PETERSON REGIONAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE
401k plan membership statisitcs for PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE
| Measure | Date | Value |
|---|
| 2021: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 712 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 0 |
| 2020: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 376 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 374 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 374 |
| 2019: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 363 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 363 |
| Total of all active and inactive participants | 2019-01-01 | 363 |
| 2018: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 318 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 363 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 363 |
| 2017: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 351 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 318 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 318 |
| 2016: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 358 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 351 |
| 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 | 351 |
| 2015: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 296 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 358 |
| 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 | 358 |
| 2014: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 210 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 296 |
| 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 | 296 |
| 2013: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 201 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 210 |
| Total of all active and inactive participants | 2013-01-01 | 210 |
| 2012: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 189 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 201 |
| Total of all active and inactive participants | 2012-01-01 | 201 |
| 2011: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 202 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 189 |
| Total of all active and inactive participants | 2011-01-01 | 189 |
| 2010: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 215 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 202 |
| Total of all active and inactive participants | 2010-01-01 | 202 |
| 2009: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 199 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 215 |
| Total of all active and inactive participants | 2009-01-01 | 215 |
| 2021: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 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: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 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: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 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: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 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 |
| 2010: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: PETERSON REGIONAL MEDICAL CENTER - VOLUNTARY LIFE 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | First time form 5500 has been submitted | Yes |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 892021G |
| Policy instance | 1 |
| Insurance contract or identification number | 892021G | | Number of Individuals Covered | 0 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $39,224 | | Total amount of fees paid to insurance company | USD $27,607 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $142,701 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $24,795 | | Amount paid for insurance broker fees | 13945 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00490572* |
| Policy instance | 1 |
| Insurance contract or identification number | 00490572* | | Number of Individuals Covered | 926 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $169,660 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $963,549 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $169,660 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00490572 |
| Policy instance | 1 |
| Insurance contract or identification number | 00490572 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $31,381 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | A D & D | | Welfare Benefit Premiums Paid to Carrier | USD $153,883 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $31,381 | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00490572 |
| Policy instance | 1 |
| Insurance contract or identification number | 00490572 | | Number of Individuals Covered | 318 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $33,171 | | Total amount of fees paid to insurance company | USD $2,202 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | VOLUNTARY AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $154,388 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $33,171 | | Additional information about fees paid to insurance broker | INSURANCE COMMISSIONS | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 2202 | | Insurance broker name | SOUTH TEJAS INS AGENCY LLC |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00490572 |
| Policy instance | 1 |
| Insurance contract or identification number | 00490572 | | Number of Individuals Covered | 358 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $29,954 | | Total amount of fees paid to insurance company | USD $1,742 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | VOLUNTARY AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $149,772 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29,954 | | Additional information about fees paid to insurance broker | INSURANCE COMMISSIONS | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1742 | | Insurance broker name | SOUTH TEJAS INS AGCY LLC |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00490572 |
| Policy instance | 1 |
| Insurance contract or identification number | 00490572 | | Number of Individuals Covered | 561 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $23,770 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | VOLUNTARY AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $118,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,770 | | Additional information about fees paid to insurance broker | INSURANCE COMMISSIONS BROKER BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | SOUTH TEJAS INS AGCY LLC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 40P001000 00201 |
| Policy instance | 1 |
| Insurance contract or identification number | 40P001000 00201 | | Number of Individuals Covered | 407 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $17,815 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | VOLUNTARY AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $89,075 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,815 | | Additional information about fees paid to insurance broker | INSURANCE COMMISSIONS BROKER BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | SOUTH TEJAS INS AGCY LLC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 40P001000 00201 |
| Policy instance | 1 |
| Insurance contract or identification number | 40P001000 00201 | | Number of Individuals Covered | 386 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $17,438 | | Total amount of fees paid to insurance company | USD $1,538 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | VOLUNTARY AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $87,188 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,438 | | Amount paid for insurance broker fees | 1538 | | Additional information about fees paid to insurance broker | INSURANCE COMMISSIONS BROKER BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | SOUTH TEJAS INS AGCY LLC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 40P001000 00201 |
| Policy instance | 1 |
| Insurance contract or identification number | 40P001000 00201 | | Number of Individuals Covered | 363 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $11,538 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | VOLUNTARY ADD | | Welfare Benefit Premiums Paid to Carrier | USD $76,920 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | 40P001000 00201 |
| Policy instance | 1 |
| Insurance contract or identification number | 40P001000 00201 | | Number of Individuals Covered | 379 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $12,131 | | Total amount of fees paid to insurance company | USD $1,653 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | VOLUNTARY ADD | | Welfare Benefit Premiums Paid to Carrier | USD $80,871 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,131 | | Additional information about fees paid to insurance broker | INSURANCE COMMISSIONS | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1653 | | Insurance broker name | SOUTH TEJAS INS AGCY LLC |
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