Plan Name | CITY OF HAYTI HEALTH PLAN |
Plan identification number | 537 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | CITY OF HAYTI |
Employer identification number (EIN): | 436001583 |
NAIC Classification: | 921000 |
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
---|---|---|---|---|---|
537 | 2017-01-01 | ANNA THOMPSON | |||
537 | 2016-01-01 | HEATHER CRAIG | |||
537 | 2015-01-01 | HEATHER CRAIG |
Measure | Date | Value |
---|---|---|
2017: CITY OF HAYTI HEALTH PLAN 2017 401k membership | ||
Total participants, beginning-of-year | 2017-01-01 | 31 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 29 |
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 | 29 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
Total participants | 2017-01-01 | 29 |
2016: CITY OF HAYTI HEALTH PLAN 2016 401k membership | ||
Total participants, beginning-of-year | 2016-01-01 | 35 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 36 |
Total of all active and inactive participants | 2016-01-01 | 36 |
Total participants | 2016-01-01 | 36 |
2015: CITY OF HAYTI HEALTH PLAN 2015 401k membership | ||
Total participants, beginning-of-year | 2015-01-01 | 28 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 30 |
Total of all active and inactive participants | 2015-01-01 | 30 |
Total participants | 2015-01-01 | 30 |
2017: CITY OF HAYTI HEALTH 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 | No |
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 funding arrangement – General assets of the sponsor | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: CITY OF HAYTI HEALTH 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 funding arrangement – General assets of the sponsor | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: CITY OF HAYTI HEALTH PLAN 2015 form 5500 responses | ||
2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | First time form 5500 has been submitted | Yes |
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 funding arrangement – General assets of the sponsor | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | US751320 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | ECU-0172-GL | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||
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