401k Plan data: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE plan

LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 401k Plan overview

Plan Name	LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE
Plan identification number	502

LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance 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

SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (SEARHC) has sponsored the creation of one or more 401k plans.

Company Name: SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (SEARHC)

Employer identification number (EIN): 920056274

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (SEARHC)

Jurisdiction of Incorporation: Alaska Department Commerce, Community & Economic Development

Incorporation Date: 1975-04-22

Company Identification Number: 14328D

Legal Registered Office Address: 3100 CHANNEL DRIVE
SUITE 300
JUNEAU
United States of America (USA)
99801

More information about SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (SEARHC)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01
502 2017-01-01 ALEXA KOONTZ 2019-06-11
502 2016-01-01 PAMELA SIME
502 2015-01-01 PRAVEEN MEKALA
502 2014-01-01 PRAVEEN MEKALA
502 2013-01-01 KAREN TAUG
502 2012-06-01 KAREN TAUG
502 2012-01-01 KAREN TAUG
502 2011-01-01 KAREN TAUG
502 2010-01-01 KAREN TAUG
502 2009-01-01 KAREN TAUG

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2017-01-01
502	2017-01-01	ALEXA KOONTZ	2019-06-11
502	2016-01-01	PAMELA SIME
502	2015-01-01	PRAVEEN MEKALA
502	2014-01-01	PRAVEEN MEKALA
502	2013-01-01	KAREN TAUG
502	2012-06-01	KAREN TAUG
502	2012-01-01	KAREN TAUG
502	2011-01-01	KAREN TAUG
502	2010-01-01	KAREN TAUG
502	2009-01-01	KAREN TAUG

Plan Statistics for LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE

401k plan membership statisitcs for LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE

Measure Date Value
2017: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2017 401k membership
Total participants, beginning-of-year 2017-01-01 582
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 691
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 691
Number of employers contributing to the scheme 2017-01-01 0
2016: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2016 401k membership
Total participants, beginning-of-year 2016-01-01 609
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 621
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 621
2015: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2015 401k membership
Total participants, beginning-of-year 2015-01-01 560
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 609
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 609
2014: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2014 401k membership
Total participants, beginning-of-year 2014-01-01 595
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 560
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 560
2013: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2013 401k membership
Total participants, beginning-of-year 2013-01-01 730
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 595
Total of all active and inactive participants 2013-01-01 595
2012: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2012 401k membership
Total participants, beginning-of-year 2012-06-01 759
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 723
Number of retired or separated participants receiving benefits 2012-06-01 0
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 723
Total participants, beginning-of-year 2012-01-01 771
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 763
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 763
2011: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2011 401k membership
Total participants, beginning-of-year 2011-01-01 785
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 776
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 776
2010: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2010 401k membership
Total participants, beginning-of-year 2010-01-01 680
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 730
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 730
2009: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2009 401k membership
Total participants, beginning-of-year 2009-01-01 681
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 719
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 719

Measure	Date	Value
2017: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2017 401k membership
Total participants, beginning-of-year	2017-01-01	582
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	691
Number of retired or separated participants receiving benefits	2017-01-01	0
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	691
Number of employers contributing to the scheme	2017-01-01	0
2016: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2016 401k membership
Total participants, beginning-of-year	2016-01-01	609
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	621
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	621
2015: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2015 401k membership
Total participants, beginning-of-year	2015-01-01	560
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	609
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	609
2014: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2014 401k membership
Total participants, beginning-of-year	2014-01-01	595
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	560
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	560
2013: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2013 401k membership
Total participants, beginning-of-year	2013-01-01	730
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	595
Total of all active and inactive participants	2013-01-01	595
2012: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2012 401k membership
Total participants, beginning-of-year	2012-06-01	759
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	723
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	723
Total participants, beginning-of-year	2012-01-01	771
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	763
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	763
2011: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2011 401k membership
Total participants, beginning-of-year	2011-01-01	785
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	776
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	776
2010: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2010 401k membership
Total participants, beginning-of-year	2010-01-01	680
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	730
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	730
2009: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2009 401k membership
Total participants, beginning-of-year	2009-01-01	681
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	719
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	719

Form 5500 Responses for LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE

2017: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	Yes
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
2016: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: LIFE, ADD, DEPENDENT LIFE, LTD AND VOLUNTARY LIFE 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

476946

Policy instance

Insurance contract or identification number	476946
Number of Individuals Covered	717
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $16,066
Total amount of fees paid to insurance company	USD $16,901
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $883,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,066
Amount paid for insurance broker fees	16901
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	ALLIANT INSURANCE SERVICES, INC.

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Company Name:	SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM (SEARHC)
Employer identification number (EIN):	920056274
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Alaska Department Commerce, Community & Economic Development
Incorporation Date:	1975-04-22
Company Identification Number:	14328D
Legal Registered Office Address:	3100 CHANNEL DRIVE SUITE 300 JUNEAU United States of America (USA) 99801