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HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 401k Plan overview

Plan NameHOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT
Plan identification number 501

HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

HOSPITAL EMPLOYEE BENEFIT ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:HOSPITAL EMPLOYEE BENEFIT ASSOCIATION
Employer identification number (EIN):351394215
NAIC Classification:525920
NAIC Description:Trusts, Estates, and Agency Accounts

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01DIANA FAUCETT2023-07-14
5012021-10-01DIANA FAUCETT2023-10-03
5012020-10-01DIANA FAUCETT2022-07-26
5012020-10-01DIANA FAUCETT2022-07-15
5012019-10-01DIANA FAUCETT2021-07-13
5012018-10-01DIANA FAUCETT2020-07-15
5012017-10-01HOLLY IRWIN2019-07-15
5012016-10-01
5012015-10-01
5012015-10-01SCOTT RINGOLD2017-07-17
5012014-10-012016-07-13
5012013-10-012015-07-09
5012012-10-012014-07-15
5012011-10-012013-07-15
5012010-10-01STEVEN M. BULLOFF, J.D.
5012009-10-01STEVEN M. BULLOFF, J.D.
5012008-10-01

Plan Statistics for HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT

401k plan membership statisitcs for HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT

Measure Date Value
2021: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2021 401k membership
Total participants, beginning-of-year2021-10-01605
Total number of active participants reported on line 7a of the Form 55002021-10-015,736
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-015,736
2020: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2020 401k membership
Total participants, beginning-of-year2020-10-01606
Total number of active participants reported on line 7a of the Form 55002020-10-01606
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-01606
2019: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2019 401k membership
Total participants, beginning-of-year2019-10-012,371
Total number of active participants reported on line 7a of the Form 55002019-10-012,279
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-012,279
2018: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2018 401k membership
Total participants, beginning-of-year2018-10-012,520
Total number of active participants reported on line 7a of the Form 55002018-10-012,403
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-012,403
2017: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2017 401k membership
Total participants, beginning-of-year2017-10-012,453
Total number of active participants reported on line 7a of the Form 55002017-10-012,520
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-012,520
2016: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2016 401k membership
Total participants, beginning-of-year2016-10-012,559
Total number of active participants reported on line 7a of the Form 55002016-10-012,453
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-012,453
2015: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2015 401k membership
Total participants, beginning-of-year2015-10-012,432
Total number of active participants reported on line 7a of the Form 55002015-10-012,559
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-012,559
2014: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2014 401k membership
Total participants, beginning-of-year2014-10-013,232
Total number of active participants reported on line 7a of the Form 55002014-10-012,432
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-012,432
2013: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2013 401k membership
Total participants, beginning-of-year2013-10-013,249
Total number of active participants reported on line 7a of the Form 55002013-10-013,232
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-013,232
2012: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2012 401k membership
Total participants, beginning-of-year2012-10-013,103
Total number of active participants reported on line 7a of the Form 55002012-10-013,249
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-013,249
2011: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2011 401k membership
Total participants, beginning-of-year2011-10-013,121
Total number of active participants reported on line 7a of the Form 55002011-10-013,103
Total of all active and inactive participants2011-10-013,103
2010: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2010 401k membership
Total participants, beginning-of-year2010-10-013,001
Total number of active participants reported on line 7a of the Form 55002010-10-013,121
Total of all active and inactive participants2010-10-013,121
2009: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2009 401k membership
Total participants, beginning-of-year2009-10-013,131
Total number of active participants reported on line 7a of the Form 55002009-10-013,001
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-013,001

Financial Data on HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT

Measure Date Value
2022 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$108,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$6,752
Total income from all sources (including contributions)2022-09-30$680,322
Total of all expenses incurred2022-09-30$1,392,242
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$1,217,089
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$913,594
Value of total assets at end of year2022-09-30$3,395,934
Value of total assets at beginning of year2022-09-30$4,006,485
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$175,153
Total interest from all sources2022-09-30$217,064
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Administrative expenses professional fees incurred2022-09-30$25,564
Was this plan covered by a fidelity bond2022-09-30No
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-09-30$108,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-09-30$6,752
Other income not declared elsewhere2022-09-30$139,864
Administrative expenses (other) incurred2022-09-30$21,076
Total non interest bearing cash at end of year2022-09-30$164,961
Total non interest bearing cash at beginning of year2022-09-30$19,741
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-711,920
Value of net assets at end of year (total assets less liabilities)2022-09-30$3,287,813
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$3,999,733
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Investment advisory and management fees2022-09-30$18,940
Interest earned on other investments2022-09-30$217,064
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-09-30$3,230,973
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-09-30$3,986,744
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-09-30$3,986,744
Expenses. Payments to insurance carriers foe the provision of benefits2022-09-30$1,217,089
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-590,200
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$913,594
Contract administrator fees2022-09-30$109,573
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-09-30No
Did the plan have assets held for investment2022-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30SOMERSET CPAS, P.C.
Accountancy firm EIN2022-09-30201717681
2021 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$6,752
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$94,634
Total income from all sources (including contributions)2021-09-30$1,256,077
Total of all expenses incurred2021-09-30$514,726
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$343,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$-1,129
Value of total assets at end of year2021-09-30$4,006,485
Value of total assets at beginning of year2021-09-30$3,353,016
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$171,305
Total interest from all sources2021-09-30$995,199
Administrative expenses professional fees incurred2021-09-30$35,671
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-09-30$6,752
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-09-30$94,634
Other income not declared elsewhere2021-09-30$146,276
Administrative expenses (other) incurred2021-09-30$3,352
Total non interest bearing cash at end of year2021-09-30$19,741
Total non interest bearing cash at beginning of year2021-09-30$264,014
Value of net income/loss2021-09-30$741,351
Value of net assets at end of year (total assets less liabilities)2021-09-30$3,999,733
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$3,258,382
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Investment advisory and management fees2021-09-30$16,938
Interest earned on other investments2021-09-30$995,199
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-09-30$3,986,744
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-09-30$3,089,002
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-09-30$3,089,002
Expenses. Payments to insurance carriers foe the provision of benefits2021-09-30$343,421
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$115,731
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$-1,129
Contract administrator fees2021-09-30$115,344
Did the plan have assets held for investment2021-09-30Yes
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30SOMERSET CPAS, P.C.
Accountancy firm EIN2021-09-30201717681
2020 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$94,634
Total income from all sources (including contributions)2020-09-30$2,071,021
Total of all expenses incurred2020-09-30$1,189,591
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$982,585
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$564,301
Value of total assets at end of year2020-09-30$3,353,016
Value of total assets at beginning of year2020-09-30$2,376,952
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$207,006
Total interest from all sources2020-09-30$1,162,066
Administrative expenses professional fees incurred2020-09-30$16,757
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-09-30$94,634
Other income not declared elsewhere2020-09-30$230,772
Administrative expenses (other) incurred2020-09-30$16,521
Total non interest bearing cash at end of year2020-09-30$264,014
Total non interest bearing cash at beginning of year2020-09-30$93,823
Value of net income/loss2020-09-30$881,430
Value of net assets at end of year (total assets less liabilities)2020-09-30$3,258,382
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$2,376,952
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Investment advisory and management fees2020-09-30$15,871
Interest earned on other investments2020-09-30$1,162,066
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-09-30$3,089,002
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-09-30$2,283,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-09-30$2,283,129
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$982,585
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$113,882
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$564,301
Contract administrator fees2020-09-30$157,857
Did the plan have assets held for investment2020-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30No
Opinion of an independent qualified public accountant for this plan2020-09-30Unqualified
Accountancy firm name2020-09-30SOMERSET CPA'S, P.C.
Accountancy firm EIN2020-09-30201717681
2019 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2019 401k financial data
Total income from all sources (including contributions)2019-09-30$1,511,711
Total of all expenses incurred2019-09-30$1,446,892
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$1,241,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$826,140
Value of total assets at end of year2019-09-30$2,376,952
Value of total assets at beginning of year2019-09-30$2,312,133
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$205,018
Total interest from all sources2019-09-30$574,703
Administrative expenses professional fees incurred2019-09-30$19,214
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Other income not declared elsewhere2019-09-30$88,278
Administrative expenses (other) incurred2019-09-30$5,974
Total non interest bearing cash at end of year2019-09-30$93,823
Total non interest bearing cash at beginning of year2019-09-30$70,092
Value of net income/loss2019-09-30$64,819
Value of net assets at end of year (total assets less liabilities)2019-09-30$2,376,952
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$2,312,133
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Investment advisory and management fees2019-09-30$29,241
Interest earned on other investments2019-09-30$574,703
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-09-30$2,283,129
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-09-30$2,242,041
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-09-30$2,242,041
Expenses. Payments to insurance carriers foe the provision of benefits2019-09-30$1,241,874
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$22,590
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$826,140
Contract administrator fees2019-09-30$150,589
Did the plan have assets held for investment2019-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30No
Opinion of an independent qualified public accountant for this plan2019-09-30Unqualified
Accountancy firm name2019-09-30SOMERSET CPA'S, P.C.
Accountancy firm EIN2019-09-30201717681
2018 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2018 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$5,174
Total income from all sources (including contributions)2018-09-30$1,996,797
Total of all expenses incurred2018-09-30$1,421,629
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$1,227,588
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$864,386
Value of total assets at end of year2018-09-30$2,312,133
Value of total assets at beginning of year2018-09-30$1,742,139
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$194,041
Total interest from all sources2018-09-30$995,649
Administrative expenses professional fees incurred2018-09-30$20,626
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-09-30$5,174
Other income not declared elsewhere2018-09-30$115,330
Total non interest bearing cash at end of year2018-09-30$70,092
Total non interest bearing cash at beginning of year2018-09-30$27,743
Value of net income/loss2018-09-30$575,168
Value of net assets at end of year (total assets less liabilities)2018-09-30$2,312,133
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$1,736,965
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Investment advisory and management fees2018-09-30$13,005
Interest earned on other investments2018-09-30$995,649
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-09-30$2,242,041
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-09-30$1,714,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-09-30$1,714,396
Expenses. Payments to insurance carriers foe the provision of benefits2018-09-30$1,227,588
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$21,432
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$864,386
Contract administrator fees2018-09-30$160,410
Did the plan have assets held for investment2018-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30No
Opinion of an independent qualified public accountant for this plan2018-09-30Unqualified
Accountancy firm name2018-09-30SOMERSET CPA'S, P.C.
Accountancy firm EIN2018-09-30201717681
2017 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$5,174
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$17,569
Total income from all sources (including contributions)2017-09-30$1,767,057
Total of all expenses incurred2017-09-30$1,364,453
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$1,160,570
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$808,649
Value of total assets at end of year2017-09-30$1,742,139
Value of total assets at beginning of year2017-09-30$1,351,930
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$203,883
Total interest from all sources2017-09-30$815,830
Administrative expenses professional fees incurred2017-09-30$27,084
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-09-30$5,174
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-09-30$17,569
Other income not declared elsewhere2017-09-30$123,156
Total non interest bearing cash at end of year2017-09-30$27,743
Total non interest bearing cash at beginning of year2017-09-30$172,224
Value of net income/loss2017-09-30$402,604
Value of net assets at end of year (total assets less liabilities)2017-09-30$1,736,965
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$1,334,361
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Investment advisory and management fees2017-09-30$11,229
Interest earned on other investments2017-09-30$815,830
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-09-30$1,714,396
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-09-30$1,157,689
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-09-30$1,157,689
Expenses. Payments to insurance carriers foe the provision of benefits2017-09-30$1,160,570
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$19,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$808,649
Employer contributions (assets) at end of year2017-09-30$0
Employer contributions (assets) at beginning of year2017-09-30$22,017
Contract administrator fees2017-09-30$165,570
Did the plan have assets held for investment2017-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30No
Opinion of an independent qualified public accountant for this plan2017-09-30Unqualified
Accountancy firm name2017-09-30SOMERSET CPA'S, P.C.
Accountancy firm EIN2017-09-30201717681
2016 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$62,727
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$62,727
Total income from all sources (including contributions)2016-09-30$1,658,169
Total of all expenses incurred2016-09-30$1,658,169
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$1,516,046
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$978,923
Value of total assets at end of year2016-09-30$1,119,118
Value of total assets at beginning of year2016-09-30$1,119,118
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$142,123
Total interest from all sources2016-09-30$620,129
Administrative expenses professional fees incurred2016-09-30$12,194
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-09-30$22,017
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-09-30$62,727
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-09-30$62,727
Other income not declared elsewhere2016-09-30$77,150
Total non interest bearing cash at end of year2016-09-30$306,718
Total non interest bearing cash at beginning of year2016-09-30$306,718
Value of net income/loss2016-09-30$0
Value of net assets at end of year (total assets less liabilities)2016-09-30$1,056,391
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$1,056,391
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Investment advisory and management fees2016-09-30$6,762
Interest earned on other investments2016-09-30$620,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-09-30$812,400
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-09-30$812,400
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-09-30$812,400
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$1,516,046
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$-18,033
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$978,923
Contract administrator fees2016-09-30$123,167
Did the plan have assets held for investment2016-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30No
Opinion of an independent qualified public accountant for this plan2016-09-30Unqualified
Accountancy firm name2016-09-30SOMERSET CPA'S, P.C.
Accountancy firm EIN2016-09-30201717681
2015 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$62,727
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$50,637
Total income from all sources (including contributions)2015-09-30$1,658,169
Total of all expenses incurred2015-09-30$1,316,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$1,174,761
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$978,923
Value of total assets at end of year2015-09-30$1,119,118
Value of total assets at beginning of year2015-09-30$765,743
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$142,123
Total interest from all sources2015-09-30$620,129
Administrative expenses professional fees incurred2015-09-30$12,194
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$62,727
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$50,637
Other income not declared elsewhere2015-09-30$77,150
Total non interest bearing cash at end of year2015-09-30$306,718
Total non interest bearing cash at beginning of year2015-09-30$92,835
Value of net income/loss2015-09-30$341,285
Value of net assets at end of year (total assets less liabilities)2015-09-30$1,056,391
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$715,106
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Investment advisory and management fees2015-09-30$6,762
Interest earned on other investments2015-09-30$620,129
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$812,400
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$672,908
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$672,908
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$1,174,761
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-18,033
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$978,923
Contract administrator fees2015-09-30$123,167
Did the plan have assets held for investment2015-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30No
Opinion of an independent qualified public accountant for this plan2015-09-30Unqualified
Accountancy firm name2015-09-30SOMERSET CPA'S, P.C.
Accountancy firm EIN2015-09-30201717681
2014 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$50,637
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$61,766
Total income from all sources (including contributions)2014-09-30$1,556,980
Total of all expenses incurred2014-09-30$1,439,463
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$1,302,048
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$775,048
Value of total assets at end of year2014-09-30$765,743
Value of total assets at beginning of year2014-09-30$659,355
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$137,415
Total interest from all sources2014-09-30$695,059
Administrative expenses professional fees incurred2014-09-30$26,621
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-09-30$50,637
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-09-30$61,766
Other income not declared elsewhere2014-09-30$64,967
Administrative expenses (other) incurred2014-09-30$1,136
Total non interest bearing cash at end of year2014-09-30$92,835
Total non interest bearing cash at beginning of year2014-09-30$188,221
Value of net income/loss2014-09-30$117,517
Value of net assets at end of year (total assets less liabilities)2014-09-30$715,106
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$597,589
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Investment advisory and management fees2014-09-30$5,730
Interest earned on other investments2014-09-30$695,059
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$672,908
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-09-30$471,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-09-30$471,134
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$1,302,048
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$21,906
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$775,048
Contract administrator fees2014-09-30$103,928
Did the plan have assets held for investment2014-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30SOMERSET CPA'S, P.C.
Accountancy firm EIN2014-09-30201717681
2013 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$61,766
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$13,623
Total income from all sources (including contributions)2013-09-30$1,062,457
Total of all expenses incurred2013-09-30$1,469,495
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,330,821
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$909,133
Value of total assets at end of year2013-09-30$659,355
Value of total assets at beginning of year2013-09-30$1,018,250
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$138,674
Total interest from all sources2013-09-30$146,402
Administrative expenses professional fees incurred2013-09-30$5,666
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-09-30$61,766
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-09-30$13,623
Other income not declared elsewhere2013-09-30$48,817
Administrative expenses (other) incurred2013-09-30$9,767
Total non interest bearing cash at end of year2013-09-30$188,221
Total non interest bearing cash at beginning of year2013-09-30$49,003
Value of net income/loss2013-09-30$-407,038
Value of net assets at end of year (total assets less liabilities)2013-09-30$597,589
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$1,004,627
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Investment advisory and management fees2013-09-30$4,986
Interest earned on other investments2013-09-30$146,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-09-30$471,134
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-09-30$969,247
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-09-30$969,247
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-30$1,330,821
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$-41,895
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$909,133
Contract administrator fees2013-09-30$118,255
Did the plan have assets held for investment2013-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30No
Opinion of an independent qualified public accountant for this plan2013-09-30Unqualified
Accountancy firm name2013-09-30SOMERSET CPA'S, P.C.
Accountancy firm EIN2013-09-30201717681
2012 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$13,623
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$380
Total income from all sources (including contributions)2012-09-30$2,184,353
Total of all expenses incurred2012-09-30$1,460,699
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$1,314,205
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$911,276
Value of total assets at end of year2012-09-30$1,018,250
Value of total assets at beginning of year2012-09-30$281,353
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$146,494
Total interest from all sources2012-09-30$1,105,236
Administrative expenses professional fees incurred2012-09-30$11,536
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-09-30$13,623
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-09-30$380
Other income not declared elsewhere2012-09-30$40,880
Administrative expenses (other) incurred2012-09-30$3,985
Total non interest bearing cash at end of year2012-09-30$49,003
Total non interest bearing cash at beginning of year2012-09-30$2,375
Value of net income/loss2012-09-30$723,654
Value of net assets at end of year (total assets less liabilities)2012-09-30$1,004,627
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$280,973
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Investment advisory and management fees2012-09-30$5,725
Interest earned on other investments2012-09-30$1,105,236
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-09-30$969,247
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$278,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$278,978
Expenses. Payments to insurance carriers foe the provision of benefits2012-09-30$1,314,205
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-09-30$126,961
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$911,276
Contract administrator fees2012-09-30$125,248
Did the plan have assets held for investment2012-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30SOMERSET CPAS, P.C.
Accountancy firm EIN2012-09-30201717681
2011 : HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$380
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$3,018
Total income from all sources (including contributions)2011-09-30$169,437
Total of all expenses incurred2011-09-30$1,558,013
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$1,430,940
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$389,673
Value of total assets at end of year2011-09-30$281,353
Value of total assets at beginning of year2011-09-30$1,672,567
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$127,073
Total interest from all sources2011-09-30$110,103
Administrative expenses professional fees incurred2011-09-30$2,936
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-09-30$380
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-09-30$3,018
Other income not declared elsewhere2011-09-30$-363,153
Administrative expenses (other) incurred2011-09-30$1,758
Total non interest bearing cash at end of year2011-09-30$2,375
Total non interest bearing cash at beginning of year2011-09-30$342,658
Value of net income/loss2011-09-30$-1,388,576
Value of net assets at end of year (total assets less liabilities)2011-09-30$280,973
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$1,669,549
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Investment advisory and management fees2011-09-30$2,279
Interest earned on other investments2011-09-30$110,103
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$278,978
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-09-30$1,329,909
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-09-30$1,329,909
Expenses. Payments to insurance carriers foe the provision of benefits2011-09-30$1,430,940
Net gain/loss from 103.12 investment entities2011-09-30$32,814
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$389,673
Contract administrator fees2011-09-30$120,100
Did the plan have assets held for investment2011-09-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30SOMERSET CPAS, P.C.
Accountancy firm EIN2011-09-30201717681

Form 5500 Responses for HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT

2021: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedYes
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2020 form 5500 responses
2020-10-01Type of plan entityDFE (Diect Filing Entity)
2020-10-01Submission has been amendedYes
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2019 form 5500 responses
2019-10-01Type of plan entityDFE (Diect Filing Entity)
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2018 form 5500 responses
2018-10-01Type of plan entityDFE (Diect Filing Entity)
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2017 form 5500 responses
2017-10-01Type of plan entityDFE (Diect Filing Entity)
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2016 form 5500 responses
2016-10-01Type of plan entityDFE (Diect Filing Entity)
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2015 form 5500 responses
2015-10-01Type of plan entityDFE (Diect Filing Entity)
2015-10-01Submission has been amendedYes
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2014 form 5500 responses
2014-10-01Type of plan entityDFE (Diect Filing Entity)
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2013 form 5500 responses
2013-10-01Type of plan entityDFE (Diect Filing Entity)
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2012 form 5500 responses
2012-10-01Type of plan entityDFE (Diect Filing Entity)
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2011 form 5500 responses
2011-10-01Type of plan entityDFE (Diect Filing Entity)
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2010: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2010 form 5500 responses
2010-10-01Type of plan entityDFE (Diect Filing Entity)
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement - TrustYes
2009: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2009 form 5500 responses
2009-10-01Type of plan entityDFE (Diect Filing Entity)
2009-10-01This submission is the final filingNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes
2008: HOSPITAL EMPLOYEE BENEFIT ASSOC. EMPLOYEES' LIFE GROUP INSURANCE ARRANGEMENT 2008 form 5500 responses
2008-10-01Type of plan entityDFE (Diect Filing Entity)
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered5736
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $184,808
Total amount of fees paid to insurance companyUSD $34,570
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,087,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $184,808
Insurance broker organization code?3
Amount paid for insurance broker fees34570
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered606
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $37,057
Total amount of fees paid to insurance companyUSD $25,849
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $369,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,057
Insurance broker organization code?3
Amount paid for insurance broker fees25849
Additional information about fees paid to insurance brokerADMINISTRATION FEE
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered2279
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $85,298
Total amount of fees paid to insurance companyUSD $73,958
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,056,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85,298
Insurance broker organization code?3
Amount paid for insurance broker fees73958
Additional information about fees paid to insurance brokerADMINISTRATION FEE
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered2403
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $105,761
Total amount of fees paid to insurance companyUSD $93,474
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $105,761
Insurance broker organization code?3
Amount paid for insurance broker fees93474
Additional information about fees paid to insurance brokerADMINISTRATION FEE
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered2520
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $104,206
Total amount of fees paid to insurance companyUSD $92,399
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered2432
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $104,510
Total amount of fees paid to insurance companyUSD $105,620
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $104,510
Amount paid for insurance broker fees17197
Insurance broker organization code?3
Insurance broker nameGBS ADMINISTRATORS INC
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered3232
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $120,514
Total amount of fees paid to insurance companyUSD $121,518
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120,514
Amount paid for insurance broker fees23288
Insurance broker organization code?3
Insurance broker nameGBS ADMINISTRATORS, INC.
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered3249
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $122,600
Total amount of fees paid to insurance companyUSD $142,886
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $122,600
Amount paid for insurance broker fees44148
Insurance broker organization code?3
Insurance broker nameGARDNER & WHITE, INC.
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered3103
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $159,113
Total amount of fees paid to insurance companyUSD $98,919
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number7500
Policy instance 1
Insurance contract or identification number7500
Number of Individuals Covered3121
Insurance policy start date2012-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $180,784
Total amount of fees paid to insurance companyUSD $107,705
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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