GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DELNOR COMMUNITY HEALTH SYSTEM 401k Plan overview

GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DELNOR COMMUNITY HEALTH SYSTEM Benefits

401k Sponsoring company profile

Company Name:	DELNOR COMMUNITY HEALTH SYSTEM
Employer identification number (EIN):	363379958
NAIC Classification:	622000
NAIC Description:	Hospitals

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2011-10-01	SHAWN FITZGERALD
502	2010-10-01	SHAWN FITZGERALD
502	2009-10-01	MICHAEL KITTOE
502	2008-10-01

Plan Statistics for GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DELNOR COMMUNITY HEALTH SYSTEM

Measure	Date	Value
2011: GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DELNOR COMMUNITY HEALTH SYSTEM 2011 401k membership
Total participants, beginning-of-year	2011-10-01	690
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	0
Number of retired or separated participants receiving benefits	2011-10-01	0
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-10-01	0
Total participants	2011-10-01	0
2010: GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DELNOR COMMUNITY HEALTH SYSTEM 2010 401k membership
Total participants, beginning-of-year	2010-10-01	791
Total number of active participants reported on line 7a of the Form 5500	2010-10-01	690
Number of retired or separated participants receiving benefits	2010-10-01	0
Number of other retired or separated participants entitled to future benefits	2010-10-01	0
Total of all active and inactive participants	2010-10-01	690
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-10-01	0
Total participants	2010-10-01	690
2009: GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DELNOR COMMUNITY HEALTH SYSTEM 2009 401k membership
Total participants, beginning-of-year	2009-10-01	872
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	791
Total of all active and inactive participants	2009-10-01	791
Total participants	2009-10-01	791

Form 5500 Responses for GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DELNOR COMMUNITY HEALTH SYSTEM

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• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF SEEC [EIN = 521557285]
• GROUP LONG TERM DISABILITY, SHORT TERM DISABILITY, LIFE AND AD&D PLAN [EIN = 364271298]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF ATOMIC DATA, LLC [EIN = 460473671]
• GROUP LONG TERM CARE [EIN = 570703244]
• GROUP LONG TERM DISABILITY FOR EMPLOYEES OF THE RETIREMENT ADVANTAGE [EIN = 391816008]
• GROUP LONG-TERM DISABILITY & GROUP LIFE & AD&D PLAN I AND IV EMPLOYEES [EIN = 231352159]
• GROUP LONG TERM DISABILITY SALARY CONTINUANCE PLAN [EIN = 133139843]
• GROUP LONG TERM DISABILITY PLAN [EIN = 263789544]
• GROUP LONG-TERM DISABILITY INSURANCE [EIN = 392044064]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF UNITED BANCORP INC. [EIN = 382606280]
• GROUP LONG TERM DISABILITY INSURANCE FOR THE ELIGIBLE EMPLOYEES [EIN = 050352363]
• GROUP LONG TERM DISABILITY [EIN = 130888345]
• GROUP LONG TERM DISABILITY [EIN = 341733739]
• GROUP LONG TERM DISABILITY BENEFITS FOR EMPLOYEES OF SCIENTIFIC GAMES CORP. [EIN = 810422894]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF SDSE LLC [EIN = 201116171]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF THE WASHINGTON HOME & COMMUNITY HOSPICES [EIN = 530196647]
• GROUP LONG TERM DISABILITY [EIN = 440284100]
• GROUP LONG TERM DISABILITY BENEFIT INSURANCE [EIN = 952628227]
• GROUP LONG TERM DISABILITY PLAN [EIN = 470670369]
• GROUP LONG TERM DISABILITY, BASIC TERM LIFE, BASIC ACCIDENTAL DEATH & DISMEMBERMENT PLAN FOR THE EMPLOYEES OF SAGE BANK [EIN = 041557910]
• GROUP LONG TERM DISABILITY [EIN = 740650998]
• GROUP LONG TERM DISABILITY PLAN [EIN = 720358261]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF AURORA HEALTH MANAGEMENT LLC [EIN = 272428601]
• GROUP LONG TERM DISABILITY AND LIFE [EIN = 222937245]
• GROUP LONG TERM DISABILITY [EIN = 132692531]
• GROUP LONG TERM DISABILITY PLAN [EIN = 620566797]
• GROUP LONG TERM DISABILITY FOR SALARIED EMPLOYEES OF FLEXI-VAN [EIN = 131985646]
• GROUP LONG TERM DISABILITY INSURANCE [EIN = 362604009]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF LOZIER STORE FIXTURES, LLC [EIN = 472097334]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF THE ADLER PLANETARIUM [EIN = 366210902]
• GROUP LONG TERM DISABILITY INSURANCE PLAN & GROUP SHORT TERM DISABILITY INSURANCE [EIN = 410946976]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF FLEETMATICS USA HOLDINGS INC [EIN = 203663430]
• GROUP LONG TERM CARE PLAN FOR EMPLOYEES OF SCHEPENS EYE RESEARCH INSTITUTE [EIN = 042129989]
• GROUP LONGTERM DISABILITY INCOME INSURANCE [EIN = 314399894]
• GROUP LONG TERM DISABILITY BENEFITS PLAN [EIN = 522323852]
• GROUP LONG TERM DISABILITY PLAN [EIN = 660378904]
• GROUP LONG TERM DISABILITY INCOME INSURANCE FOR EMPLOYEES OF ELECTRIC ENERGY, INC. [EIN = 370673432]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DALSIN INDUSTRIES [EIN = 411227778]
• GROUP LONG TERM DISABILITY PLAN [EIN = 450278124]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF RUPPERT LANDSCAPE INC [EIN = 200802650]
• GROUP LONG-TERM DISABILITY INSURANCE FOR EMPLOYEES OF FIRSTSERVICE RESIDENTIAL DC METRO, LLC [EIN = 541151419]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF LISCR LLC-FINAL [EIN = 522138904]
• GROUP LONG TERM DISABILITY INSURANCE PLAN [EIN = 361796730]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF MENDOTA COMMUNITY HOSPITAL [EIN = 362167785]
• GROUP LONG TERM DISABILITY PLAN RIO ALGOM INC. [EIN = 731623282]
• GROUP LONG TERM DISABILITY AND LIFE PLAN FOR EMPLOYEES OF AMERICAN FOREST & PAPER ASSOCIATION [EIN = 521802251]
• GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF MAERSK DRILLING USA INC. [EIN = 205899943]
• GROUP LONG TERM DISABILITY FOR EMPLOYEES OF INTELLIGRATED, INC. [EIN = 311787103]
• GROUP LONG TERM CARE [EIN = 446005794]
• GROUP LONG TERM DISABILITY PLAN [EIN = 736093655]
• GROUP LONG TERM DISABILITY [EIN = 231365953]
• GROUP LONG TERM DISABILITY FOR EMPLOYEES OF SIMMONS FIRST NATIONAL BANK [EIN = 710407808]
• GROUP LONG TERM DISABILITY INSURANCE [EIN = 231442032]
• GROUP LONG TERM CARE PLAN [EIN = 361796730]
• GROUP LONG TERM DISABILITY AND SHORT TERM DISABILITY PLAN [EIN = 522175544]
• GROUP LONG TERM DISABILITY INSURANCE PLAN [EIN = 560483414]
• GROUP LONG TERM DISABILITY INSURANCE [EIN = 042175534]
• GROUP LONG TERM DISABILITY PLAN [EIN = 041125010]
• GROUP LONG TERM DISABILITY PLAN OF CENTRAL VERMONT PUBLIC SERVICE CORP. [EIN = 030127430]
• GROUP LONG TERM DISABILITY INSURANCE PROGRAM FOR EMPLOYEES OF WASHINGTON INTERNATIONAL SCHOOL [EIN = 520822077]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF CONTEC, INC. [EIN = 570877605]
• GROUP LONG TERM DISABILITY INSURANCE PLAN [EIN = 041680140]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DIGITAL MANAGEMENT INC [EIN = 680505254]
• GROUP LONG TERM DISABILITY PLAN [EIN = 430981939]
• GROUP LONG TERM DISABILITY PLAN [EIN = 202572391]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF PROFUND ADVISORS LLC PLAN [EIN = 522035194]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF CUTCHINS PROGRAMS FOR CHILDREN & FAMILIES, INC [EIN = 042604427]
• GROUP LONG TERM DISABILITY [EIN = 930491115]
• GROUP LONG-TERM DISABILITY [EIN = 300450751]
• GROUP LONG TERM DISABILITY PLAN FOR FULL TIME EMPLOYEES OF SID TOOL CO., INC. [EIN = 135526506]
• GROUP LONG TERM DISABILITY FOR EMPLOYEES OF 14W ADMINISTRATIVE SERVICES LLC [EIN = 522325681]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF LOUDOUN MEDICAL GROUP [EIN = 541988843]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF METROSTAR SYSTEMS INC [EIN = 541954547]
• GROUP LONG TERM DISABILITY PLAN [EIN = 050198580]
• GROUP LONG TERM CARE PLAN [EIN = 741886524]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF FOULGER-PRATT COMPANIES LLC [EIN = 450463021]
• GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF INTERSTATE GAS SUPPLY [EIN = 311286758]
• GROUP LONG TERM DISABILITY PLAN FOR FELLOWS [EIN = 530196603]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF PLAMONDON ENTERPRISES INC [EIN = 521170787]
• GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF MAERSK DRILLING USA INC. [EIN = 135159146]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF UNITED EDUCATORS MANAGEMENT COMPANY [EIN = 521751521]
• GROUP LONG TERM DISABILITY PLAN [EIN = 840415155]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF SHARE OUR STRENGTH [EIN = 521367538]
• GROUP LONG-TERM DISABILITY PLAN [EIN = 042500082]
• GROUP LONG TERM DISABILITY [EIN = 470635721]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF STANLEY MARTIN COMPANIES LLC [EIN = 208046523]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF INSCOPE INTERNATIONAL INC [EIN = 510434266]
• GROUP LONG TERM DISABILITY INSURANCE PLAN [EIN = 131926673]
• GROUP LONG TERM DISABILITY PLAN FOR AGENTS OF RURAL MUTUAL INSURANCE COMPANY [EIN = 390271985]
• GROUP LONG TERM DISABILITY INSURANCE PLAN [EIN = 363935655]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF AMERICAN CADASTRE LLC [EIN = 542020897]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF SENECA ONE FINANCE INC [EIN = 260045614]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF MICROTECHNOLOGIES LLC [EIN = 200909553]
• GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF CENTRAL CLINIC [EIN = 310552288]
• GROUP LONG TERM DISABILITY PLAN [EIN = 630440014]
• GROUP LONG TERM DISABILITY [EIN = 431861064]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF ABC IMAGING OF WASHINGTON INC [EIN = 521758526]
• GROUP LONG TERM DISABILITY INSURANCE [EIN = 356025844]
• GROUP LONG-TERM DISABIIITY PLAN FOR LEE UNIVERSITY [EIN = 620502739]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF THE AMWAY HOTEL CORPORATION DBA AMWAY GRAND PLAZA HOTEL [EIN = 382239010]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF AERO HARDWARE, DBA HYDRAULIC SUPPLY [EIN = 590819656]
• GROUP LONG TERM DISABILITY INSURANCE PLAN FOR EMPLOYEES OF OHIOHEALTH [EIN = 314394942]
• GROUP LONG TERM DISABILITY PLAN [EIN = 870232489]
• GROUP LONG TERM DISABILITY PLAN OF CENTRAL VERMONT PUBLIC SERVICE CORP. [EIN = 030111290]
• GROUP LONG TERM DISABILITY PLAN [EIN = 541831233]
• GROUP LONG TERM DISABILITY INSURANCE [EIN = 381359251]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF EMPIRE MERCHANTS NORTH, LLC [EIN = 208448427]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF JOSEPH FREED AND ASSOCIATES LLC [EIN = 371391850]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF COMMUNITY SUPPORT SERVICES INC [EIN = 521902966]
• GROUP LONG TERM DISABILITY PLAN [EIN = 135052245]
• GROUP LONG TERM DISABILITY [EIN = 610706398]
• GROUP LONG TERM DISAIBLITY AND LIFE FOR RIPON COLLEGE [EIN = 390826049]
• GROUP LONG TERM DISABILITY INCOME INS. PLAN NON-BARGAINING UNIT [EIN = 231279362]
• GROUP LONG TERM DISABILITY FOR EMPLOYEES [EIN = 410754077]
• GROUP LONG TERM DISABILITY FOR EES OF CAROTEK, INC [EIN = 561712853]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF CONSOLIDATED CHILDRENS APPAREL INC [EIN = 133691126]
• GROUP LONG TERM DISABILITY PLAN OF PETERSBURG MOTOR COMPANY DBA CARTER MYERS AUTOMOTIVE [EIN = 540338910]
• GROUP LONG TERM DISABILITY INSURANCE [EIN = 954512320]
• GROUP LONG AND SHORT TERM DISABILITY PLAN [EIN = 113717707]
• GROUP LONG-TERM DISABILITY PLAN FOR EMPLOYEES OF CENGAGE LEARNING [EIN = 592124491]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF GLOBEOP FINANCIAL SERVICES LLC [EIN = 522202017]
• GROUP LONG TERM DISABILITY [EIN = 381629793]
• GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF THE HYATT REGENCY KAUAI [EIN = 990313071]
• GROUP LONG TERM DISABILITY, BASIC TERM LIFE, BASIC ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR EMPLOYEES OF HEARTLAND CROP INSURANCE [EIN = 481227624]
• GROUP LONG TERM DISABILITY PLAN [EIN = 953163136]
• GROUP LONG TERM DISABILITY BENEFITS FOR KANSAS CITY LIFE AGENTS, FIELD MANAGERS AND GENERAL AGENTS [EIN = 440308260]
• GROUP LONG TERM DISABILITY [EIN = 233152615]
• GROUP LONG TERM DISABILTY AND LIFE PLAN FOR EMPLOYEES OF DIAMOND CRYSTAL BRANDS, INC. [EIN = 592042699]
• GROUP LONG-TERM CARE INSURANCE PLAN [EIN = 314392702]
• GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF SEABROOK WALLCOVERINGS INC [EIN = 620435922]
• GROUP LONG TERM DISABILITY [EIN = 610448560]
• GROUP LONG TERM DISABILITY PLAN [EIN = 431040235]
• GROUP LONG TERM DISABILITY PLAN [EIN = 135648554]
• GROUP LONG TERM DISABILITY, BASIC TERM LIFE, BASIC ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR EMPLOYEES OF ISLAND FEDERAL CREDIT UNION [EIN = 111814791]
• GROUP LONG TERM DISABILITY INCOME INSURANCE FOR EMPLOYEES OF INTERNATIONAL SCHOOL OF THE PENINSULA [EIN = 942599581]
• GROUP LONG TERM DISABILITY PLAN [EIN = 390792093]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF THE SECOND CITY INC [EIN = 363352069]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF JORDANO'S INC. [EIN = 951519497]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF MARKSTEIN SALES COMPANY [EIN = 941307057]
• GROUP LONG TERM CARE (EXECUTIVE) [EIN = 953141669]
• GROUP LONG TERM DISABILITY INSURANCE PLAN [EIN = 208862855]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF MOUNTAIN CAPITAL PARTNERS, LLC [EIN = 811696286]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF DD TRADERS, INC., DBA DEMDACO [EIN = 980122039]
• GROUP LONG TERM DISABILITY BENEFITS [EIN = 010278678]
• GROUP LONG TERM DISABILITY PLAN [EIN = 135679093]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF AKAL SECURITY INC [EIN = 850279473]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF SIDWELL FRIENDS SCHOOL [EIN = 530196519]
• GROUP LONG TERM DISABILITY FOR EMPLOYEES OF LAWRENCE RECRUITING SPECIALISTS, INC. , DBA LRS HEALTHCARE [EIN = 203629021]
• GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF MOODY NATIONAL BANK [EIN = 740560665]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF INTERNATIONAL ASSOCIATION OF HEAT & FROST INSULATORS & ALLIED WORKERS LOCAL 37 [EIN = 350706776]
• GROUP LONG TERM CARE [EIN = 221896752]
• GROUP LONG TERM CARE (EXECUTIVE) [EIN = 953141669]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF PUSH PEDAL PULL, INC. [EIN = 460370302]
• GROUP LONG TERM DISABILITY INSURANCE FOR EMPLOYEES OF MORAE GLOBAL CORPORATION [EIN = 260562318]
• GROUP LONG TERM DISABILITY BENEFITS FOR EMPLOYEES OF FORESTERS FINANCIAL [EIN = 136120357]
• GROUP LONG-TERM DISABILITY INSURANCE [EIN = 900953408]
• GROUP LONG TERM DISABILITY INSURANCE FOR MCCLURE ENGINEERING [EIN = 430788782]
• GROUP LONG TERM CARE [EIN = 010046400]

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