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ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 401k Plan overview

Plan NameACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER
Plan identification number 506

ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

VANDERBILT UNIVERSITY MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:VANDERBILT UNIVERSITY MEDICAL CENTER
Employer identification number (EIN):352528741
NAIC Classification:611000

Additional information about VANDERBILT UNIVERSITY MEDICAL CENTER

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2018-03-19
Company Identification Number: 0802966527
Legal Registered Office Address: 3319 W END AVE STE 700 ATTN: ABBY PALMER

NASHVILLE
United States of America (USA)
37203

More information about VANDERBILT UNIVERSITY MEDICAL CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062022-01-01
5062021-01-01
5062020-01-01CECELIA MOORE2021-08-05
5062019-01-01CECELIA MOORE2020-10-06
5062018-01-01CECELIA MOORE2019-10-14
5062017-01-01
5062016-05-01

Plan Statistics for ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER

401k plan membership statisitcs for ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER

Measure Date Value
2022: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2022 401k membership
Total participants, beginning-of-year2022-01-0122,375
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
2021: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2021 401k membership
Total participants, beginning-of-year2021-01-0118,398
Total number of active participants reported on line 7a of the Form 55002021-01-0122,292
Number of retired or separated participants receiving benefits2021-01-0183
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0122,375
2020: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2020 401k membership
Total participants, beginning-of-year2020-01-0121,206
Total number of active participants reported on line 7a of the Form 55002020-01-0122,668
Number of retired or separated participants receiving benefits2020-01-0120
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0122,688
2019: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2019 401k membership
Total participants, beginning-of-year2019-01-0116,823
Total number of active participants reported on line 7a of the Form 55002019-01-0121,183
Number of retired or separated participants receiving benefits2019-01-0123
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0121,206
2018: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2018 401k membership
Total participants, beginning-of-year2018-01-0113,071
Total number of active participants reported on line 7a of the Form 55002018-01-0115,075
Total of all active and inactive participants2018-01-0115,075
2017: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2017 401k membership
Total participants, beginning-of-year2017-01-0112,708
Total number of active participants reported on line 7a of the Form 55002017-01-0113,071
Total of all active and inactive participants2017-01-0113,071
2016: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2016 401k membership
Total participants, beginning-of-year2016-05-0112,932
Total number of active participants reported on line 7a of the Form 55002016-05-0112,708
Total of all active and inactive participants2016-05-0112,708

Form 5500 Responses for ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER

2022: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR VANDERBILT UNIVERSITY MEDICAL CENTER 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01First time form 5500 has been submittedYes
2016-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0160933
Policy instance 1
Insurance contract or identification number0160933
Number of Individuals Covered41842
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
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
Other welfare benefits providedAD&D
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 $1,054,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0160933
Policy instance 1
Insurance contract or identification number0160933
Number of Individuals Covered39276
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
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
Other welfare benefits providedAD&D
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 $1,012,349
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0160933
Policy instance 1
Insurance contract or identification number0160933
Number of Individuals Covered36856
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
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
Other welfare benefits providedAD&D
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 $966,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0160933
Policy instance 1
Insurance contract or identification number0160933
Number of Individuals Covered34382
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
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
Other welfare benefits providedAD&D
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 $940,792
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0160933
Policy instance 1
Insurance contract or identification number0160933
Number of Individuals Covered51660
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $946,049
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0160933
Policy instance 1
Insurance contract or identification number0160933
Number of Individuals Covered50558
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $936,768
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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