CHILDREN'S HOSPITAL INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 506 | 2014-01-01 | WENDY WILLIS, DIRECTOR OF HR | | WENDY WILLIS, DIRECTOR OF HR | 2015-09-21 |
| 506 | 2013-01-01 | DOUGLAS MITTELSTAEDT, VP OF HR | | DOUGLAS MITTELSTAEDT, VP OF HR | 2014-07-18 |
| 506 | 2012-01-01 | DOUGLAS MITTELSTAEDT, VP OF HR | | DOUGLAS MITTELSTAEDT, VP OF HR | 2013-09-09 |
| 506 | 2011-01-01 | DOUGLAS MITTELSTAEDT, VP OF HR | | DOUGLAS MITTELSTAEDT, VP OF HR | 2012-07-27 |
| 506 | 2009-01-01 | DOUGLAS MITTELSTAEDT, VP OF HR | | DOUGLAS MITTELSTAEDT, VP OF HR | 2010-07-09 |
| 506 | 2009-01-01 | DOUGLAS MITTELSTAEDT, VP OF HR | | DOUGLAS MITTELSTAEDT, VP OF HR | 2010-07-09 |
| Measure | Date | Value |
|---|
| 2014: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 757 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 769 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 18 |
| Total of all active and inactive participants | 2014-01-01 | 787 |
| Total participants | 2014-01-01 | 787 |
| 2013: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 710 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 751 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 6 |
| Total of all active and inactive participants | 2013-01-01 | 757 |
| Total participants | 2013-01-01 | 757 |
| 2012: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 723 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 704 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 6 |
| Total of all active and inactive participants | 2012-01-01 | 710 |
| Total participants | 2012-01-01 | 710 |
| 2011: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 708 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 720 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 3 |
| Total of all active and inactive participants | 2011-01-01 | 723 |
| Total participants | 2011-01-01 | 723 |
| 2009: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 651 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 739 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 6 |
| Total of all active and inactive participants | 2009-01-01 | 745 |
| Total participants | 2009-01-01 | 745 |
| 2014: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: CHILDREN'S HOSPITAL VOLUNTARY VISION PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | Yes |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 ) |
| Policy contract number | CHOS114 |
| Policy instance | 1 |
| Insurance contract or identification number | CHOS114 | | Number of Individuals Covered | 787 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $7,668 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $83,645 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,668 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 | | Insurance broker name | HUB INTERNATIONAL MIDWEST |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0751915 |
| Policy instance | 1 |
| Insurance contract or identification number | 0751915 | | Number of Individuals Covered | 757 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $3,939 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $72,492 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,939 | | Additional information about fees paid to insurance broker | MARKETING | | Insurance broker organization code? | 3 | | Insurance broker name | CHILD HEALTH CORP OF AMERICA |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 0751915 |
| Policy instance | 1 |
| Insurance contract or identification number | 0751915 | | Number of Individuals Covered | 710 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $938 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $25,047 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $938 | | Additional information about fees paid to insurance broker | MARKETING | | Insurance broker organization code? | 3 | | Insurance broker name | CHILD HEALTH CORP OF AMERICA |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 2-12582 |
| Policy instance | 2 |
| Insurance contract or identification number | 2-12582 | | Number of Individuals Covered | 753 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $2,457 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $49,142 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,457 | | Additional information about fees paid to insurance broker | MARKETING | | Insurance broker name | CHILD HEALTH CORP OF AMERICA |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 212582 |
| Policy instance | 1 |
| Insurance contract or identification number | 212582 | | Number of Individuals Covered | 723 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $3,494 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $69,885 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
| Policy contract number | 212582 |
| Policy instance | 1 |
| Insurance contract or identification number | 212582 | | Number of Individuals Covered | 708 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $3,607 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $72,133 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,607 | | Additional information about fees paid to insurance broker | MARKETING | | Insurance broker organization code? | 3 | | Insurance broker name | CHILD HEALTH CORP OF AMERICA |
|
Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.
See full terms and conditions
