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ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 401k Plan overview

Plan NameANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN
Plan identification number 501

ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

HARTFORD HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:HARTFORD HOSPITAL
Employer identification number (EIN):060646668
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-01-01TRISH WETTLAUFER
5012014-01-01
5012013-01-01WILLIAM LOCKHART
5012012-01-01MYRA DENAPOLI MYRA DENAPOLI2014-05-01
5012011-01-01PAMELA HOLBROOK
5012010-01-01VALERIE DILLON-WEED
5012009-10-01PAUL BESSON
5012008-10-01

Plan Statistics for ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN

401k plan membership statisitcs for ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN

Measure Date Value
2014: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,431
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-010
2013: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,376
Total number of active participants reported on line 7a of the Form 55002013-01-011,431
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,431
2012: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,376
Total number of active participants reported on line 7a of the Form 55002012-01-011,431
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-011,431
Total participants2012-01-011,431
2011: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,034
Total number of active participants reported on line 7a of the Form 55002011-01-011,376
Number of retired or separated participants receiving benefits2011-01-010
Total of all active and inactive participants2011-01-011,376
2010: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01993
Total number of active participants reported on line 7a of the Form 55002010-01-011,034
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-011,034
2009: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01878
Total number of active participants reported on line 7a of the Form 55002009-10-01878
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-01878

Form 5500 Responses for ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN

2014: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
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: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
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: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
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: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
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: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
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: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – General assets of the sponsorYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – General assets of the sponsorYes
2008: ANTHEM BLUE CROSS & BLUE SHIELD MEDICAL PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

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