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ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 401k Plan overview

Plan NameANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS
Plan identification number 501

ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER
Employer identification number (EIN):363357004
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01ALEX MILLER
5012023-01-01
5012023-01-01ALEX MILLER
5012022-01-01ALEX P. MILLER2023-10-08
5012021-01-01
5012021-01-01BRENDA DAVIS
5012020-01-01RON BLAUSTEIN2021-09-22
5012019-01-01
5012018-01-01JONI DUNCAN JONI DUNCAN2019-07-22
5012017-01-01JONI DUNCAN JONI DUNCAN2018-07-24
5012016-01-01JONI DUNCAN JONI DUNCAN2017-07-25
5012015-01-01JONI DUNCAN JONI DUNCAN2016-07-28
5012014-01-01JONI DUNCAN JONI DUNCAN2015-10-05
5012013-01-01JONI DUNCAN JONI DUNCAN2014-10-07
5012012-01-01JONI DUNCAN JONI DUNCAN2013-10-08
5012011-01-01PAULA M. NOBLE PAULA M. NOBLE2012-10-12
5012009-01-01BARBARA B. BOWMAN BARBARA B. BOWMAN2010-10-14

Financial Data on ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS

Measure Date Value
2010 : ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,722,523
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,124,608
Total income from all sources (including contributions)2010-12-31$18,619,623
Total of all expenses incurred2010-12-31$18,946,867
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$17,812,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$18,619,623
Value of total assets at end of year2010-12-31$134,000
Value of total assets at beginning of year2010-12-31$863,329
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,134,268
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$3,654,569
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$327,244
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$134,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$134,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$729,329
Administrative expenses (other) incurred2010-12-31$339,572
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-327,244
Value of net assets at end of year (total assets less liabilities)2010-12-31$-1,588,523
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-1,261,279
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$14,965,054
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$729,329
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$17,485,355
Contract administrator fees2010-12-31$794,696
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,722,523
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,395,279
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31CROWE HORWATH
Accountancy firm EIN2010-12-31350921680

Form 5500 Responses for ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS

2023: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 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 filingNo
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 – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 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 – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 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 – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 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 – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO SELF-INSURED WELFARE PLANS 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number10126
Policy instance 2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number239781
Policy instance 1
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number10126
Policy instance 2
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number239781
Policy instance 1
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number10126
Policy instance 2
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number66907-5
Policy instance 1
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number10126
Policy instance 2
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number66907-5
Policy instance 1
DELTA DENTAL OF ILLINOIS (National Association of Insurance Commissioners NAIC id number: 47589 )
Policy contract number10126
Policy instance 2
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number66907-5
Policy instance 1
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number66907-5
Policy instance 1

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