401k Plan data: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN plan

ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 401k Plan overview

Plan Name	ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN
Plan identification number	018

ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name: ASCENSION HEALTHCARE

Employer identification number (EIN): 311662309

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about ASCENSION HEALTHCARE

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2000-02-14

Company Identification Number: 0013101407

Legal Registered Office Address: 211 E 7TH ST STE 620

AUSTIN
United States of America (USA)
78701

More information about ASCENSION HEALTHCARE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
018 2021-01-01
018 2020-01-01
018 2019-01-01

Plan Statistics for ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN

401k plan membership statisitcs for ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN

Measure Date Value
2021: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 338
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 423
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 252
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 85
Total of all active and inactive participants 2020-01-01 337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 1
Total participants 2020-01-01 338
Number of participants with account balances 2020-01-01 338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 429
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 298
Number of retired or separated participants receiving benefits 2019-01-01 25
Number of other retired or separated participants entitled to future benefits 2019-01-01 100
Total of all active and inactive participants 2019-01-01 423
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 423
Number of participants with account balances 2019-01-01 357
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 1

Measure	Date	Value
2021: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	338
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	423
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	252
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	85
Total of all active and inactive participants	2020-01-01	337
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	1
Total participants	2020-01-01	338
Number of participants with account balances	2020-01-01	338
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	429
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	298
Number of retired or separated participants receiving benefits	2019-01-01	25
Number of other retired or separated participants entitled to future benefits	2019-01-01	100
Total of all active and inactive participants	2019-01-01	423
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	423
Number of participants with account balances	2019-01-01	357
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	1

Financial Data on ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN

Measure	Date	Value
2021 : ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2021 401k financial data
Total transfer of assets from this plan	2021-06-01	$14,444,002
Total income from all sources (including contributions)	2021-06-01	$1,066,369
Total of all expenses incurred	2021-06-01	$846,735
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-06-01	$841,620
Value of total assets at end of year	2021-06-01	$0
Value of total assets at beginning of year	2021-06-01	$14,224,368
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-06-01	$5,115
Total interest from all sources	2021-06-01	$29,231
Total dividends received (eg from common stock, registered investment company shares)	2021-06-01	$22,190
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-06-01	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2021-06-01	$0
Total dividends received from registered investment company shares (eg mutual funds)	2021-06-01	$22,190
Was this plan covered by a fidelity bond	2021-06-01	Yes
Value of fidelity bond cover	2021-06-01	$20,000,000
If this is an individual account plan, was there a blackout period	2021-06-01	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-06-01	$0
Were there any nonexempt tranactions with any party-in-interest	2021-06-01	No
Assets. Other investments not covered elsewhere at end of year	2021-06-01	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-06-01	$258,713
Other income not declared elsewhere	2021-06-01	$2,574
Administrative expenses (other) incurred	2021-06-01	$5,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-01	No
Value of net income/loss	2021-06-01	$219,634
Value of net assets at end of year (total assets less liabilities)	2021-06-01	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-06-01	$14,224,368
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-06-01	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-06-01	No
Were any leases to which the plan was party in default or uncollectible	2021-06-01	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-06-01	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-06-01	$11,696,904
Interest earned on other investments	2021-06-01	$29,231
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-06-01	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-06-01	$2,268,751
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-06-01	$1,012,374
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-06-01	No
Was there a failure to transmit to the plan any participant contributions	2021-06-01	No
Has the plan failed to provide any benefit when due under the plan	2021-06-01	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-06-01	$841,620
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-06-01	Yes
Did the plan have assets held for investment	2021-06-01	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-06-01	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-06-01	Yes
Opinion of an independent qualified public accountant for this plan	2021-06-01	Disclaimer
Accountancy firm name	2021-06-01	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2021-06-01	410746749
2020 : ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2020 401k financial data
Total income from all sources (including contributions)	2020-12-31	$1,554,587
Total of all expenses incurred	2020-12-31	$4,112,027
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$4,078,575
Value of total corrective distributions	2020-12-31	$1,069
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$26,307
Value of total assets at end of year	2020-12-31	$14,224,368
Value of total assets at beginning of year	2020-12-31	$16,781,808
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$32,383
Total interest from all sources	2020-12-31	$73,080
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$81,938
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-12-31	$81,938
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$20,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$22,030
Participant contributions at end of year	2020-12-31	$0
Participant contributions at beginning of year	2020-12-31	$1,696
Assets. Other investments not covered elsewhere at end of year	2020-12-31	$258,713
Other income not declared elsewhere	2020-12-31	$3,873
Administrative expenses (other) incurred	2020-12-31	$20,416
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-2,557,440
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$14,224,368
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$16,781,808
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Investment advisory and management fees	2020-12-31	$11,967
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$11,696,904
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$13,982,171
Interest earned on other investments	2020-12-31	$73,080
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$2,268,751
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$2,600,310
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-12-31	$1,369,389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$4,277
Employer contributions (assets) at end of year	2020-12-31	$0
Employer contributions (assets) at beginning of year	2020-12-31	$197,631
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$4,078,575
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-12-31	No
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	CLIFTONLARSONALLEN LLP
Accountancy firm EIN	2020-12-31	410746749
2019 : ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2019 401k financial data
Total income from all sources (including contributions)	2019-12-31	$4,708,509
Total of all expenses incurred	2019-12-31	$3,630,555
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$3,580,992
Expenses. Certain deemed distributions of participant loans	2019-12-31	$10,463
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$1,863,362
Value of total assets at end of year	2019-12-31	$16,781,808
Value of total assets at beginning of year	2019-12-31	$15,703,854
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$39,100
Total interest from all sources	2019-12-31	$81,018
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$854,571
Participant contributions at end of year	2019-12-31	$1,696
Participant contributions at beginning of year	2019-12-31	$12,539
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$223,648
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$0
Other income not declared elsewhere	2019-12-31	$733
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,077,954
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$16,781,808
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$15,703,854
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$13,982,171
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$13,118,875
Interest earned on other investments	2019-12-31	$81,018
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$2,600,310
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$2,565,351
Expenses. Payments to insurance carriers foe the provision of benefits	2019-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$2,763,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$785,143
Employer contributions (assets) at end of year	2019-12-31	$197,631
Employer contributions (assets) at beginning of year	2019-12-31	$7,089
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$3,580,992
Contract administrator fees	2019-12-31	$39,100
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	PLANTE & MORAN PLLC
Accountancy firm EIN	2019-12-31	381357951

Form 5500 Responses for ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN

2021: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 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 funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: ALLEGAN GENERAL HOSPITAL EMPLOYEE SAVINGS PLAN 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 funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR04776

Policy instance

Insurance contract or identification number	CR04776
Number of Individuals Covered	0
Insurance policy start date	2021-01-01
Insurance policy end date	2021-06-01
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

TA069930

Policy instance

Insurance contract or identification number	TA069930
Number of Individuals Covered	0
Insurance policy start date	2021-01-01
Insurance policy end date	2021-06-01
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA751781

Policy instance

Insurance contract or identification number	GA751781
Number of Individuals Covered	0
Insurance policy start date	2020-01-01
Insurance policy end date	2020-05-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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 number

CR04776

Policy instance

Insurance contract or identification number	CR04776
Number of Individuals Covered	95
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $26,889
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,889
Insurance broker organization code?	4

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

TA069930

Policy instance

Insurance contract or identification number	TA069930
Number of Individuals Covered	293
Insurance policy start date	2020-06-01
Insurance policy end date	2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA751781

Policy instance

Insurance contract or identification number	GA751781
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

CR04776

Policy instance

Insurance contract or identification number	CR04776
Number of Individuals Covered	110
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $33,328
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $33,328
Insurance broker organization code?	4

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See full terms and conditions

Company Name:	ASCENSION HEALTHCARE
Employer identification number (EIN):	311662309
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2000-02-14
Company Identification Number:	0013101407
Legal Registered Office Address:	211 E 7TH ST STE 620 AUSTIN United States of America (USA) 78701