401k Plan data: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN plan

NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 401k Plan overview

Plan Name	NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN
Plan identification number	526

NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

SUTTER BAY HOSPITALS has sponsored the creation of one or more 401k plans.

Company Name: SUTTER BAY HOSPITALS

Employer identification number (EIN): 940562680

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about SUTTER BAY HOSPITALS

Jurisdiction of Incorporation: California Department of State

Incorporation Date:

Company Identification Number: C0015273

More information about SUTTER BAY HOSPITALS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
526 2014-01-01 TRACY MESSINEO
526 2013-01-01 TRACY MESSINEO
526 2012-01-01 TRACY MESSINEO
526 2011-01-01 TRACY MESSINEO

Plan id#	Filing Submission Date	Name of Administrator
526	2014-01-01	TRACY MESSINEO
526	2013-01-01	TRACY MESSINEO
526	2012-01-01	TRACY MESSINEO
526	2011-01-01	TRACY MESSINEO

Plan Statistics for NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN

401k plan membership statisitcs for NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN

Measure Date Value
2014: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
Total participants 2014-01-01 0
2013: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Number of retired or separated participants receiving benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
Total participants 2013-01-01 0
2012: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 0
Total participants 2012-01-01 0
2011: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 229
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 209
Number of retired or separated participants receiving benefits 2011-01-01 6
Total of all active and inactive participants 2011-01-01 215
Total participants 2011-01-01 215

Measure	Date	Value
2014: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
Total participants	2014-01-01	0
2013: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Number of retired or separated participants receiving benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
Total participants	2013-01-01	0
2012: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	0
Total participants	2012-01-01	0
2011: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	229
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	209
Number of retired or separated participants receiving benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	215
Total participants	2011-01-01	215

Form 5500 Responses for NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN

2014: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 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	Yes
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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 2012 form 5500 responses
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)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: NOVATO COMMUNITY HOSPITAL SELF-FUNDED HEALTH PLAN 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 – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	SUTTER BAY HOSPITALS
Employer identification number (EIN):	940562680
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:
Company Identification Number:	C0015273