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THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN 401k Plan overview

Plan NameTHE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN
Plan identification number 505

THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN Benefits

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

401k Sponsoring company profile

THE WARTBURG HOME has sponsored the creation of one or more 401k plans.

Company Name:THE WARTBURG HOME
Employer identification number (EIN):131740497
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052017-01-01
5052016-01-01DOROTHEA BELL
5052015-01-01DORTHEA BELL

Plan Statistics for THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN

401k plan membership statisitcs for THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN

Measure Date Value
2017: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01101
Total number of active participants reported on line 7a of the Form 55002017-01-01101
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01101
2016: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01101
Total number of active participants reported on line 7a of the Form 55002016-01-01101
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01101
2015: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01101
Total number of active participants reported on line 7a of the Form 55002015-01-01101
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01101

Form 5500 Responses for THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN

2017: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: THE WARTBURG HOME OF THE EVANGELICAL LUTHERAN CHURCH MEDICAL PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

OXFORD HEALTH INSURANCE, INC (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberWH6283
Policy instance 1
Insurance contract or identification numberWH6283
Number of Individuals Covered101
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HIP HEALTH PLANS (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number1070496-006
Policy instance 2
Insurance contract or identification number1070496-006
Number of Individuals Covered101
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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