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THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 401k Plan overview

Plan NameTHE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN
Plan identification number 503

THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

THE JAMES B. HAGGIN MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:THE JAMES B. HAGGIN MEMORIAL HOSPITAL
Employer identification number (EIN):610510934
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-09-01
5032016-09-01
5032016-09-01TONY PATTERSON2017-10-19
5032015-09-01
5032014-09-01
5032013-09-01

Plan Statistics for THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN

401k plan membership statisitcs for THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN

Measure Date Value
2017: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01122
Total number of active participants reported on line 7a of the Form 55002017-09-010
Total of all active and inactive participants2017-09-010
Total participants2017-09-010
2016: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01129
Total number of active participants reported on line 7a of the Form 55002016-09-01122
Total of all active and inactive participants2016-09-01122
Total participants2016-09-01122
2015: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01141
Total number of active participants reported on line 7a of the Form 55002015-09-01129
Total of all active and inactive participants2015-09-01129
Total participants2015-09-01129
2014: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01141
Total number of active participants reported on line 7a of the Form 55002014-09-01141
Total of all active and inactive participants2014-09-01141
Total participants2014-09-01141
2013: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01138
Total number of active participants reported on line 7a of the Form 55002013-09-01141
Total of all active and inactive participants2013-09-01141
Total participants2013-09-01141

Form 5500 Responses for THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN

2017: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01This submission is the final filingYes
2017-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP HEALTH PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01First time form 5500 has been submittedYes
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number023740
Policy instance 1
Insurance contract or identification number023740
Number of Individuals Covered209
Insurance policy start date2017-09-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,764
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $293,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,764
Insurance broker organization code?3
Insurance broker nameWHITENACK & SOUDER INSURANCE, INC.

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