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JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 401k Plan overview

Plan NameJANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN
Plan identification number 506

JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN Benefits

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

401k Sponsoring company profile

JANE TODD CRAWFORD MEMORIAL has sponsored the creation of one or more 401k plans.

Company Name:JANE TODD CRAWFORD MEMORIAL
Employer identification number (EIN):204474637
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062018-07-01
5062017-07-01
5062014-07-01RICHARD HENDERSHOT
5062013-07-01RICHARD HENDERSHOT
5062012-07-01REX A TUNGATE
5062011-07-01RICHARD HENDERSHOT
5062010-07-01REX A TUNGATE
5062009-10-01 REX TUNGATE2011-01-27
5062009-10-01REX TUNGATE

Plan Statistics for JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN

401k plan membership statisitcs for JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN

Measure Date Value
2018: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01120
Total number of active participants reported on line 7a of the Form 55002018-07-01126
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01126
2017: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-010
Total number of active participants reported on line 7a of the Form 55002017-07-010
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-010
2014: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-010
Total of all active and inactive participants2014-07-010
Total participants2014-07-010
2013: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01151
Total number of active participants reported on line 7a of the Form 55002013-07-01142
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01142
Number of participants with account balances2013-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01137
Total number of active participants reported on line 7a of the Form 55002012-07-01151
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01151
2011: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01140
Total number of active participants reported on line 7a of the Form 55002011-07-01137
Total of all active and inactive participants2011-07-01137
Total participants2011-07-01137
2010: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01132
Total number of active participants reported on line 7a of the Form 55002010-07-01140
Total of all active and inactive participants2010-07-01140
Total participants2010-07-01140
2009: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01128
Total number of active participants reported on line 7a of the Form 55002009-10-01126
Total of all active and inactive participants2009-10-01126
Total participants2009-10-01126

Financial Data on JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN

Measure Date Value
2019 : JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 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 : JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 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 : JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 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 JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN

2018: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2014: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: JANE TODD CRAWFORD BLUEGRASS FAMILY HEALTH PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01First time form 5500 has been submittedYes
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number030405
Policy instance 1
Insurance contract or identification number030405
Number of Individuals Covered136
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $28,371
Total amount of fees paid to insurance companyUSD $3,393
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,375
Amount paid for insurance broker fees3393
BLUEGRASS FAMILY HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95071 )
Policy contract number030405
Policy instance 1
Insurance contract or identification number030405
Number of Individuals Covered136
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $25,220
Total amount of fees paid to insurance companyUSD $1,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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