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MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 401k Plan overview

Plan NameMILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN
Plan identification number 506

MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

MILLS-PENINSULA HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name:MILLS-PENINSULA HEALTH SERVICES
Employer identification number (EIN):941156265
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062015-01-01MAYNARD JENKINS
5062014-01-01MAYNARD JENKINS
5062013-01-01PRISCILLA WONG
5062012-01-01MAYNARD JENKINS
5062011-01-01MAYNARD JENKINS
5062010-01-01JUDY DIPAOLO
5062009-01-01JUDY DIPAOLO
5062009-01-01JUDY DIPAOLO

Plan Statistics for MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN

401k plan membership statisitcs for MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN

Measure Date Value
2015: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,819
Total number of active participants reported on line 7a of the Form 55002015-01-011,593
Number of retired or separated participants receiving benefits2015-01-01166
Total of all active and inactive participants2015-01-011,759
Total participants2015-01-011,759
2014: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,078
Total number of active participants reported on line 7a of the Form 55002014-01-011,656
Number of retired or separated participants receiving benefits2014-01-01163
Total of all active and inactive participants2014-01-011,819
Total participants2014-01-011,819
2013: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,087
Total number of active participants reported on line 7a of the Form 55002013-01-011,681
Number of retired or separated participants receiving benefits2013-01-01397
Total of all active and inactive participants2013-01-012,078
Total participants2013-01-012,078
Number of employers contributing to the scheme2013-01-010
2012: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,560
Total number of active participants reported on line 7a of the Form 55002012-01-011,762
Number of retired or separated participants receiving benefits2012-01-01325
Total of all active and inactive participants2012-01-012,087
Total participants2012-01-012,087
Number of employers contributing to the scheme2012-01-010
2011: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,199
Total number of active participants reported on line 7a of the Form 55002011-01-012,246
Number of retired or separated participants receiving benefits2011-01-01314
Total of all active and inactive participants2011-01-012,560
2010: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-012,309
Total number of active participants reported on line 7a of the Form 55002010-01-011,863
Number of retired or separated participants receiving benefits2010-01-01336
Total of all active and inactive participants2010-01-012,199
2009: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,433
Total number of active participants reported on line 7a of the Form 55002009-01-011,992
Number of retired or separated participants receiving benefits2009-01-01317
Total of all active and inactive participants2009-01-012,309
Number of other retired or separated participants entitled to future benefits2009-01-010
Total participants2009-01-011,408

Form 5500 Responses for MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN

2015: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: MILLS-PENINSULA HEALTH SERVICES GROUP WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number525129
Policy instance 1
Insurance contract or identification number525129
Number of Individuals Covered166
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $29,580
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $692,667
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,580
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameWOODRUFF-SAWYER & COMPANY
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number525129
Policy instance 1
Insurance contract or identification number525129
Number of Individuals Covered163
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $676,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number525129
Policy instance 1
Insurance contract or identification number525129
Number of Individuals Covered165
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $28,995
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $557,684
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,995
Insurance broker organization code?3
Insurance broker nameWOODRUFF-SAWYER & COMPANY
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number525129
Policy instance 1
Insurance contract or identification number525129
Number of Individuals Covered159
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $44,304
Welfare Benefit Premiums Paid to CarrierUSD $609,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,279
Insurance broker organization code?3
Insurance broker nameWOODRUFF-SAWYER & COMPANY
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number525129
Policy instance 1
Insurance contract or identification number525129
Number of Individuals Covered609
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $148,049
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $8,637,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number525183
Policy instance 1
Insurance contract or identification number525183
Number of Individuals Covered655
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $135,645
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $7,993,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $122,492
Insurance broker organization code?3
Insurance broker nameABD INSURANCE & FINANCIAL SERVICES

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