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THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 401k Plan overview

Plan NameTHE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN
Plan identification number 510

THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH 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)

401k Sponsoring company profile

THE UNION HOSPITAL ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:THE UNION HOSPITAL ASSOCIATION
Employer identification number (EIN):340714771
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102020-01-01
5102019-01-01
5102018-01-01
5102017-01-01
5102016-01-01
5102015-01-01
5102014-01-01

Plan Statistics for THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN

401k plan membership statisitcs for THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN

Measure Date Value
2020: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,126
Total number of active participants reported on line 7a of the Form 55002020-01-01176
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01176
2019: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,024
Total number of active participants reported on line 7a of the Form 55002019-01-012,126
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012,126
2018: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,027
Total number of active participants reported on line 7a of the Form 55002018-01-011,024
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,024
2017: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,040
Total number of active participants reported on line 7a of the Form 55002017-01-011,027
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-011,027
2016: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,048
Total number of active participants reported on line 7a of the Form 55002016-01-011,040
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,040
2015: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,006
Total number of active participants reported on line 7a of the Form 55002015-01-011,048
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,048
2014: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,006
Total number of active participants reported on line 7a of the Form 55002014-01-011,006
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 participants2014-01-011,006

Form 5500 Responses for THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN

2020: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH 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 benefit arrangement – InsuranceYes
2014: THE UNION HOSPITAL ASSOCIATION LIFE, LONG TERM DISABILITY AND ACCIDENTAL DEATH PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 6089 )
Policy contract numberG 00612283
Policy instance 1
Insurance contract or identification numberG 00612283
Number of Individuals Covered176
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $7,168
Total amount of fees paid to insurance companyUSD $6,013
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $100,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,168
Amount paid for insurance broker fees6013
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00612283
Policy instance 1
Insurance contract or identification numberG 00612283
Number of Individuals Covered2126
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $10,808
Total amount of fees paid to insurance companyUSD $5,275
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $155,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,808
Amount paid for insurance broker fees5275
Insurance broker organization code?3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number
Policy instance 1
Number of Individuals Covered1024
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $10,001
Total amount of fees paid to insurance companyUSD $7,174
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $144,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,001
Amount paid for insurance broker fees7174
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number
Policy instance 1
Number of Individuals Covered1027
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $9,019
Total amount of fees paid to insurance companyUSD $10,442
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $140,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number
Policy instance 1
Number of Individuals Covered1006
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,011
Total amount of fees paid to insurance companyUSD $4,209
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $140,307
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,011
Amount paid for insurance broker fees4209
Insurance broker organization code?3

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