401k Plan data: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL plan

TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 401k Plan overview

Plan Name	TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL
Plan identification number	502

TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

DECATUR MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: DECATUR MEMORIAL HOSPITAL

Employer identification number (EIN): 370661199

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2011-01-01 DEBORAH BRAGG
502 2010-01-01 GARY PEACOCK
502 2009-01-01 DAVID OPPENLANDER

Plan id#	Filing Submission Date	Name of Administrator
502	2011-01-01	DEBORAH BRAGG
502	2010-01-01	GARY PEACOCK
502	2009-01-01	DAVID OPPENLANDER

Plan Statistics for TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL

401k plan membership statisitcs for TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL

Measure Date Value
2011: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year 2011-01-01 2,086
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
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 0
Total participants 2011-01-01 0
2010: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 2010 401k membership
Total participants, beginning-of-year 2010-01-01 1,602
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 1,963
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 1,963
Total participants 2010-01-01 1,963
2009: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year 2009-01-01 2,100
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 2,050
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 2,050
Total participants 2009-01-01 2,050

Measure	Date	Value
2011: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year	2011-01-01	2,086
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
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	0
Total participants	2011-01-01	0
2010: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 2010 401k membership
Total participants, beginning-of-year	2010-01-01	1,602
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	1,963
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	1,963
Total participants	2010-01-01	1,963
2009: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year	2009-01-01	2,100
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	2,050
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	2,050
Total participants	2009-01-01	2,050

Form 5500 Responses for TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL

2011: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 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	Yes
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: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 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: TERM LIFE, AD&D INSURANCE FOR EMPLOYEES OF DECATUR MEMORIAL HOSPITAL 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Potentially related plans

TERM LIFE, ACCIDENTAL DEATH AND SHORT TERM DISABILITY PLAN [EIN = 530085970]

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Company Name:	DECATUR MEMORIAL HOSPITAL
Employer identification number (EIN):	370661199
NAIC Classification:	622000
NAIC Description:	Hospitals