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SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 401k Plan overview

Plan NameSAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN
Plan identification number 545

SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN Benefits

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

401k Sponsoring company profile

SAINT FRANCIS HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name:SAINT FRANCIS HEALTH SYSTEM, INC.
Employer identification number (EIN):731501972
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5452022-01-01DEBORAH DAGE2023-07-31
5452021-01-01DEBORAH DAGE2022-07-28

Plan Statistics for SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN

401k plan membership statisitcs for SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN

Measure Date Value
2022: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01103
Total number of active participants reported on line 7a of the Form 55002022-01-01106
Total of all active and inactive participants2022-01-01106
2021: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01102
Total number of active participants reported on line 7a of the Form 55002021-01-01103
Total of all active and inactive participants2021-01-01103

Form 5500 Responses for SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN

2022: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE 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: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number50379
Policy instance 1
Insurance contract or identification number50379
Number of Individuals Covered106
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $25,140
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedLONG-TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $115,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,140
Insurance broker organization code?3
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract number50379
Policy instance 1
Insurance contract or identification number50379
Number of Individuals Covered103
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $27,883
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedLONG-TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $126,657
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,883
Insurance broker organization code?3

Potentially related plans

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