?>
Plan Name | UPSTATE AFFILIATE ORGANIZATION HEALTH & WELFARE PLAN |
Plan identification number | 501 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
|
Company Name: | PRISMA HEALTH |
Employer identification number (EIN): | 811723202 |
NAIC Classification: | 622000 |
NAIC Description: | Hospitals |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
501 | 2018-01-01 | KELLY CROCKER | 2019-08-14 | ||
501 | 2018-01-01 | KELLY CROCKER | 2020-08-04 | ||
501 | 2017-01-01 |
Measure | Date | Value |
---|---|---|
2018: UPSTATE AFFILIATE ORGANIZATION HEALTH & WELFARE PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-01-01 | 11,992 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 11,898 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 51 |
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 | 11,949 |
Number of employers contributing to the scheme | 2018-01-01 | 0 |
2017: UPSTATE AFFILIATE ORGANIZATION HEALTH & WELFARE PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-01-01 | 11,490 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 11,920 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 72 |
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 | 11,992 |
2018: UPSTATE AFFILIATE ORGANIZATION HEALTH & WELFARE PLAN 2018 form 5500 responses | ||
---|---|---|
2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Submission has been amended | Yes |
2018-01-01 | This submission is the final filing | Yes |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: UPSTATE AFFILIATE ORGANIZATION HEALTH & WELFARE PLAN 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 funding arrangement – General assets of the sponsor | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 99069858 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 753544 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | FLK980143 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 3 | ||||||||||||||||||||||||||||||||||||||||
| |||||||||||||||||||||||||||||||||||||||||
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 ) | |||||||||||||||||||||||||||||||||||||||||
Policy contract number | 12225367 | ||||||||||||||||||||||||||||||||||||||||
Policy instance | 4 | ||||||||||||||||||||||||||||||||||||||||
|