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| Plan Name | GROUP SUPPLEMENTAL LIFE INSURANCE FOR EMPLOYEES OF AMERY REGIONAL MEDICAL CENTER |
| Plan identification number | 504 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | AMERY REGIONAL MEDICAL CENTER |
| Employer identification number (EIN): | 390908320 |
| NAIC Classification: | 622000 |
| NAIC Description: | Hospitals |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 504 | 2012-08-01 | JOANNE JACKSON | |||
| 504 | 2011-08-01 | JOANNE JACKSON | |||
| 504 | 2010-01-01 | JOANNE JACKSON | |||
| 504 | 2009-08-01 | JOANNE JACKSON |
| Measure | Date | Value |
|---|---|---|
| 2012: GROUP SUPPLEMENTAL LIFE INSURANCE FOR EMPLOYEES OF AMERY REGIONAL MEDICAL CENTER 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-08-01 | 252 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-08-01 | 0 |
| Number of retired or separated participants receiving benefits | 2012-08-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-08-01 | 0 |
| Total of all active and inactive participants | 2012-08-01 | 0 |
| 2011: GROUP SUPPLEMENTAL LIFE INSURANCE FOR EMPLOYEES OF AMERY REGIONAL MEDICAL CENTER 2011 401k membership | ||
| Total participants, beginning-of-year | 2011-08-01 | 231 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-08-01 | 252 |
| Total of all active and inactive participants | 2011-08-01 | 252 |
| Total participants | 2011-08-01 | 252 |
| 2010: GROUP SUPPLEMENTAL LIFE INSURANCE FOR EMPLOYEES OF AMERY REGIONAL MEDICAL CENTER 2010 401k membership | ||
| Total participants, beginning-of-year | 2010-01-01 | 219 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 231 |
| Total of all active and inactive participants | 2010-01-01 | 231 |
| Total participants | 2010-01-01 | 231 |
| 2009: GROUP SUPPLEMENTAL LIFE INSURANCE FOR EMPLOYEES OF AMERY REGIONAL MEDICAL CENTER 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-08-01 | 153 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-08-01 | 219 |
| Total of all active and inactive participants | 2009-08-01 | 219 |
| Total participants | 2009-08-01 | 219 |
| 2012: GROUP SUPPLEMENTAL LIFE INSURANCE FOR EMPLOYEES OF AMERY REGIONAL MEDICAL CENTER 2012 form 5500 responses | ||
|---|---|---|
| 2012-08-01 | Type of plan entity | Single employer plan |
| 2012-08-01 | Submission has been amended | No |
| 2012-08-01 | This submission is the final filing | Yes |
| 2012-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-08-01 | Plan is a collectively bargained plan | No |
| 2012-08-01 | Plan funding arrangement – Insurance | Yes |
| 2012-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: GROUP SUPPLEMENTAL LIFE INSURANCE FOR EMPLOYEES OF AMERY REGIONAL MEDICAL CENTER 2011 form 5500 responses | ||
| 2011-08-01 | Type of plan entity | Single employer plan |
| 2011-08-01 | Submission has been amended | No |
| 2011-08-01 | This submission is the final filing | No |
| 2011-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-08-01 | Plan is a collectively bargained plan | No |
| 2011-08-01 | Plan funding arrangement – Insurance | Yes |
| 2011-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: GROUP SUPPLEMENTAL LIFE INSURANCE FOR EMPLOYEES OF AMERY REGIONAL MEDICAL CENTER 2010 form 5500 responses | ||
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: GROUP SUPPLEMENTAL LIFE INSURANCE FOR EMPLOYEES OF AMERY REGIONAL MEDICAL CENTER 2009 form 5500 responses | ||
| 2009-08-01 | Type of plan entity | Single employer plan |
| 2009-08-01 | Submission has been amended | No |
| 2009-08-01 | This submission is the final filing | No |
| 2009-08-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-08-01 | Plan is a collectively bargained plan | No |
| 2009-08-01 | Plan funding arrangement – Insurance | Yes |
| 2009-08-01 | Plan benefit arrangement – Insurance | Yes |
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 403001744,1266 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 906227 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 906227 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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