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SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameSANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN
Plan identification number 501

SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE 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)
  • Other welfare benefit cover

401k Sponsoring company profile

SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER
Employer identification number (EIN):843683956
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-04-01GREG COUCH2024-10-29
5012022-04-01GREG COUCH2024-01-08
5012021-04-01SUSAN WATSON2022-09-13
5012021-04-01GREG COUCH2024-01-08
5012020-06-01GREG COUCH2024-01-08

Plan Statistics for SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN

401k plan membership statisitcs for SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN

Measure Date Value
2023: SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-04-01318
Total number of active participants reported on line 7a of the Form 55002023-04-01544
Number of retired or separated participants receiving benefits2023-04-014
Number of other retired or separated participants entitled to future benefits2023-04-010
Total of all active and inactive participants2023-04-01548
Number of employers contributing to the scheme2023-04-010
2022: SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01564
Total number of active participants reported on line 7a of the Form 55002022-04-01318
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-01318
Number of employers contributing to the scheme2022-04-010
2021: SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-01510
Total number of active participants reported on line 7a of the Form 55002021-04-01561
Number of retired or separated participants receiving benefits2021-04-013
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-01564
Number of employers contributing to the scheme2021-04-010
2020: SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01253
Total number of active participants reported on line 7a of the Form 55002020-06-01502
Number of retired or separated participants receiving benefits2020-06-012
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-01504
Number of employers contributing to the scheme2020-06-010

Form 5500 Responses for SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN

2023: SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan funding arrangement – General assets of the sponsorYes
2023-04-01Plan benefit arrangement – InsuranceYes
2023-04-01Plan benefit arrangement – General assets of the sponsorYes
2022: SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes
2021: SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedYes
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – General assets of the sponsorYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement – General assets of the sponsorYes
2020: SANA HEALTHCARE DBA CARROLLTON REGIONAL MEDICAL CENTER HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01First time form 5500 has been submittedYes
2020-06-01Submission has been amendedYes
2020-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number27071
Policy instance 5
Insurance contract or identification number27071
Number of Individuals Covered130
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $7,357
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENT, CRITICAL ILLNESS, HOSPITAL
Welfare Benefit Premiums Paid to CarrierUSD $29,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVF028129
Policy instance 4
Insurance contract or identification numberVF028129
Number of Individuals Covered544
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $281,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number00
Policy instance 3
Insurance contract or identification number00
Number of Individuals Covered359
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedEMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to CarrierUSD $6,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number291804
Policy instance 2
Insurance contract or identification number291804
Number of Individuals Covered484
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $9,694
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,990,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10286351001
Policy instance 1
Insurance contract or identification number10286351001
Number of Individuals Covered0
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10261645
Policy instance 5
CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number00
Policy instance 4
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract numberAGC0000931012
Policy instance 3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number291804
Policy instance 2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10286351001
Policy instance 1
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10261645
Policy instance 5
CURALINC HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 62419 )
Policy contract number00
Policy instance 4
CONTINENTAL AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71730 )
Policy contract number27071
Policy instance 3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number291804
Policy instance 2
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10286351001
Policy instance 1
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number10286351001
Policy instance 1

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