401k Plan data: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN plan

HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 401k Plan overview

Plan Name	HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN
Plan identification number	503

HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN Benefits

401k Plan Type	Welfare 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

HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY has sponsored the creation of one or more 401k plans.

Company Name: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY

Employer identification number (EIN): 363906745

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs

Incorporation Date:

Company Identification Number: 90060V

More information about HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2017-01-01 GAVIN FARRY
503 2016-01-01 GAVIN FARRY KRISTINE TIEFENTHALER 2017-07-28
503 2015-01-01
503 2014-01-01 BRENDA DUNCAN
503 2013-01-01 BRENDA DUNCAN R. NORRIS ORMS 2014-07-30
503 2012-10-01 BRENDA DUNCAN R. NORRIS ORMS 2013-10-11
503 2011-10-01 BRENDA DUNCAN R. NORRIS ORMS 2013-04-22
503 2009-10-01 BRENDA DUNCAN R. NORRIS ORMS 2011-04-28
503 2009-09-01 BRENDA DUNCAN R. NORRIS ORMS 2010-04-26

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2017-01-01	GAVIN FARRY
503	2016-01-01	GAVIN FARRY	KRISTINE TIEFENTHALER	2017-07-28
503	2015-01-01
503	2014-01-01	BRENDA DUNCAN
503	2013-01-01	BRENDA DUNCAN	R. NORRIS ORMS	2014-07-30
503	2012-10-01	BRENDA DUNCAN	R. NORRIS ORMS	2013-10-11
503	2011-10-01	BRENDA DUNCAN	R. NORRIS ORMS	2013-04-22
503	2009-10-01	BRENDA DUNCAN	R. NORRIS ORMS	2011-04-28
503	2009-09-01	BRENDA DUNCAN	R. NORRIS ORMS	2010-04-26

Plan Statistics for HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN

401k plan membership statisitcs for HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN

Measure Date Value
2017: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 307
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 294
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 299
Number of retired or separated participants receiving benefits 2016-01-01 8
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 307
2015: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 307
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 287
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 287
2014: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 320
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 316
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 2014-01-01 316
2013: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 214
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 302
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 2013-01-01 302
2012: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 204
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 214
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 0
Total of all active and inactive participants 2012-10-01 214
2011: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 185
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 203
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 2011-10-01 203
2009: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 180
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 180
Number of retired or separated participants receiving benefits 2009-10-01 0
Number of other retired or separated participants entitled to future benefits 2009-10-01 0
Total of all active and inactive participants 2009-10-01 180
Total participants, beginning-of-year 2009-09-01 180
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 180
Number of retired or separated participants receiving benefits 2009-09-01 0
Number of other retired or separated participants entitled to future benefits 2009-09-01 0
Total of all active and inactive participants 2009-09-01 180

Measure	Date	Value
2017: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	307
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	294
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	299
Number of retired or separated participants receiving benefits	2016-01-01	8
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	307
2015: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	307
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	287
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	287
2014: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	320
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	316
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	316
2013: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	214
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	302
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	302
2012: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	204
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	214
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	214
2011: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	185
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	203
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	203
2009: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	180
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	180
Number of retired or separated participants receiving benefits	2009-10-01	0
Number of other retired or separated participants entitled to future benefits	2009-10-01	0
Total of all active and inactive participants	2009-10-01	180
Total participants, beginning-of-year	2009-09-01	180
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	180
Number of retired or separated participants receiving benefits	2009-09-01	0
Number of other retired or separated participants entitled to future benefits	2009-09-01	0
Total of all active and inactive participants	2009-09-01	180

Form 5500 Responses for HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN

2017: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE 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: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE 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: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	No
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2009: HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY LIFE INSURANCE PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	Submission has been amended	No
2009-10-01	This submission is the final filing	No
2009-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-10-01	Plan is a collectively bargained plan	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

233560

Policy instance

Insurance contract or identification number	233560
Number of Individuals Covered	0
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $2,664
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $189,569
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	2664
Additional information about fees paid to insurance broker	BONUS PAID
Insurance broker organization code?	3
Insurance broker name	WILLIS OF ILLINOIS INC

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Company Name:	HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY
Employer identification number (EIN):	363906745
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	90060V