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FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameFRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN
Plan identification number 507

FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

FRANKLIN COMMUNITY HEALTH NETWORK has sponsored the creation of one or more 401k plans.

Company Name:FRANKLIN COMMUNITY HEALTH NETWORK
Employer identification number (EIN):223209406
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072015-01-01
5072015-01-01
5072014-01-01WAYNE BENNETT WAYNE BENNETT2015-09-30
5072013-01-01JOLINE HART JOLINE HART2014-10-13
5072012-01-01JOLINE HART JOLINE HART2013-10-09
5072011-01-01JOLINE HART JOLINE HART2012-09-19
5072009-01-01JOLINE HART JOLINE HART2010-07-29

Plan Statistics for FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN

401k plan membership statisitcs for FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN

Measure Date Value
2015: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01584
Total number of active participants reported on line 7a of the Form 55002015-01-01533
Total of all active and inactive participants2015-01-01533
Number of retired or separated participants receiving benefits2015-01-010
2014: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01598
Total number of active participants reported on line 7a of the Form 55002014-01-01604
Total of all active and inactive participants2014-01-01604
2013: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01641
Total number of active participants reported on line 7a of the Form 55002013-01-01595
Total of all active and inactive participants2013-01-01595
2012: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01606
Total number of active participants reported on line 7a of the Form 55002012-01-01650
Total of all active and inactive participants2012-01-01650
2011: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01685
Total number of active participants reported on line 7a of the Form 55002011-01-01689
Total of all active and inactive participants2011-01-01689
2009: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01661
Total number of active participants reported on line 7a of the Form 55002009-01-01654
Total of all active and inactive participants2009-01-01654

Form 5500 Responses for FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN

2015: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01This submission is the final filingYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: FRANKLIN COMMUNITY HEALTH NETWORK GROUP LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number4072190001
Policy instance 1
Insurance contract or identification number4072190001
Number of Individuals Covered538
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $9,153
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $143,387
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered599
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,997
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $162,910
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,997
Insurance broker organization code?3
Insurance broker nameLANDRY SCOTT
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered595
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,086
Total amount of fees paid to insurance companyUSD $6,301
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $168,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6301
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $5,086
Insurance broker nameLANDRY SCOTT
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered653
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,169
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $168,592
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,169
Insurance broker organization code?3
Insurance broker nameSCOTT H. LANDRY
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered680
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5,158
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $181,518
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number674969G
Policy instance 1
Insurance contract or identification number674969G
Number of Individuals Covered663
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $5,120
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $174,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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