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| Plan Name | GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF THE REHABILITATION HOSPITAL OF THE PACIFIC |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | REHABILITATION HOSPITAL OF THE PACIFIC |
| Employer identification number (EIN): | 510156015 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2022-10-01 | ||||
| 502 | 2021-10-01 | ||||
| 502 | 2020-10-01 |
| Measure | Date | Value |
|---|---|---|
| 2022: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF THE REHABILITATION HOSPITAL OF THE PACIFIC 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-10-01 | 309 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-10-01 | 381 |
| Number of other retired or separated participants entitled to future benefits | 2022-10-01 | 45 |
| Total of all active and inactive participants | 2022-10-01 | 426 |
| Total participants | 2022-10-01 | 426 |
| 2021: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF THE REHABILITATION HOSPITAL OF THE PACIFIC 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-10-01 | 394 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 309 |
| Number of retired or separated participants receiving benefits | 2021-10-01 | 39 |
| Total of all active and inactive participants | 2021-10-01 | 348 |
| Total participants | 2021-10-01 | 348 |
| 2020: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF THE REHABILITATION HOSPITAL OF THE PACIFIC 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-10-01 | 365 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 356 |
| Number of retired or separated participants receiving benefits | 2020-10-01 | 38 |
| Total of all active and inactive participants | 2020-10-01 | 394 |
| Total participants | 2020-10-01 | 394 |
| 2022: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF THE REHABILITATION HOSPITAL OF THE PACIFIC 2022 form 5500 responses | ||
|---|---|---|
| 2022-10-01 | Type of plan entity | Single employer plan |
| 2022-10-01 | Submission has been amended | No |
| 2022-10-01 | This submission is the final filing | No |
| 2022-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-10-01 | Plan is a collectively bargained plan | No |
| 2022-10-01 | Plan funding arrangement – Insurance | Yes |
| 2022-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF THE REHABILITATION HOSPITAL OF THE PACIFIC 2021 form 5500 responses | ||
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Submission has been amended | No |
| 2021-10-01 | This submission is the final filing | No |
| 2021-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-10-01 | Plan is a collectively bargained plan | No |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: GROUP LIFE INSURANCE PLAN FOR THE EMPLOYEES OF THE REHABILITATION HOSPITAL OF THE PACIFIC 2020 form 5500 responses | ||
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Submission has been amended | No |
| 2020-10-01 | This submission is the final filing | No |
| 2020-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-10-01 | Plan is a collectively bargained plan | No |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 69582-3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 69582-3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 69582-3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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