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COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 401k Plan overview

Plan NameCOMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN
Plan identification number 507

COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA
Employer identification number (EIN):942864615
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1122005

More information about COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072015-01-01ROGER FRETWELL
5072015-01-01ROGER FRETWELL
5072014-01-01ROGER FRETWELL
5072013-01-01ROGER FRETWELL
5072011-01-01ROGER FRETWELL
5072009-01-01ROGER FRETWELL

Plan Statistics for COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN

401k plan membership statisitcs for COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN

Measure Date Value
2015: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-016,652
Total number of active participants reported on line 7a of the Form 55002015-01-017,152
Total of all active and inactive participants2015-01-017,152
Total participants2015-01-010
2014: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-016,361
Total number of active participants reported on line 7a of the Form 55002014-01-016,652
Total of all active and inactive participants2014-01-016,652
Total participants2014-01-010
2013: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-015,957
Total number of active participants reported on line 7a of the Form 55002013-01-016,361
Total of all active and inactive participants2013-01-016,361
Total participants2013-01-010
2011: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-015,437
Total number of active participants reported on line 7a of the Form 55002011-01-015,486
Total of all active and inactive participants2011-01-015,486
Total participants2011-01-015,486
2009: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-015,365
Total number of active participants reported on line 7a of the Form 55002009-01-015,619
Total of all active and inactive participants2009-01-015,619
Total participants2009-01-015,619

Form 5500 Responses for COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN

2015: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2011: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: COMMUNITY HOSPITALS OF CENTRAL CALIFORNIA LONG-TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402270G
Policy instance 1
Insurance contract or identification number402270G
Number of Individuals Covered7152
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $116,049
Total amount of fees paid to insurance companyUSD $48,750
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,320,985
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract numberGF386006671701
Policy instance 2
Insurance contract or identification numberGF386006671701
Number of Individuals Covered7019
Insurance policy start date2015-04-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $37,472
Total amount of fees paid to insurance companyUSD $10,616
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $969,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402270G
Policy instance 1
Insurance contract or identification number402270G
Number of Individuals Covered6652
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $123,316
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,211,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $123,316
Insurance broker organization code?3
Insurance broker nameTOWERS WATSON DELAWARE INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number402270G
Policy instance 1
Insurance contract or identification number402270G
Number of Individuals Covered6361
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $173,750
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,729,545
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $173,750
Insurance broker organization code?3
Insurance broker nameTOWERS WATSON DELAWARE INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10111656
Policy instance 1
Insurance contract or identification number10111656
Number of Individuals Covered5779
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $81,723
Total amount of fees paid to insurance companyUSD $11,250
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,362,043
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10111656
Policy instance 1
Insurance contract or identification number10111656
Number of Individuals Covered5688
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $77,420
Total amount of fees paid to insurance companyUSD $12,500
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,290,334
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $77,420
Amount paid for insurance broker fees12500
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC

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