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GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 401k Plan overview

Plan NameGRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD
Plan identification number 503

GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD Benefits

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

401k Sponsoring company profile

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

Company Name:GRAHAM HOSPITAL ASSOCIATION
Employer identification number (EIN):370673506
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032016-01-01KYLE COOK KYLE COOK2017-07-28
5032016-01-01KYLE COOK2021-12-06
5032014-01-01JULIE REEDER JULIE REEDER2015-06-08
5032014-01-01KYLE COOK2021-12-06
5032013-01-01MELISSA WILSON MELISSA WILSON2014-06-24
5032012-01-01MELISSA WILSON MELISSA WILSON2013-04-24
5032011-01-01MELISSA WILSON
5032009-01-01 MELISSA WILSON2010-08-08
5032009-01-01 MELISSA WILSON2010-07-29
5032009-01-01MELISSA WILSON

Plan Statistics for GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD

401k plan membership statisitcs for GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD

Measure Date Value
2016: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2016 401k membership
Total participants, beginning-of-year2016-01-01515
Total number of active participants reported on line 7a of the Form 55002016-01-01505
Total of all active and inactive participants2016-01-01505
Total participants2016-01-01505
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Number of employers contributing to the scheme2016-01-010
2014: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2014 401k membership
Total participants, beginning-of-year2014-01-01529
Total number of active participants reported on line 7a of the Form 55002014-01-01542
Total of all active and inactive participants2014-01-01542
Total participants2014-01-01542
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Number of employers contributing to the scheme2014-01-010
2013: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2013 401k membership
Total participants, beginning-of-year2013-01-01555
Total number of active participants reported on line 7a of the Form 55002013-01-01529
Number of retired or separated participants receiving benefits2013-01-011
Total of all active and inactive participants2013-01-01530
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01531
2012: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2012 401k membership
Total participants, beginning-of-year2012-01-01538
Total number of active participants reported on line 7a of the Form 55002012-01-01554
Number of retired or separated participants receiving benefits2012-01-011
Total of all active and inactive participants2012-01-01555
Total participants2012-01-01555
2011: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2011 401k membership
Total participants, beginning-of-year2011-01-01541
Total number of active participants reported on line 7a of the Form 55002011-01-01538
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01538
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01538
2009: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2009 401k membership
Total participants, beginning-of-year2009-01-01554
Total number of active participants reported on line 7a of the Form 55002009-01-01544
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01544
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-01545

Form 5500 Responses for GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD

2016: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2014: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: GRAHAM HOSPITAL ASSOCIATION GROUP LIFE AND LTD 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
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 – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number01-016643-00
Policy instance 1
Insurance contract or identification number01-016643-00
Number of Individuals Covered505
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,338
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $157,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2338
Additional information about fees paid to insurance brokerGROUP VOLUME BONUS
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000APEM
Policy instance 1
Insurance contract or identification numberG000APEM
Number of Individuals Covered529
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $1,978
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,978
Amount paid for insurance broker fees0
Insurance broker organization code?3

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