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MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 401k Plan overview

Plan NameMONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN
Plan identification number 503

MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

MONONGAHELA VALLEY HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:MONONGAHELA VALLEY HOSPITAL, INC.
Employer identification number (EIN):237218917
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032021-07-01
5032020-07-01
5032019-07-01
5032018-07-01
5032017-07-01
5032016-07-01LOUIS GOODMAN
5032015-07-01LOUIS GOODMAN
5032014-07-01LOUIS GOODMAN
5032013-07-01LOUIS GOODMAN
5032012-07-01LOUIS GOODMAN LOUIS GOODMAN2014-04-13
5032011-07-01DAVID E. CLARK DAVID E. CLARK2013-04-08
5032009-07-01DAVID E. CLARK DAVID E. CLARK2011-04-18

Plan Statistics for MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN

401k plan membership statisitcs for MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN

Measure Date Value
2021: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01362
Total number of active participants reported on line 7a of the Form 55002021-07-010
Number of retired or separated participants receiving benefits2021-07-010
Total of all active and inactive participants2021-07-010
2020: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01378
Total number of active participants reported on line 7a of the Form 55002020-07-01362
Total of all active and inactive participants2020-07-01362
Total participants2020-07-01362
2019: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01461
Total number of active participants reported on line 7a of the Form 55002019-07-01378
Total of all active and inactive participants2019-07-01378
Total participants2019-07-01378
2018: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01455
Total number of active participants reported on line 7a of the Form 55002018-07-01461
Total of all active and inactive participants2018-07-01461
Total participants2018-07-01461
2017: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01445
Total number of active participants reported on line 7a of the Form 55002017-07-01455
Total of all active and inactive participants2017-07-01455
Total participants2017-07-01455
2016: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01468
Total number of active participants reported on line 7a of the Form 55002016-07-01445
Total of all active and inactive participants2016-07-01445
Total participants2016-07-01445
2015: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01521
Total number of active participants reported on line 7a of the Form 55002015-07-01468
Number of retired or separated participants receiving benefits2015-07-010
Total of all active and inactive participants2015-07-01468
Total participants2015-07-01468
2014: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01478
Total number of active participants reported on line 7a of the Form 55002014-07-01521
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01521
Total participants2014-07-01521
2013: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01493
Total number of active participants reported on line 7a of the Form 55002013-07-01478
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 participants2013-07-01478
Total participants2013-07-01478
2012: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01488
Total number of active participants reported on line 7a of the Form 55002012-07-01493
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 participants2012-07-01493
Total participants2012-07-01493
2011: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01482
Total number of active participants reported on line 7a of the Form 55002011-07-01488
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01488
Total participants2011-07-01488
2009: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01509
Total number of active participants reported on line 7a of the Form 55002009-07-01485
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-01485
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-01485
Number of participants with account balances2009-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Form 5500 Responses for MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN

2021: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedYes
2021-07-01This submission is the final filingYes
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2019: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – General assets of the sponsorYes
2019-07-01Plan benefit arrangement – General assets of the sponsorYes
2018: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – General assets of the sponsorYes
2018-07-01Plan benefit arrangement – General assets of the sponsorYes
2017: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: MONONGAHELA VALLEY HOSPITAL GROUP WEEKLY INDEMNITY PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSHD962993-96301
Policy instance 1
Insurance contract or identification numberSHD962993-96301
Number of Individuals Covered214
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $721
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $9,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $721
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726 00
Policy instance 1
Insurance contract or identification number000860061726 00
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726 00
Policy instance 1
Insurance contract or identification number000860061726 00
Number of Individuals Covered378
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726 00
Policy instance 1
Insurance contract or identification number000860061726 00
Number of Individuals Covered461
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $1,921
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,921
Additional information about fees paid to insurance broker35441
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726 00
Policy instance 1
Insurance contract or identification number000860061726 00
Number of Individuals Covered455
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $3,226
Contracts With Unallocated Funds Deposit Administration1
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726 00
Policy instance 1
Insurance contract or identification number000860061726 00
Number of Individuals Covered468
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $1,392
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $451,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,392
Insurance broker nameJOYCE MCINTIRE
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726 00
Policy instance 1
Insurance contract or identification number000860061726 00
Number of Individuals Covered521
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $562,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726 00
Policy instance 1
Insurance contract or identification number000860061726 00
Number of Individuals Covered478
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $282,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNO RECIPIENTS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726
Policy instance 1
Insurance contract or identification number000860061726
Number of Individuals Covered493
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $5,283
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $292,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,283
Insurance broker organization code?3
Insurance broker nameMICHAEL SKIRPAN, INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726
Policy instance 1
Insurance contract or identification number000860061726
Number of Individuals Covered488
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $17,287
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $37,587
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860061726
Policy instance 1
Insurance contract or identification number000860061726
Number of Individuals Covered482
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $16,766
Temporary Disability Insurance Welfare BenefitYes

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