401k Plan data: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN plan

MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 401k Plan overview

Plan Name	MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN
Plan identification number	511

MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or 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 SELF-FUNDED HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
511 2016-01-01 TRACY MESSINEO
511 2015-01-01 TRACY MESSINEO
511 2014-01-01 TRACY MESSINEO
511 2013-01-01 TRACY MESSINEO
511 2012-01-01 TRACY MESSINEO
511 2011-01-01 TRACY MESSINEO
511 2010-01-01 JACQUELINE BRIGHT

Plan id#	Filing Submission Date	Name of Administrator
511	2016-01-01	TRACY MESSINEO
511	2015-01-01	TRACY MESSINEO
511	2014-01-01	TRACY MESSINEO
511	2013-01-01	TRACY MESSINEO
511	2012-01-01	TRACY MESSINEO
511	2011-01-01	TRACY MESSINEO
511	2010-01-01	JACQUELINE BRIGHT

Plan Statistics for MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN

401k plan membership statisitcs for MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN

Measure Date Value
2016: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Total participants 2016-01-01 0
2015: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 0
Number of retired or separated participants receiving benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
Total participants 2015-01-01 0
2014: MILLS-PENINSULA HEALTH SERVICES 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: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 1,241
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 1,153
Number of retired or separated participants receiving benefits 2013-01-01 41
Total of all active and inactive participants 2013-01-01 1,194
Total participants 2013-01-01 1,194
2012: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 1,329
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 1,215
Number of retired or separated participants receiving benefits 2012-01-01 17
Total of all active and inactive participants 2012-01-01 1,232
Total participants 2012-01-01 1,232
2011: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 1,380
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 1,296
Number of retired or separated participants receiving benefits 2011-01-01 17
Total of all active and inactive participants 2011-01-01 1,313
Total participants 2011-01-01 1,313
2010: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,408
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,376
Number of retired or separated participants receiving benefits 2010-01-01 4
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 1,380
Total participants 2010-01-01 1,380

Measure	Date	Value
2016: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Total participants	2016-01-01	0
2015: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	0
Number of retired or separated participants receiving benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
Total participants	2015-01-01	0
2014: MILLS-PENINSULA HEALTH SERVICES 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: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	1,241
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	1,153
Number of retired or separated participants receiving benefits	2013-01-01	41
Total of all active and inactive participants	2013-01-01	1,194
Total participants	2013-01-01	1,194
2012: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	1,329
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	1,215
Number of retired or separated participants receiving benefits	2012-01-01	17
Total of all active and inactive participants	2012-01-01	1,232
Total participants	2012-01-01	1,232
2011: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	1,380
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	1,296
Number of retired or separated participants receiving benefits	2011-01-01	17
Total of all active and inactive participants	2011-01-01	1,313
Total participants	2011-01-01	1,313
2010: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,408
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,376
Number of retired or separated participants receiving benefits	2010-01-01	4
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	1,380
Total participants	2010-01-01	1,380

Form 5500 Responses for MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN

2016: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 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	Yes
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 – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 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 – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: MILLS-PENINSULA HEALTH SERVICES 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	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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: MILLS-PENINSULA HEALTH SERVICES 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: MILLS-PENINSULA HEALTH SERVICES 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: MILLS-PENINSULA HEALTH SERVICES 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
2010: MILLS-PENINSULA HEALTH SERVICES SELF-FUNDED HEALTH PLAN 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 – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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