401k Plan data: DIMMIT REGIONAL HOSPITAL plan

DIMMIT REGIONAL HOSPITAL 401k Plan overview

Plan Name	DIMMIT REGIONAL HOSPITAL
Plan identification number	501

DIMMIT REGIONAL HOSPITAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

DIMMIT REGIONAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: DIMMIT REGIONAL HOSPITAL

Employer identification number (EIN): 263091251

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about DIMMIT REGIONAL HOSPITAL

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2008-06-10

Company Identification Number: 0800990166

Legal Registered Office Address: 704 HOSPITAL DR

CARRIZO SPGS
United States of America (USA)
78834

More information about DIMMIT REGIONAL HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIMMIT REGIONAL HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 ANDRES DURAN 2024-10-15 ANDRES DURAN 2024-10-15
501 2022-01-01 ANDRES DURAN 2023-10-10 ANDRES DURAN 2023-10-10
501 2021-01-01 JOHN GRAVES 2022-10-03 JOHN GRAVES 2022-10-03
501 2020-01-01 JOHN GRAVES 2021-10-08
501 2019-01-01 JOHN GRAVES 2020-10-13
501 2018-01-01 JOHN GRAVES 2019-10-11
501 2017-01-01
501 2016-01-01
501 2015-01-01 JAMES E. BUCKNER, JR
501 2014-01-01 JAMES E. BUCKNER, JR
501 2014-01-01 JAMES E. BUCKNER, JR

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	ANDRES DURAN	2024-10-15	ANDRES DURAN	2024-10-15
501	2022-01-01	ANDRES DURAN	2023-10-10	ANDRES DURAN	2023-10-10
501	2021-01-01	JOHN GRAVES	2022-10-03	JOHN GRAVES	2022-10-03
501	2020-01-01	JOHN GRAVES	2021-10-08
501	2019-01-01	JOHN GRAVES	2020-10-13
501	2018-01-01	JOHN GRAVES	2019-10-11
501	2017-01-01
501	2016-01-01
501	2015-01-01	JAMES E. BUCKNER, JR
501	2014-01-01	JAMES E. BUCKNER, JR
501	2014-01-01	JAMES E. BUCKNER, JR

Plan Statistics for DIMMIT REGIONAL HOSPITAL

401k plan membership statisitcs for DIMMIT REGIONAL HOSPITAL

Measure Date Value
2023: DIMMIT REGIONAL HOSPITAL 2023 401k membership
Total participants, beginning-of-year 2023-01-01 155
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 195
Total of all active and inactive participants 2023-01-01 195
Total participants 2023-01-01 195
2022: DIMMIT REGIONAL HOSPITAL 2022 401k membership
Total participants, beginning-of-year 2022-01-01 140
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 155
Total of all active and inactive participants 2022-01-01 155
Total participants 2022-01-01 155
2021: DIMMIT REGIONAL HOSPITAL 2021 401k membership
Total participants, beginning-of-year 2021-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 140
Total of all active and inactive participants 2021-01-01 140
Total participants 2021-01-01 140
2020: DIMMIT REGIONAL HOSPITAL 2020 401k membership
Total participants, beginning-of-year 2020-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 147
Total of all active and inactive participants 2020-01-01 147
Total participants 2020-01-01 147
2019: DIMMIT REGIONAL HOSPITAL 2019 401k membership
Total participants, beginning-of-year 2019-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 135
Total of all active and inactive participants 2019-01-01 135
Total participants 2019-01-01 135
2018: DIMMIT REGIONAL HOSPITAL 2018 401k membership
Total participants, beginning-of-year 2018-01-01 149
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 137
Total of all active and inactive participants 2018-01-01 137
Total participants 2018-01-01 137
2017: DIMMIT REGIONAL HOSPITAL 2017 401k membership
Total participants, beginning-of-year 2017-01-01 159
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 149
Total of all active and inactive participants 2017-01-01 149
Total participants 2017-01-01 149
2016: DIMMIT REGIONAL HOSPITAL 2016 401k membership
Total participants, beginning-of-year 2016-01-01 158
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 159
Total of all active and inactive participants 2016-01-01 159
Total participants 2016-01-01 159
2015: DIMMIT REGIONAL HOSPITAL 2015 401k membership
Total participants, beginning-of-year 2015-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 158
Total of all active and inactive participants 2015-01-01 158
Total participants 2015-01-01 158
2014: DIMMIT REGIONAL HOSPITAL 2014 401k membership
Total participants, beginning-of-year 2014-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 135
Total of all active and inactive participants 2014-01-01 135
Total participants 2014-01-01 135

Measure	Date	Value
2023: DIMMIT REGIONAL HOSPITAL 2023 401k membership
Total participants, beginning-of-year	2023-01-01	155
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	195
Total of all active and inactive participants	2023-01-01	195
Total participants	2023-01-01	195
2022: DIMMIT REGIONAL HOSPITAL 2022 401k membership
Total participants, beginning-of-year	2022-01-01	140
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	155
Total of all active and inactive participants	2022-01-01	155
Total participants	2022-01-01	155
2021: DIMMIT REGIONAL HOSPITAL 2021 401k membership
Total participants, beginning-of-year	2021-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	140
Total of all active and inactive participants	2021-01-01	140
Total participants	2021-01-01	140
2020: DIMMIT REGIONAL HOSPITAL 2020 401k membership
Total participants, beginning-of-year	2020-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	147
Total of all active and inactive participants	2020-01-01	147
Total participants	2020-01-01	147
2019: DIMMIT REGIONAL HOSPITAL 2019 401k membership
Total participants, beginning-of-year	2019-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	135
Total of all active and inactive participants	2019-01-01	135
Total participants	2019-01-01	135
2018: DIMMIT REGIONAL HOSPITAL 2018 401k membership
Total participants, beginning-of-year	2018-01-01	149
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	137
Total of all active and inactive participants	2018-01-01	137
Total participants	2018-01-01	137
2017: DIMMIT REGIONAL HOSPITAL 2017 401k membership
Total participants, beginning-of-year	2017-01-01	159
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	149
Total of all active and inactive participants	2017-01-01	149
Total participants	2017-01-01	149
2016: DIMMIT REGIONAL HOSPITAL 2016 401k membership
Total participants, beginning-of-year	2016-01-01	158
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	159
Total of all active and inactive participants	2016-01-01	159
Total participants	2016-01-01	159
2015: DIMMIT REGIONAL HOSPITAL 2015 401k membership
Total participants, beginning-of-year	2015-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	158
Total of all active and inactive participants	2015-01-01	158
Total participants	2015-01-01	158
2014: DIMMIT REGIONAL HOSPITAL 2014 401k membership
Total participants, beginning-of-year	2014-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	135
Total of all active and inactive participants	2014-01-01	135
Total participants	2014-01-01	135

Form 5500 Responses for DIMMIT REGIONAL HOSPITAL

2023: DIMMIT REGIONAL HOSPITAL 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: DIMMIT REGIONAL HOSPITAL 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: DIMMIT REGIONAL HOSPITAL 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: DIMMIT REGIONAL HOSPITAL 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: DIMMIT REGIONAL HOSPITAL 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: DIMMIT REGIONAL HOSPITAL 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: DIMMIT REGIONAL HOSPITAL 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: DIMMIT REGIONAL HOSPITAL 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: DIMMIT REGIONAL HOSPITAL 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: DIMMIT REGIONAL HOSPITAL 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Submission has been amended	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

2004272

Policy instance

Insurance contract or identification number	2004272
Number of Individuals Covered	160
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Total amount of commissions paid to insurance broker	USD $1,556
Other welfare benefits provided	MANAGED ORGAN/TISSUE TRANSPLANT
Welfare Benefit Premiums Paid to Carrier	USD $14,012
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )

Policy contract number

EMCL23100836 05

Policy instance

Insurance contract or identification number	EMCL23100836 05
Number of Individuals Covered	160
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Total amount of commissions paid to insurance broker	USD $77,444
Welfare Benefit Premiums Paid to Carrier	USD $438,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

936946

Policy instance

Insurance contract or identification number	936946
Number of Individuals Covered	216
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $38,704
Dental Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS & AD&D
Welfare Benefit Premiums Paid to Carrier	USD $171,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

936946

Policy instance

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )

Policy contract number

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

2004272

Policy instance

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

2004272

Policy instance

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )

Policy contract number

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

936946

Policy instance

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )

Policy contract number

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

936946

Policy instance

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )

Policy contract number

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

925405

Policy instance

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )

Policy contract number

HCCLOT40430

Policy instance

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )

Policy contract number

16013632-00

Policy instance

NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )

Policy contract number

947-6350

Policy instance

NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )

Policy contract number

947-4836

Policy instance

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )

Policy contract number

ERLL17101285001

Policy instance

NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )

Policy contract number

947-0808

Policy instance

STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )

Policy contract number

IHCRS0012615

Policy instance

NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )

Policy contract number

947-0040

Policy instance

STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )

Policy contract number

IHCRS0012614

Policy instance

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Company Name:	DIMMIT REGIONAL HOSPITAL
Employer identification number (EIN):	263091251
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2008-06-10
Company Identification Number:	0800990166
Legal Registered Office Address:	704 HOSPITAL DR CARRIZO SPGS United States of America (USA) 78834