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TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 401k Plan overview

Plan NameTRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN
Plan identification number 525

TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

TRINITY MEDICAL CENTER WEST has sponsored the creation of one or more 401k plans.

Company Name:TRINITY MEDICAL CENTER WEST
Employer identification number (EIN):340875691
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5252015-05-01DAVID WERKIN
5252014-05-01FRED BROWER
5252013-05-01FRED BROWER
5252012-05-01FRED BROWER
5252011-05-01FRED BROWER
5252010-05-01FRED BROWER
5252009-05-01FRED BROWER

Plan Statistics for TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN

401k plan membership statisitcs for TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN

Measure Date Value
2015: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01368
Total number of active participants reported on line 7a of the Form 55002015-05-01324
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-01324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-05-010
Total participants2015-05-01324
2014: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01371
Total number of active participants reported on line 7a of the Form 55002014-05-01368
Total of all active and inactive participants2014-05-01368
Total participants2014-05-01368
2013: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01389
Total number of active participants reported on line 7a of the Form 55002013-05-01371
Total of all active and inactive participants2013-05-01371
Total participants2013-05-01371
Number of participants with account balances2013-05-01371
2012: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01333
Total number of active participants reported on line 7a of the Form 55002012-05-01389
Total of all active and inactive participants2012-05-01389
Total participants2012-05-01389
Number of participants with account balances2012-05-01389
2011: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01328
Total number of active participants reported on line 7a of the Form 55002011-05-01333
Total of all active and inactive participants2011-05-01333
Total participants2011-05-01333
2010: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-01312
Total number of active participants reported on line 7a of the Form 55002010-05-01328
Number of retired or separated participants receiving benefits2010-05-010
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-01328
Total participants2010-05-01328
2009: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01328
Total number of active participants reported on line 7a of the Form 55002009-05-01312
Total of all active and inactive participants2009-05-01312
Total participants2009-05-01312

Form 5500 Responses for TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN

2015: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2010: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan benefit arrangement – InsuranceYes
2009: TRINITY MEDICAL CENTER WEST FLEXIBLE SPENDING PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7049992
Policy instance 1
Insurance contract or identification numberE7049992
Number of Individuals Covered324
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $25,629
Total amount of fees paid to insurance companyUSD $511
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 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
Commission paid to Insurance BrokerUSD $2,797
Amount paid for insurance broker fees164
Insurance broker nameJOHN BEATTY
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7049992
Policy instance 1
Insurance contract or identification numberE7049992
Number of Individuals Covered368
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $43,215
Total amount of fees paid to insurance companyUSD $1,441
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCANCER
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 $256,272
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56
Insurance broker organization code?3
Amount paid for insurance broker fees961
Insurance broker nameLISA M BRYER
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7049992
Policy instance 1
Insurance contract or identification numberE7049992
Number of Individuals Covered371
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $4,609
Total amount of fees paid to insurance companyUSD $1,443
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCANCER
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 $263,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2
Amount paid for insurance broker fees3
Insurance broker nameLISA M BRYER
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7049992
Policy instance 1
Insurance contract or identification numberE7049992
Number of Individuals Covered389
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $46,232
Total amount of fees paid to insurance companyUSD $2,180
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $235,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,830
Amount paid for insurance broker fees515
Insurance broker nameLAWRENCE ZIMMERMAN
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7049992
Policy instance 1
Insurance contract or identification numberE7049992
Number of Individuals Covered333
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $32,893
Total amount of fees paid to insurance companyUSD $917
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $223,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE7049992
Policy instance 1
Insurance contract or identification numberE7049992
Number of Individuals Covered327
Total amount of commissions paid to insurance brokerUSD $29,905
Total amount of fees paid to insurance companyUSD $839
Commission paid to Insurance BrokerUSD $12,992
Amount paid for insurance broker fees262
Insurance broker nameMICHAEL FRANKS
CENTRAL UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61883 )
Policy contract numberCOL7049992
Policy instance 2
Insurance contract or identification numberCOL7049992
Number of Individuals Covered1
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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