Value
2016: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2016 401k membership
Total participants, beginning-of-year	2016-01-01	142
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	142
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	142
2015: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2015 401k membership
Total participants, beginning-of-year	2015-01-01	143
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	142
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	142
2014: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2014 401k membership
Total participants, beginning-of-year	2014-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	143
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	143
2013: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	143
Number of retired or separated participants receiving benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	143
2012: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2012 401k membership
Total participants, beginning-of-year	2012-01-01	128
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	123
Number of retired or separated participants receiving benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	123
2011: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	128
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	128
2009: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	164
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	164

Form 5500 Responses for HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL

2016: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	HMO PARTNERS MEDICAL HOSPITAL SURGICAL DENTAL
Employer identification number (EIN):	710747497
NAIC Classification:	524140