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THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameTHE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA EMPLOYEE BENEFITS PLAN
Plan identification number 501

THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA EMPLOYEE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA has sponsored the creation of one or more 401k plans.

Company Name:THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA
Employer identification number (EIN):824749088
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-05-01DANNA HARDIN2022-02-02

Plan Statistics for THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA EMPLOYEE BENEFITS PLAN

Measure Date Value
2020: THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01187
Total number of active participants reported on line 7a of the Form 55002020-05-01177
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01177
Number of employers contributing to the scheme2020-05-010

Form 5500 Responses for THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA EMPLOYEE BENEFITS PLAN

2020: THE HEALTHCARE AUTHORITY OF WINFIELD, ALABAMA EMPLOYEE BENEFITS PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUE CROSS BLUE SHIELD OF ALABAMA (National Association of Insurance Commissioners NAIC id number: 55433 )
Policy contract number09217
Policy instance 1
Insurance contract or identification number09217
Number of Individuals Covered289
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Other welfare benefits providedBABY YOURSELF,AIR MEDICAL SERVICES
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number549354
Policy instance 2
Insurance contract or identification number549354
Number of Individuals Covered160
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $11,939
Total amount of fees paid to insurance companyUSD $2,566
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $119,389
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,857
Amount paid for insurance broker fees2566
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BC6W
Policy instance 3
Insurance contract or identification numberGLUG0BC6W
Number of Individuals Covered174
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $27,757
Total amount of fees paid to insurance companyUSD $8,453
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $164,487
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,722
Amount paid for insurance broker fees4205
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3

Potentially related plans

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