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TRI COUNTY HEALTH CARE ANCILLARY PLAN 401k Plan overview

Plan NameTRI COUNTY HEALTH CARE ANCILLARY PLAN
Plan identification number 503

TRI COUNTY HEALTH CARE ANCILLARY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

TRI COUNTY HEALTH CARE has sponsored the creation of one or more 401k plans.

Company Name:TRI COUNTY HEALTH CARE
Employer identification number (EIN):261504304
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRI COUNTY HEALTH CARE ANCILLARY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032014-01-01PAMELA J. ONEILL
5032013-01-01BRYAN PEDERSON
5032012-01-01BRYAN R. PEDERSON
5032011-01-01DEBBIE SLY
5032010-01-01DEBBIE SLY
5032009-01-01DEBBIE SLY

Plan Statistics for TRI COUNTY HEALTH CARE ANCILLARY PLAN

401k plan membership statisitcs for TRI COUNTY HEALTH CARE ANCILLARY PLAN

Measure Date Value
2014: TRI COUNTY HEALTH CARE ANCILLARY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01484
Total number of active participants reported on line 7a of the Form 55002014-01-01398
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 participants2014-01-01398
2013: TRI COUNTY HEALTH CARE ANCILLARY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01615
Total number of active participants reported on line 7a of the Form 55002013-01-01484
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 participants2013-01-01484
2012: TRI COUNTY HEALTH CARE ANCILLARY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01595
Total number of active participants reported on line 7a of the Form 55002012-01-01615
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 participants2012-01-01615
2011: TRI COUNTY HEALTH CARE ANCILLARY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01595
Total number of active participants reported on line 7a of the Form 55002011-01-01595
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01595
2010: TRI COUNTY HEALTH CARE ANCILLARY PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01647
Total number of active participants reported on line 7a of the Form 55002010-01-01595
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 participants2010-01-01595
2009: TRI COUNTY HEALTH CARE ANCILLARY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01647
Total number of active participants reported on line 7a of the Form 55002009-01-01647
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01647

Form 5500 Responses for TRI COUNTY HEALTH CARE ANCILLARY PLAN

2014: TRI COUNTY HEALTH CARE ANCILLARY 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: TRI COUNTY HEALTH CARE ANCILLARY 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 benefit arrangement – InsuranceYes
2012: TRI COUNTY HEALTH CARE ANCILLARY 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 benefit arrangement – InsuranceYes
2011: TRI COUNTY HEALTH CARE ANCILLARY 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 benefit arrangement – InsuranceYes
2010: TRI COUNTY HEALTH CARE ANCILLARY 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 benefit arrangement – InsuranceYes
2009: TRI COUNTY HEALTH CARE ANCILLARY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
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 benefit arrangement – InsuranceYes

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