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PHILADELPHIA ACADEMIC HEALTH SYSTEM, LLC 401k Plan overview

Plan NamePHILADELPHIA ACADEMIC HEALTH SYSTEM, LLC
Plan identification number 501

PHILADELPHIA ACADEMIC HEALTH SYSTEM, LLC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Prepaid legal
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

PHILADELPHIA ACADEMIC HEALTH SYSTEMS has sponsored the creation of one or more 401k plans.

Company Name:PHILADELPHIA ACADEMIC HEALTH SYSTEMS
Employer identification number (EIN):822918681
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHILADELPHIA ACADEMIC HEALTH SYSTEM, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-01-01RONALD DRESKIN2019-10-07

Plan Statistics for PHILADELPHIA ACADEMIC HEALTH SYSTEM, LLC

401k plan membership statisitcs for PHILADELPHIA ACADEMIC HEALTH SYSTEM, LLC

Measure Date Value
2018: PHILADELPHIA ACADEMIC HEALTH SYSTEM, LLC 2018 401k membership
Total participants, beginning-of-year2018-01-013,700
Total number of active participants reported on line 7a of the Form 55002018-01-014,223
Number of retired or separated participants receiving benefits2018-01-0122
Number of other retired or separated participants entitled to future benefits2018-01-01126
Total of all active and inactive participants2018-01-014,371
Number of employers contributing to the scheme2018-01-010

Form 5500 Responses for PHILADELPHIA ACADEMIC HEALTH SYSTEM, LLC

2018: PHILADELPHIA ACADEMIC HEALTH SYSTEM, LLC 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number30079037
Policy instance 1
Insurance contract or identification number30079037
Number of Individuals Covered2509
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,210
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $313,347
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,210
Amount paid for insurance broker fees0
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number802356
Policy instance 2
Insurance contract or identification number802356
Number of Individuals Covered1730
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $99,246
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $450,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $99,246
Amount paid for insurance broker fees0
Insurance broker organization code?3
HYATT LEGAL PLANS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number9900903
Policy instance 3
Insurance contract or identification number9900903
Number of Individuals Covered271
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,931
Total amount of fees paid to insurance companyUSD $1,241
Other welfare benefits providedLEGAL
Welfare Benefit Premiums Paid to CarrierUSD $44,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,931
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number699545
Policy instance 4
Insurance contract or identification number699545
Number of Individuals Covered333
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $25,389
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $1,015,573
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees25389
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number699544
Policy instance 5
Insurance contract or identification number699544
Number of Individuals Covered4207
Insurance policy start date2018-01-12
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $167,042
Total amount of fees paid to insurance companyUSD $26,153
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $1,139,318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $167,042
Amount paid for insurance broker fees26153
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3

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