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| Plan Name | SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN |
| Plan identification number | 545 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SAINT FRANCIS HEALTH SYSTEM, INC. |
| Employer identification number (EIN): | 731501972 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 545 | 2023-01-01 | NEILL SCHULTZ | 2024-07-30 | ||
| 545 | 2022-01-01 | DEBORAH DAGE | 2023-07-31 | ||
| 545 | 2021-01-01 | DEBORAH DAGE | 2022-07-28 |
| Measure | Date | Value |
|---|---|---|
| 2023: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-01-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 111 |
| Total of all active and inactive participants | 2023-01-01 | 111 |
| 2022: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 2022 401k membership | ||
| Total participants, beginning-of-year | 2022-01-01 | 103 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 106 |
| Total of all active and inactive participants | 2022-01-01 | 106 |
| 2021: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 103 |
| Total of all active and inactive participants | 2021-01-01 | 103 |
| 2023: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 2022 form 5500 responses | ||
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: SAINT FRANCIS HEALTH SYSTEM INC GROUP LONG TERM CARE PLAN 2021 form 5500 responses | ||
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | First time form 5500 has been submitted | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |||||||||||||||||||||||||
| Policy contract number | 50379 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |||||||||||||||||||||||||
| Policy contract number | 50379 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) | |||||||||||||||||||||||||
| Policy contract number | 50379 | ||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||
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