401k Plan data: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN plan

MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 401k Plan overview

Plan Name	MEMORIAL HEALTHCARE LIFE INSURANCE PLAN
Plan identification number	507

MEMORIAL HEALTHCARE LIFE INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

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

Company Name: MEMORIAL HEALTHCARE

Employer identification number (EIN): 381358208

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEMORIAL HEALTHCARE LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
507 2016-01-01 EDDIE SMITH
507 2015-04-01 EDDIE SMITH
507 2014-04-01 EDDIE SMITH
507 2013-04-01 EDDIE SMITH
507 2012-04-01 EDDIE SMITH
507 2011-04-01 EDDIE SMITH
507 2010-04-01 EDDIE SMITH
507 2010-01-01 EDDIE SMITH
507 2009-01-01 EDDIE SMITH
507 2008-01-01 EDDIE SMITH

Plan id#	Filing Submission Date	Name of Administrator
507	2016-01-01	EDDIE SMITH
507	2015-04-01	EDDIE SMITH
507	2014-04-01	EDDIE SMITH
507	2013-04-01	EDDIE SMITH
507	2012-04-01	EDDIE SMITH
507	2011-04-01	EDDIE SMITH
507	2010-04-01	EDDIE SMITH
507	2010-01-01	EDDIE SMITH
507	2009-01-01	EDDIE SMITH
507	2008-01-01	EDDIE SMITH

Plan Statistics for MEMORIAL HEALTHCARE LIFE INSURANCE PLAN

401k plan membership statisitcs for MEMORIAL HEALTHCARE LIFE INSURANCE PLAN

Measure Date Value
2016: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 914
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
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 0
2015: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-04-01 886
Total number of active participants reported on line 7a of the Form 5500 2015-04-01 914
Number of retired or separated participants receiving benefits 2015-04-01 0
Number of other retired or separated participants entitled to future benefits 2015-04-01 0
Total of all active and inactive participants 2015-04-01 914
2014: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-04-01 877
Total number of active participants reported on line 7a of the Form 5500 2014-04-01 886
Number of retired or separated participants receiving benefits 2014-04-01 0
Number of other retired or separated participants entitled to future benefits 2014-04-01 0
Total of all active and inactive participants 2014-04-01 886
2013: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 828
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 877
Number of retired or separated participants receiving benefits 2013-04-01 0
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 877
2012: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 795
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 828
Number of retired or separated participants receiving benefits 2012-04-01 0
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 828
2011: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 757
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 795
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 795
2010: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 756
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 757
Number of retired or separated participants receiving benefits 2010-04-01 0
Number of other retired or separated participants entitled to future benefits 2010-04-01 0
Total of all active and inactive participants 2010-04-01 757
Total participants, beginning-of-year 2010-01-01 725
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 756
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 2010-01-01 756
2009: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 753
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 725
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 2009-01-01 725
2008: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 745
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 753
Number of retired or separated participants receiving benefits 2008-01-01 0
Number of other retired or separated participants entitled to future benefits 2008-01-01 0
Total of all active and inactive participants 2008-01-01 753

Measure	Date	Value
2016: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	914
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
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	0
2015: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-04-01	886
Total number of active participants reported on line 7a of the Form 5500	2015-04-01	914
Number of retired or separated participants receiving benefits	2015-04-01	0
Number of other retired or separated participants entitled to future benefits	2015-04-01	0
Total of all active and inactive participants	2015-04-01	914
2014: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-04-01	877
Total number of active participants reported on line 7a of the Form 5500	2014-04-01	886
Number of retired or separated participants receiving benefits	2014-04-01	0
Number of other retired or separated participants entitled to future benefits	2014-04-01	0
Total of all active and inactive participants	2014-04-01	886
2013: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	828
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	877
Number of retired or separated participants receiving benefits	2013-04-01	0
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	877
2012: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	795
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	828
Number of retired or separated participants receiving benefits	2012-04-01	0
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	828
2011: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	757
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	795
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	795
2010: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	756
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	757
Number of retired or separated participants receiving benefits	2010-04-01	0
Number of other retired or separated participants entitled to future benefits	2010-04-01	0
Total of all active and inactive participants	2010-04-01	757
Total participants, beginning-of-year	2010-01-01	725
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	756
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	756
2009: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	753
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	725
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	725
2008: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	745
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	753
Number of retired or separated participants receiving benefits	2008-01-01	0
Number of other retired or separated participants entitled to future benefits	2008-01-01	0
Total of all active and inactive participants	2008-01-01	753

Form 5500 Responses for MEMORIAL HEALTHCARE LIFE INSURANCE PLAN

2016: MEMORIAL HEALTHCARE 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	Yes
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: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2015 form 5500 responses
2015-04-01	Type of plan entity	Single employer plan
2015-04-01	Submission has been amended	No
2015-04-01	This submission is the final filing	No
2015-04-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-04-01	Plan is a collectively bargained plan	No
2015-04-01	Plan funding arrangement – Insurance	Yes
2015-04-01	Plan benefit arrangement – Insurance	Yes
2014: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2014 form 5500 responses
2014-04-01	Type of plan entity	Single employer plan
2014-04-01	Submission has been amended	No
2014-04-01	This submission is the final filing	No
2014-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-04-01	Plan is a collectively bargained plan	No
2014-04-01	Plan funding arrangement – Insurance	Yes
2014-04-01	Plan benefit arrangement – Insurance	Yes
2013: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2012: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2011: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2010: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	No
2010-04-01	This submission is the final filing	No
2010-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-04-01	Plan is a collectively bargained plan	No
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes
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)	Yes
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: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 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
2008: MEMORIAL HEALTHCARE LIFE INSURANCE PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	First time form 5500 has been submitted	Yes
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	MEMORIAL HEALTHCARE
Employer identification number (EIN):	381358208
NAIC Classification:	622000
NAIC Description:	Hospitals