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| Plan Name | WESTFIELDS HOSPITAL STD PLAN |
| Plan identification number | 558 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | WESTFIELDS HOSPITAL |
| Employer identification number (EIN): | 390808442 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 558 | 2015-01-01 | STEVEN MASSEY | 2019-06-10 | ||
| 558 | 2014-01-01 | STEVE MASSEY | STEVE MASSEY | 2019-06-03 |
| Measure | Date | Value |
|---|---|---|
| 2015: WESTFIELDS HOSPITAL STD PLAN 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 290 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 0 |
| 2014: WESTFIELDS HOSPITAL STD PLAN 2014 401k membership | ||
| Total participants, beginning-of-year | 2014-01-01 | 295 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 290 |
| Total of all active and inactive participants | 2014-01-01 | 290 |
| 2015: WESTFIELDS HOSPITAL STD PLAN 2015 form 5500 responses | ||
|---|---|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | Yes |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: WESTFIELDS HOSPITAL STD PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | Yes |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||
| Policy contract number | 000010167457 | ||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||
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