401k Plan data: RHSC, INC. LONG TERM DISABILITY PLAN plan

RHSC, INC. LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	RHSC, INC. LONG TERM DISABILITY PLAN
Plan identification number	504

RHSC, INC. LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

RHSC, INC. has sponsored the creation of one or more 401k plans.

Company Name: RHSC, INC.

Employer identification number (EIN): 411891928

NAIC Classification: 621491
NAIC Description: HMO Medical Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RHSC, INC. LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2018-01-01 KIMBERLY EGAN KIMBERLY EGAN 2019-06-29
504 2017-01-01 KIMBERLY EGAN 2018-10-10 KIMBERLY EGAN 2018-10-10
504 2016-01-01 KIMBERLY EGAN 2017-07-17 KIMBERLY EGAN 2017-07-17
504 2015-01-01 KIMBERLY EGAN 2016-10-14 KIMBERLY EGAN 2016-10-14
504 2014-01-01 KIMBERLY EGAN 2015-10-09 KIMBERLY EGAN 2015-10-09
504 2013-01-01 KIMBERLY EGAN 2014-07-24 KIMBERLY EGAN 2014-07-24
504 2012-01-01 KIMBERLY EGAN 2013-10-07 KIMBERLY EGAN 2013-10-07
504 2011-01-01 BETH HEINZ 2012-09-30 BETH HEINZ 2012-09-30
504 2009-01-01 BETH HEINZ 2010-10-13 BETH HEINZ 2010-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2018-01-01	KIMBERLY EGAN		KIMBERLY EGAN	2019-06-29
504	2017-01-01	KIMBERLY EGAN	2018-10-10	KIMBERLY EGAN	2018-10-10
504	2016-01-01	KIMBERLY EGAN	2017-07-17	KIMBERLY EGAN	2017-07-17
504	2015-01-01	KIMBERLY EGAN	2016-10-14	KIMBERLY EGAN	2016-10-14
504	2014-01-01	KIMBERLY EGAN	2015-10-09	KIMBERLY EGAN	2015-10-09
504	2013-01-01	KIMBERLY EGAN	2014-07-24	KIMBERLY EGAN	2014-07-24
504	2012-01-01	KIMBERLY EGAN	2013-10-07	KIMBERLY EGAN	2013-10-07
504	2011-01-01	BETH HEINZ	2012-09-30	BETH HEINZ	2012-09-30
504	2009-01-01	BETH HEINZ	2010-10-13	BETH HEINZ	2010-10-13

Plan Statistics for RHSC, INC. LONG TERM DISABILITY PLAN

401k plan membership statisitcs for RHSC, INC. LONG TERM DISABILITY PLAN

Measure Date Value
2018: RHSC, INC. LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 189
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 221
Total of all active and inactive participants 2018-01-01 221
2017: RHSC, INC. LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 186
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 189
Total of all active and inactive participants 2017-01-01 189
2016: RHSC, INC. LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 175
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 186
Total of all active and inactive participants 2016-01-01 186
2015: RHSC, INC. LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 180
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 175
Number of retired or separated participants receiving benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 175
2014: RHSC, INC. LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 188
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 180
Number of retired or separated participants receiving benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 180
2013: RHSC, INC. LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 176
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 188
Total of all active and inactive participants 2013-01-01 188
2012: RHSC, INC. LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 160
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 176
Total of all active and inactive participants 2012-01-01 176
2011: RHSC, INC. LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 171
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 160
Total of all active and inactive participants 2011-01-01 160
2009: RHSC, INC. LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 175
Total of all active and inactive participants 2009-01-01 175

Measure	Date	Value
2018: RHSC, INC. LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	189
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	221
Total of all active and inactive participants	2018-01-01	221
2017: RHSC, INC. LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	186
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	189
Total of all active and inactive participants	2017-01-01	189
2016: RHSC, INC. LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	175
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	186
Total of all active and inactive participants	2016-01-01	186
2015: RHSC, INC. LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	180
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	175
Number of retired or separated participants receiving benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	175
2014: RHSC, INC. LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	188
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	180
Number of retired or separated participants receiving benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	180
2013: RHSC, INC. LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	176
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	188
Total of all active and inactive participants	2013-01-01	188
2012: RHSC, INC. LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	160
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	176
Total of all active and inactive participants	2012-01-01	176
2011: RHSC, INC. LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	171
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	160
Total of all active and inactive participants	2011-01-01	160
2009: RHSC, INC. LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	175
Total of all active and inactive participants	2009-01-01	175

Form 5500 Responses for RHSC, INC. LONG TERM DISABILITY PLAN

2018: RHSC, INC. LONG TERM DISABILITY PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This submission is the final filing	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: RHSC, INC. LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: RHSC, INC. LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: RHSC, INC. LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: RHSC, INC. LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: RHSC, INC. LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: RHSC, INC. LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: RHSC, INC. LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: RHSC, INC. LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLK980063

Policy instance

Insurance contract or identification number	FLK980063
Number of Individuals Covered	221
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $237
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $29,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	237
Additional information about fees paid to insurance broker	SALES AND SERVICE
Insurance broker organization code?	3

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLK980063

Policy instance

Insurance contract or identification number	FLK980063
Number of Individuals Covered	189
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $250
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $32,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	250
Insurance broker organization code?	3
Insurance broker name	TOWERS WATSON

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Company Name:	RHSC, INC.
Employer identification number (EIN):	411891928
NAIC Classification:	621491
NAIC Description:	HMO Medical Centers