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HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 401k Plan overview

Plan NameHOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN
Plan identification number 502

HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN Benefits

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

401k Sponsoring company profile

HOSPICE OF HUNTINGTON, INC. has sponsored the creation of one or more 401k plans.

Company Name:HOSPICE OF HUNTINGTON, INC.
Employer identification number (EIN):311040619
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01PAM HILGENDORF2022-08-01
5022020-01-01
5022019-01-01
5022018-01-01PAM HILGENDORF
5022017-01-01PAM HILGENDORF
5022016-10-01PAM HILGENDORF
5022015-10-01PAM HILGENDORF
5022014-10-01PAM HILGENDORF
5022013-10-01MELANIE HALL MELANIE HALL2015-04-17
5022012-10-01PAM HILGENDORF
5022011-10-01PAM HILGENDORF
5022009-10-01PAM HILGENDORF

Plan Statistics for HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN

401k plan membership statisitcs for HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN

Measure Date Value
2022: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0185
Total number of active participants reported on line 7a of the Form 55002022-01-0181
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0181
2021: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0190
Total number of active participants reported on line 7a of the Form 55002021-01-0185
Total of all active and inactive participants2021-01-0185
2020: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0189
Total number of active participants reported on line 7a of the Form 55002020-01-0190
Total of all active and inactive participants2020-01-0190
Total participants2020-01-0190
2019: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0179
Total number of active participants reported on line 7a of the Form 55002019-01-0189
Total of all active and inactive participants2019-01-0189
Total participants2019-01-0189
Number of participants with account balances2019-01-010
2018: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0175
Total number of active participants reported on line 7a of the Form 55002018-01-0179
Total of all active and inactive participants2018-01-0179
Total participants2018-01-0179
2017: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0169
Total number of active participants reported on line 7a of the Form 55002017-01-0175
Total of all active and inactive participants2017-01-0175
Total participants2017-01-0175
2016: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-0175
Total number of active participants reported on line 7a of the Form 55002016-10-0169
Total of all active and inactive participants2016-10-0169
Total participants2016-10-0169
2015: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-0184
Total number of active participants reported on line 7a of the Form 55002015-10-0175
Total of all active and inactive participants2015-10-0175
Total participants2015-10-010
2014: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01100
Total number of active participants reported on line 7a of the Form 55002014-10-0184
Total of all active and inactive participants2014-10-0184
Total participants2014-10-010
2013: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01100
Total number of active participants reported on line 7a of the Form 55002013-10-01100
Total of all active and inactive participants2013-10-01100
Total participants2013-10-01100
2012: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01109
Total number of active participants reported on line 7a of the Form 55002012-10-01100
Total of all active and inactive participants2012-10-01100
Total participants2012-10-010
2011: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01101
Total number of active participants reported on line 7a of the Form 55002011-10-01109
Total of all active and inactive participants2011-10-01109
Total participants2011-10-01109
2009: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01113
Total number of active participants reported on line 7a of the Form 55002009-10-01111
Total of all active and inactive participants2009-10-01111
Total participants2009-10-01111

Form 5500 Responses for HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN

2022: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan benefit arrangement – InsuranceYes
2015: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan benefit arrangement – InsuranceYes
2014: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan benefit arrangement – InsuranceYes
2013: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan benefit arrangement – InsuranceYes
2012: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan benefit arrangement – InsuranceYes
2011: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan benefit arrangement – InsuranceYes
2009: HOSPICE OF HUNTINGTON, INC. TEMPORARY DISABILITY 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)No
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

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG 0ANFP
Policy instance 1
Insurance contract or identification numberGUG 0ANFP
Number of Individuals Covered81
Insurance policy start date2022-01-01
Insurance policy end date2023-01-01
Total amount of commissions paid to insurance brokerUSD $2,045
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,045
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG0ANFP
Policy instance 1
Insurance contract or identification numberGUG0ANFP
Number of Individuals Covered85
Insurance policy start date2021-01-01
Insurance policy end date2022-01-01
Total amount of commissions paid to insurance brokerUSD $2,015
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,015
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUGOANFP
Policy instance 1
Insurance contract or identification numberGUGOANFP
Number of Individuals Covered90
Insurance policy start date2020-01-01
Insurance policy end date2021-01-01
Total amount of commissions paid to insurance brokerUSD $2,054
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,054
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUGOANFP
Policy instance 1
Insurance contract or identification numberGUGOANFP
Insurance policy start date2019-01-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $1,936
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $19,357
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,936
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUGOANFP
Policy instance 1
Insurance contract or identification numberGUGOANFP
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $1,750
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,504
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,750
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUGOANFP
Policy instance 1
Insurance contract or identification numberGUGOANFP
Number of Individuals Covered75
Insurance policy start date2017-01-01
Insurance policy end date2018-01-01
Total amount of commissions paid to insurance brokerUSD $1,612
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,120
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,612
Insurance broker organization code?3
Insurance broker namePRYCE MIDDLETON HAYES
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUGOANFP
Policy instance 1
Insurance contract or identification numberGUGOANFP
Number of Individuals Covered75
Insurance policy start date2015-01-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $1,457
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,457
Insurance broker organization code?3
Insurance broker namePRYCE MIDDLETON HAYES
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUGOANFP
Policy instance 1
Insurance contract or identification numberGUGOANFP
Number of Individuals Covered84
Insurance policy start date2014-01-01
Insurance policy end date2015-01-01
Total amount of commissions paid to insurance brokerUSD $1,628
Total amount of fees paid to insurance companyUSD $463
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $16,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,628
Amount paid for insurance broker fees463
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker namePRYCE MIDDLETON HAYES
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG0ANFP
Policy instance 1
Insurance contract or identification numberGUG0ANFP
Number of Individuals Covered100
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $1,977
Are there contracts with allocated funds for individual policies?No
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 $19,773
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,977
Insurance broker organization code?3
Insurance broker namePRYCE MIDDLETON HAYNES
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number662501
Policy instance 1
Insurance contract or identification number662501
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $357
Total amount of fees paid to insurance companyUSD $69
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 $23
Amount paid for insurance broker fees4
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameSTEPHEN POLLITT HATTEN
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number662501
Policy instance 1
Insurance contract or identification number662501
Number of Individuals Covered111
Insurance policy start date2012-03-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $912
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number662501
Policy instance 2
Insurance contract or identification number662501
Number of Individuals Covered100
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $1,354
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number662501
Policy instance 1
Insurance contract or identification number662501
Number of Individuals Covered105
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $1,622
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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