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MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 401k Plan overview

Plan NameMOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN
Plan identification number 505

MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

MOTHER FRANCES HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:MOTHER FRANCES HOSPITAL
Employer identification number (EIN):750818167
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052018-01-01
5052017-01-01
5052016-01-01
5052015-01-01THOMAS A. WILKEN
5052014-01-01THOMAS A. WILKEN
5052013-01-01THOMAS A. WILKEN
5052012-01-01THOMAS A. WILKEN
5052011-01-01THOMAS A. WILKEN
5052010-01-01LAURA OWEN
5052009-01-01RANDY PERDUE
5052009-01-01RANDY PERDUE

Plan Statistics for MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN

401k plan membership statisitcs for MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN

Measure Date Value
2018: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,682
Total number of active participants reported on line 7a of the Form 55002018-01-010
Total of all active and inactive participants2018-01-010
Total participants2018-01-010
2017: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,815
Total number of active participants reported on line 7a of the Form 55002017-01-012,610
Total of all active and inactive participants2017-01-012,610
Total participants2017-01-012,610
2016: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,693
Total number of active participants reported on line 7a of the Form 55002016-01-012,815
Total of all active and inactive participants2016-01-012,815
Total participants2016-01-012,815
2015: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014,267
Total number of active participants reported on line 7a of the Form 55002015-01-012,693
Total of all active and inactive participants2015-01-012,693
Total participants2015-01-012,693
2014: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,615
Total number of active participants reported on line 7a of the Form 55002014-01-014,267
Total of all active and inactive participants2014-01-014,267
Total participants2014-01-014,267
2013: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,703
Total number of active participants reported on line 7a of the Form 55002013-01-012,615
Total of all active and inactive participants2013-01-012,615
Total participants2013-01-012,615
2012: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,760
Total number of active participants reported on line 7a of the Form 55002012-01-012,703
Total of all active and inactive participants2012-01-012,703
Total participants2012-01-012,703
2011: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,663
Total number of active participants reported on line 7a of the Form 55002011-01-012,562
Total of all active and inactive participants2011-01-012,562
Total participants2011-01-012,562
2010: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-014,776
Total number of active participants reported on line 7a of the Form 55002010-01-012,663
Total of all active and inactive participants2010-01-012,663
Total participants2010-01-012,663
2009: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,078
Total number of active participants reported on line 7a of the Form 55002009-01-014,776
Total of all active and inactive participants2009-01-014,776
Total participants2009-01-014,776

Form 5500 Responses for MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN

2018: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: MOTHER FRANCES HOSPITAL SUPERIOR VISION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number28656
Policy instance 1
Insurance contract or identification number28656
Number of Individuals Covered0
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $35,259
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $352,590
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,259
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number28656
Policy instance 1
Insurance contract or identification number28656
Number of Individuals Covered6001
Insurance policy start date2017-01-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $23,493
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $234,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,493
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number28656
Policy instance 1
Insurance contract or identification number28656
Number of Individuals Covered5648
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $38,503
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $414,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,503
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC, DEPT 3042
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number28656
Policy instance 1
Insurance contract or identification number28656
Number of Individuals Covered4267
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $380,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC, DEPT 3042
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number28656
Policy instance 1
Insurance contract or identification number28656
Number of Individuals Covered5570
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $38,833
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $359,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,833
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number28656
Policy instance 1
Insurance contract or identification number28656
Number of Individuals Covered5762
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $37,276
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $345,528
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,276
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number28656
Policy instance 1
Insurance contract or identification number28656
Number of Individuals Covered5481
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $37,332
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $401,206
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )
Policy contract number28656
Policy instance 1
Insurance contract or identification number28656
Number of Individuals Covered5296
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $35,509
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $358,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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