401k Plan data: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT plan

GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 401k Plan overview

Plan Name	GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT
Plan identification number	502

GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

GILA REGIONAL MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: GILA REGIONAL MEDICAL CENTER

Employer identification number (EIN): 856000321

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-12-01 BARBARA BARELA
502 2015-12-01 BARBARA BARELA BARBARA BARELA 2017-10-31
502 2014-12-01 BARBARA BARELA
502 2013-12-01 BARBARA BARELA
502 2012-12-01 BARBARA BARELA
502 2011-12-01 BARBARA BARELA
502 2010-12-01 BARBARA BARELA
502 2009-12-01 BARBARA BARELA BARBARA BARELA 2011-09-14
502 2008-12-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2016-12-01	BARBARA BARELA
502	2015-12-01	BARBARA BARELA	BARBARA BARELA	2017-10-31
502	2014-12-01	BARBARA BARELA
502	2013-12-01	BARBARA BARELA
502	2012-12-01	BARBARA BARELA
502	2011-12-01	BARBARA BARELA
502	2010-12-01	BARBARA BARELA
502	2009-12-01	BARBARA BARELA	BARBARA BARELA	2011-09-14
502	2008-12-01

Plan Statistics for GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT

401k plan membership statisitcs for GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT

Measure Date Value
2016: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2016 401k membership
Total participants, beginning-of-year 2016-12-01 0
Total number of active participants reported on line 7a of the Form 5500 2016-12-01 0
Number of retired or separated participants receiving benefits 2016-12-01 0
Number of other retired or separated participants entitled to future benefits 2016-12-01 0
Total of all active and inactive participants 2016-12-01 0
2015: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2015 401k membership
Total participants, beginning-of-year 2015-12-01 564
Total number of active participants reported on line 7a of the Form 5500 2015-12-01 0
Number of retired or separated participants receiving benefits 2015-12-01 0
Number of other retired or separated participants entitled to future benefits 2015-12-01 0
Total of all active and inactive participants 2015-12-01 0
2014: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2014 401k membership
Total participants, beginning-of-year 2014-12-01 605
Total number of active participants reported on line 7a of the Form 5500 2014-12-01 564
Number of retired or separated participants receiving benefits 2014-12-01 0
Number of other retired or separated participants entitled to future benefits 2014-12-01 0
Total of all active and inactive participants 2014-12-01 564
2013: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2013 401k membership
Total participants, beginning-of-year 2013-12-01 572
Total number of active participants reported on line 7a of the Form 5500 2013-12-01 605
Total of all active and inactive participants 2013-12-01 605
2012: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2012 401k membership
Total participants, beginning-of-year 2012-12-01 690
Total number of active participants reported on line 7a of the Form 5500 2012-12-01 572
Total of all active and inactive participants 2012-12-01 572
2011: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2011 401k membership
Total participants, beginning-of-year 2011-12-01 731
Total number of active participants reported on line 7a of the Form 5500 2011-12-01 690
Number of retired or separated participants receiving benefits 2011-12-01 0
Number of other retired or separated participants entitled to future benefits 2011-12-01 0
Total of all active and inactive participants 2011-12-01 690
2010: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2010 401k membership
Total participants, beginning-of-year 2010-12-01 770
Total number of active participants reported on line 7a of the Form 5500 2010-12-01 731
Number of retired or separated participants receiving benefits 2010-12-01 0
Number of other retired or separated participants entitled to future benefits 2010-12-01 0
Total of all active and inactive participants 2010-12-01 731
2009: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2009 401k membership
Total participants, beginning-of-year 2009-12-01 770
Total number of active participants reported on line 7a of the Form 5500 2009-12-01 731
Total of all active and inactive participants 2009-12-01 731

Measure	Date	Value
2016: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2016 401k membership
Total participants, beginning-of-year	2016-12-01	0
Total number of active participants reported on line 7a of the Form 5500	2016-12-01	0
Number of retired or separated participants receiving benefits	2016-12-01	0
Number of other retired or separated participants entitled to future benefits	2016-12-01	0
Total of all active and inactive participants	2016-12-01	0
2015: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2015 401k membership
Total participants, beginning-of-year	2015-12-01	564
Total number of active participants reported on line 7a of the Form 5500	2015-12-01	0
Number of retired or separated participants receiving benefits	2015-12-01	0
Number of other retired or separated participants entitled to future benefits	2015-12-01	0
Total of all active and inactive participants	2015-12-01	0
2014: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2014 401k membership
Total participants, beginning-of-year	2014-12-01	605
Total number of active participants reported on line 7a of the Form 5500	2014-12-01	564
Number of retired or separated participants receiving benefits	2014-12-01	0
Number of other retired or separated participants entitled to future benefits	2014-12-01	0
Total of all active and inactive participants	2014-12-01	564
2013: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2013 401k membership
Total participants, beginning-of-year	2013-12-01	572
Total number of active participants reported on line 7a of the Form 5500	2013-12-01	605
Total of all active and inactive participants	2013-12-01	605
2012: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2012 401k membership
Total participants, beginning-of-year	2012-12-01	690
Total number of active participants reported on line 7a of the Form 5500	2012-12-01	572
Total of all active and inactive participants	2012-12-01	572
2011: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2011 401k membership
Total participants, beginning-of-year	2011-12-01	731
Total number of active participants reported on line 7a of the Form 5500	2011-12-01	690
Number of retired or separated participants receiving benefits	2011-12-01	0
Number of other retired or separated participants entitled to future benefits	2011-12-01	0
Total of all active and inactive participants	2011-12-01	690
2010: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2010 401k membership
Total participants, beginning-of-year	2010-12-01	770
Total number of active participants reported on line 7a of the Form 5500	2010-12-01	731
Number of retired or separated participants receiving benefits	2010-12-01	0
Number of other retired or separated participants entitled to future benefits	2010-12-01	0
Total of all active and inactive participants	2010-12-01	731
2009: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2009 401k membership
Total participants, beginning-of-year	2009-12-01	770
Total number of active participants reported on line 7a of the Form 5500	2009-12-01	731
Total of all active and inactive participants	2009-12-01	731

Form 5500 Responses for GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT

2016: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2016 form 5500 responses
2016-12-01	Type of plan entity	Single employer plan
2016-12-01	Plan funding arrangement – Insurance	Yes
2016-12-01	Plan benefit arrangement – Insurance	Yes
2015: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement – Insurance	Yes
2014: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2014 form 5500 responses
2014-12-01	Type of plan entity	Single employer plan
2014-12-01	Plan funding arrangement – Insurance	Yes
2014-12-01	Plan benefit arrangement – Insurance	Yes
2013: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Plan funding arrangement – Insurance	Yes
2013-12-01	Plan benefit arrangement – Insurance	Yes
2012: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Plan funding arrangement – Insurance	Yes
2012-12-01	Plan benefit arrangement – Insurance	Yes
2011: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Submission has been amended	No
2011-12-01	This submission is the final filing	No
2011-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-12-01	Plan is a collectively bargained plan	No
2011-12-01	Plan funding arrangement – Insurance	Yes
2011-12-01	Plan benefit arrangement – Insurance	Yes
2010: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2010 form 5500 responses
2010-12-01	Type of plan entity	Single employer plan
2010-12-01	Submission has been amended	No
2010-12-01	This submission is the final filing	No
2010-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-12-01	Plan is a collectively bargained plan	No
2010-12-01	Plan funding arrangement – Insurance	Yes
2010-12-01	Plan benefit arrangement – Insurance	Yes
2009: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2009 form 5500 responses
2009-12-01	Type of plan entity	Single employer plan
2009-12-01	Submission has been amended	No
2009-12-01	This submission is the final filing	No
2009-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-12-01	Plan is a collectively bargained plan	No
2009-12-01	Plan funding arrangement – Insurance	Yes
2009-12-01	Plan benefit arrangement – Insurance	Yes
2008: GILA REGIONAL MEDICAL CENTER GROUP LIFE, DEPENDENT LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT 2008 form 5500 responses
2008-12-01	Type of plan entity	Single employer plan
2008-12-01	Submission has been amended	No
2008-12-01	This submission is the final filing	No
2008-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-12-01	Plan is a collectively bargained plan	No

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Company Name:	GILA REGIONAL MEDICAL CENTER
Employer identification number (EIN):	856000321
NAIC Classification:	622000
NAIC Description:	Hospitals