401k Plan data: DEVEREUX PART-TIME BENEFITS PLAN plan

DEVEREUX PART-TIME BENEFITS PLAN 401k Plan overview

Plan Name	DEVEREUX PART-TIME BENEFITS PLAN
Plan identification number	503

DEVEREUX PART-TIME BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental

401k Sponsoring company profile

DEVEREUX has sponsored the creation of one or more 401k plans.

Company Name: DEVEREUX

Employer identification number (EIN): 231390618

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEVEREUX PART-TIME BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2013-04-01 TIMOTHY DILLON
503 2013-04-01
503 2012-04-01 TIMOTHY DILLON
503 2011-04-01 TIMOTHY DILLON
503 2010-04-01 TIMOTHY DILLON
503 2009-04-01 TIMOTHY DILLON

Plan Statistics for DEVEREUX PART-TIME BENEFITS PLAN

401k plan membership statisitcs for DEVEREUX PART-TIME BENEFITS PLAN

Measure Date Value
2013: DEVEREUX PART-TIME BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-04-01 45
Total number of active participants reported on line 7a of the Form 5500 2013-04-01 45
Number of retired or separated participants receiving benefits 2013-04-01 0
Number of other retired or separated participants entitled to future benefits 2013-04-01 0
Total of all active and inactive participants 2013-04-01 45
Total participants 2013-04-01 45
2012: DEVEREUX PART-TIME BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-04-01 80
Total number of active participants reported on line 7a of the Form 5500 2012-04-01 45
Number of retired or separated participants receiving benefits 2012-04-01 0
Number of other retired or separated participants entitled to future benefits 2012-04-01 0
Total of all active and inactive participants 2012-04-01 45
Total participants 2012-04-01 45
2011: DEVEREUX PART-TIME BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-04-01 80
Total number of active participants reported on line 7a of the Form 5500 2011-04-01 80
Number of retired or separated participants receiving benefits 2011-04-01 0
Number of other retired or separated participants entitled to future benefits 2011-04-01 0
Total of all active and inactive participants 2011-04-01 80
Total participants 2011-04-01 80
2010: DEVEREUX PART-TIME BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-04-01 70
Total number of active participants reported on line 7a of the Form 5500 2010-04-01 80
Number of retired or separated participants receiving benefits 2010-04-01 0
Number of other retired or separated participants entitled to future benefits 2010-04-01 0
Total of all active and inactive participants 2010-04-01 80
Total participants 2010-04-01 80
2009: DEVEREUX PART-TIME BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-04-01 93
Total number of active participants reported on line 7a of the Form 5500 2009-04-01 70
Number of retired or separated participants receiving benefits 2009-04-01 0
Number of other retired or separated participants entitled to future benefits 2009-04-01 0
Total of all active and inactive participants 2009-04-01 70
Total participants 2009-04-01 70

Measure	Date	Value
2013: DEVEREUX PART-TIME BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-04-01	45
Total number of active participants reported on line 7a of the Form 5500	2013-04-01	45
Number of retired or separated participants receiving benefits	2013-04-01	0
Number of other retired or separated participants entitled to future benefits	2013-04-01	0
Total of all active and inactive participants	2013-04-01	45
Total participants	2013-04-01	45
2012: DEVEREUX PART-TIME BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-04-01	80
Total number of active participants reported on line 7a of the Form 5500	2012-04-01	45
Number of retired or separated participants receiving benefits	2012-04-01	0
Number of other retired or separated participants entitled to future benefits	2012-04-01	0
Total of all active and inactive participants	2012-04-01	45
Total participants	2012-04-01	45
2011: DEVEREUX PART-TIME BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-04-01	80
Total number of active participants reported on line 7a of the Form 5500	2011-04-01	80
Number of retired or separated participants receiving benefits	2011-04-01	0
Number of other retired or separated participants entitled to future benefits	2011-04-01	0
Total of all active and inactive participants	2011-04-01	80
Total participants	2011-04-01	80
2010: DEVEREUX PART-TIME BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-04-01	70
Total number of active participants reported on line 7a of the Form 5500	2010-04-01	80
Number of retired or separated participants receiving benefits	2010-04-01	0
Number of other retired or separated participants entitled to future benefits	2010-04-01	0
Total of all active and inactive participants	2010-04-01	80
Total participants	2010-04-01	80
2009: DEVEREUX PART-TIME BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-04-01	93
Total number of active participants reported on line 7a of the Form 5500	2009-04-01	70
Number of retired or separated participants receiving benefits	2009-04-01	0
Number of other retired or separated participants entitled to future benefits	2009-04-01	0
Total of all active and inactive participants	2009-04-01	70
Total participants	2009-04-01	70

Form 5500 Responses for DEVEREUX PART-TIME BENEFITS PLAN

2013: DEVEREUX PART-TIME BENEFITS PLAN 2013 form 5500 responses
2013-04-01	Type of plan entity	Single employer plan
2013-04-01	Submission has been amended	No
2013-04-01	This submission is the final filing	No
2013-04-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-04-01	Plan is a collectively bargained plan	No
2013-04-01	Plan funding arrangement – Insurance	Yes
2013-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-04-01	Plan benefit arrangement – Insurance	Yes
2013-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: DEVEREUX PART-TIME BENEFITS PLAN 2012 form 5500 responses
2012-04-01	Type of plan entity	Single employer plan
2012-04-01	Submission has been amended	No
2012-04-01	This submission is the final filing	No
2012-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-04-01	Plan is a collectively bargained plan	No
2012-04-01	Plan funding arrangement – Insurance	Yes
2012-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-04-01	Plan benefit arrangement – Insurance	Yes
2012-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: DEVEREUX PART-TIME BENEFITS PLAN 2011 form 5500 responses
2011-04-01	Type of plan entity	Single employer plan
2011-04-01	Submission has been amended	No
2011-04-01	This submission is the final filing	No
2011-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-04-01	Plan is a collectively bargained plan	No
2011-04-01	Plan funding arrangement – Insurance	Yes
2011-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-04-01	Plan benefit arrangement – Insurance	Yes
2011-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: DEVEREUX PART-TIME BENEFITS PLAN 2010 form 5500 responses
2010-04-01	Type of plan entity	Single employer plan
2010-04-01	Submission has been amended	No
2010-04-01	This submission is the final filing	No
2010-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-04-01	Plan is a collectively bargained plan	No
2010-04-01	Plan funding arrangement – Insurance	Yes
2010-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-04-01	Plan benefit arrangement – Insurance	Yes
2010-04-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: DEVEREUX PART-TIME BENEFITS PLAN 2009 form 5500 responses
2009-04-01	Type of plan entity	Single employer plan
2009-04-01	Submission has been amended	No
2009-04-01	This submission is the final filing	No
2009-04-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-04-01	Plan is a collectively bargained plan	No
2009-04-01	Plan funding arrangement – Insurance	Yes
2009-04-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-04-01	Plan benefit arrangement – Insurance	Yes
2009-04-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )

Policy contract number

800773

Policy instance

Insurance contract or identification number	800773
Number of Individuals Covered	45
Insurance policy start date	2013-04-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $10,603
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $107,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,603
Insurance broker organization code?	3

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	DEVEREUX
Employer identification number (EIN):	231390618
NAIC Classification:	622000
NAIC Description:	Hospitals

Plan id#	Filing Submission Date	Name of Administrator
503	2013-04-01	TIMOTHY DILLON
503	2013-04-01
503	2012-04-01	TIMOTHY DILLON
503	2011-04-01	TIMOTHY DILLON
503	2010-04-01	TIMOTHY DILLON
503	2009-04-01	TIMOTHY DILLON