401k Plan data: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN plan

TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN
Plan identification number	503

TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

TRINITY MEDICAL CENTER WEST has sponsored the creation of one or more 401k plans.

Company Name: TRINITY MEDICAL CENTER WEST

Employer identification number (EIN): 340875691

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2014-01-01 FRED BROWER
503 2013-01-01 FRED BROWER
503 2012-01-01 FRED BROWER
503 2011-01-01 FRED BROWER
503 2010-01-01 FRED BROWER
503 2009-01-06 FRED BROWER

Plan id#	Filing Submission Date	Name of Administrator
503	2014-01-01	FRED BROWER
503	2013-01-01	FRED BROWER
503	2012-01-01	FRED BROWER
503	2011-01-01	FRED BROWER
503	2010-01-01	FRED BROWER
503	2009-01-06	FRED BROWER

Plan Statistics for TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN

401k plan membership statisitcs for TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN

Measure Date Value
2014: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 975
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 975
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 975
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 975
2013: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 970
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 975
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 975
Total participants 2013-01-01 975
2012: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 937
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 970
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 970
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 970
2011: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 938
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 937
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 937
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 937
2010: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 936
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 938
Number of retired or separated participants receiving benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 938
Total participants 2010-01-01 938
2009: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-06 893
Total number of active participants reported on line 7a of the Form 5500 2009-01-06 936
Number of retired or separated participants receiving benefits 2009-01-06 0
Number of other retired or separated participants entitled to future benefits 2009-01-06 0
Total of all active and inactive participants 2009-01-06 936
Total participants 2009-01-06 936

Measure	Date	Value
2014: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	975
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	975
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	975
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	975
2013: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	970
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	975
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	975
Total participants	2013-01-01	975
2012: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	937
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	970
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	970
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	970
2011: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	938
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	937
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	937
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	937
2010: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	936
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	938
Number of retired or separated participants receiving benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	938
Total participants	2010-01-01	938
2009: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-06	893
Total number of active participants reported on line 7a of the Form 5500	2009-01-06	936
Number of retired or separated participants receiving benefits	2009-01-06	0
Number of other retired or separated participants entitled to future benefits	2009-01-06	0
Total of all active and inactive participants	2009-01-06	936
Total participants	2009-01-06	936

Form 5500 Responses for TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN

2014: TRINITY MEDICAL CENTER LONG TERM DISABILITY 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 – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: TRINITY MEDICAL CENTER LONG TERM DISABILITY 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 – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: TRINITY MEDICAL CENTER LONG TERM DISABILITY 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 – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: TRINITY MEDICAL CENTER LONG TERM DISABILITY 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 – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: TRINITY MEDICAL CENTER LONG TERM DISABILITY 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 – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: TRINITY MEDICAL CENTER LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-06	Type of plan entity	Single employer plan
2009-01-06	Submission has been amended	No
2009-01-06	This submission is the final filing	No
2009-01-06	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-06	Plan is a collectively bargained plan	No
2009-01-06	Plan funding arrangement – Insurance	Yes
2009-01-06	Plan benefit arrangement – Insurance	Yes

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Company Name:	TRINITY MEDICAL CENTER WEST
Employer identification number (EIN):	340875691
NAIC Classification:	622000
NAIC Description:	Hospitals