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CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 401k Plan overview

Plan NameCASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE
Plan identification number 505

CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE Benefits

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

401k Sponsoring company profile

CASEY COUNTY HOSPITAL DISTRICT has sponsored the creation of one or more 401k plans.

Company Name:CASEY COUNTY HOSPITAL DISTRICT
Employer identification number (EIN):061705652
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052023-07-01
5052023-07-01RICHARD HENDERSHOT
5052022-07-01
5052022-07-01RICHARD HENDERSHOT
5052021-07-01
5052021-07-01RICHARD HENDERSHOT
5052014-07-01RICHARD HENDERSHOT
5052009-07-01REX TUNGATE

Plan Statistics for CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE

401k plan membership statisitcs for CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE

Measure Date Value
2023: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2023 401k membership
Total participants, beginning-of-year2023-07-01171
Total number of active participants reported on line 7a of the Form 55002023-07-01288
Number of retired or separated participants receiving benefits2023-07-010
Number of other retired or separated participants entitled to future benefits2023-07-010
Total of all active and inactive participants2023-07-01288
2022: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2022 401k membership
Total participants, beginning-of-year2022-07-01125
Total number of active participants reported on line 7a of the Form 55002022-07-01140
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01140
2021: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2021 401k membership
Total participants, beginning-of-year2021-07-01145
Total number of active participants reported on line 7a of the Form 55002021-07-01254
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01254
2014: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-07-010
Total of all active and inactive participants2014-07-010
Total participants2014-07-010
2009: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-07-0195
Total number of active participants reported on line 7a of the Form 55002009-07-0194
Total of all active and inactive participants2009-07-0194
Total participants2009-07-0194

Financial Data on CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE

Measure Date Value
2024 : CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2024 401k financial data
Total income from all sources2024-06-30$88,918
Expenses. Total of all expenses incurred2024-06-30$88,918
Benefits paid (including direct rollovers)2024-06-30$88,918
Total plan assets at end of year2024-06-30$0
Total plan assets at beginning of year2024-06-30$0
Net plan assets at end of year (total assets less liabilities)2024-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2024-06-30$0
Total contributions received or receivable from employer(s)2024-06-30$88,918
2023 : CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2023 401k financial data
Total income from all sources2023-06-30$0
Total plan assets at end of year2023-06-30$0
Total plan assets at beginning of year2023-06-30$0
Net plan assets at end of year (total assets less liabilities)2023-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$0
2022 : CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2022 401k financial data
Total income from all sources2022-06-30$0
Total plan assets at end of year2022-06-30$0
Total plan assets at beginning of year2022-06-30$0
Net plan assets at end of year (total assets less liabilities)2022-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$0
2019 : CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2019 401k financial data
Total income from all sources2019-06-30$0
Total plan assets at end of year2019-06-30$0
Total plan assets at beginning of year2019-06-30$0
Net plan assets at end of year (total assets less liabilities)2019-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$0
2015 : CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2015 401k financial data
Value of total assets at end of year2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30No
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in common/collective trusts at end of year2015-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
2011 : CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2011 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Was this plan covered by a fidelity bond2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Did the plan have assets held for investment2011-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No

Form 5500 Responses for CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE

2023: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2023 form 5500 responses
2023-07-01Type of plan entitySingle employer plan
2023-07-01Plan funding arrangement – InsuranceYes
2023-07-01Plan benefit arrangement – InsuranceYes
2022: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2014: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2009: CASEY COUNTY HOSPITAL HUMANA HEALTH INSURANCE 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number00248655
Policy instance 1
Insurance contract or identification number00248655
Number of Individuals Covered290
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number
Policy instance 2
Number of Individuals Covered288
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number00248655
Policy instance 1
Insurance contract or identification number00248655
Number of Individuals Covered150
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number
Policy instance 2
Number of Individuals Covered150
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number00248655
Policy instance 1
ANTHEM HEALTH PLAN OF KENTUCKY D.B.A. ANTHEM BLUECROSS BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 95120 )
Policy contract number
Policy instance 2

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