UPLAND HILLS HEALTH INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan VOLUNTARY LONG TERM DISABILITY PLAN
| Measure | Date | Value |
|---|
| 2022: VOLUNTARY LONG TERM DISABILITY PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-10-01 | 221 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-10-01 | 222 |
| Total of all active and inactive participants | 2022-10-01 | 222 |
| Total participants | 2022-10-01 | 222 |
| 2021: VOLUNTARY LONG TERM DISABILITY PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-10-01 | 225 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 221 |
| Total of all active and inactive participants | 2021-10-01 | 221 |
| Total participants | 2021-10-01 | 221 |
| 2020: VOLUNTARY LONG TERM DISABILITY PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-10-01 | 200 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 225 |
| Total of all active and inactive participants | 2020-10-01 | 225 |
| Total participants | 2020-10-01 | 225 |
| 2019: VOLUNTARY LONG TERM DISABILITY PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-10-01 | 196 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 200 |
| Total of all active and inactive participants | 2019-10-01 | 200 |
| Total participants | 2019-10-01 | 200 |
| 2018: VOLUNTARY LONG TERM DISABILITY PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-10-01 | 172 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 196 |
| Total of all active and inactive participants | 2018-10-01 | 196 |
| Total participants | 2018-10-01 | 196 |
| 2017: VOLUNTARY LONG TERM DISABILITY PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-10-01 | 169 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 172 |
| Total of all active and inactive participants | 2017-10-01 | 172 |
| Total participants | 2017-10-01 | 172 |
| 2016: VOLUNTARY LONG TERM DISABILITY PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-10-01 | 169 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 169 |
| Total of all active and inactive participants | 2016-10-01 | 169 |
| Total participants | 2016-10-01 | 169 |
| 2015: VOLUNTARY LONG TERM DISABILITY PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 177 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 169 |
| Total of all active and inactive participants | 2015-10-01 | 169 |
| Total participants | 2015-10-01 | 169 |
| 2014: VOLUNTARY LONG TERM DISABILITY PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-10-01 | 177 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 177 |
| Total of all active and inactive participants | 2014-10-01 | 177 |
| Total participants | 2014-10-01 | 177 |
| 2013: VOLUNTARY LONG TERM DISABILITY PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-10-01 | 177 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 177 |
| Total of all active and inactive participants | 2013-10-01 | 177 |
| Total participants | 2013-10-01 | 177 |
| 2012: VOLUNTARY LONG TERM DISABILITY PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-10-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 177 |
| Total of all active and inactive participants | 2012-10-01 | 177 |
| Total participants | 2012-10-01 | 177 |
| 2022: VOLUNTARY LONG TERM DISABILITY PLAN 2022 form 5500 responses |
|---|
| 2022-10-01 | Type of plan entity | Single employer plan |
| 2022-10-01 | Plan funding arrangement – Insurance | Yes |
| 2022-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: VOLUNTARY LONG TERM DISABILITY PLAN 2021 form 5500 responses |
|---|
| 2021-10-01 | Type of plan entity | Single employer plan |
| 2021-10-01 | Plan funding arrangement – Insurance | Yes |
| 2021-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: VOLUNTARY LONG TERM DISABILITY PLAN 2020 form 5500 responses |
|---|
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: VOLUNTARY LONG TERM DISABILITY PLAN 2019 form 5500 responses |
|---|
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: VOLUNTARY LONG TERM DISABILITY PLAN 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: VOLUNTARY LONG TERM DISABILITY PLAN 2017 form 5500 responses |
|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: VOLUNTARY LONG TERM DISABILITY PLAN 2016 form 5500 responses |
|---|
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: VOLUNTARY LONG TERM DISABILITY PLAN 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: VOLUNTARY LONG TERM DISABILITY PLAN 2014 form 5500 responses |
|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Plan funding arrangement – Insurance | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: VOLUNTARY LONG TERM DISABILITY PLAN 2013 form 5500 responses |
|---|
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | Plan funding arrangement – Insurance | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: VOLUNTARY LONG TERM DISABILITY PLAN 2012 form 5500 responses |
|---|
| 2012-10-01 | Type of plan entity | Single employer plan |
| 2012-10-01 | First time form 5500 has been submitted | Yes |
| 2012-10-01 | Plan funding arrangement – Insurance | Yes |
| 2012-10-01 | Plan benefit arrangement – Insurance | Yes |
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL303240 |
| Policy instance | 1 |
| Insurance contract or identification number | VPL303240 | | Number of Individuals Covered | 222 | | Insurance policy start date | 2022-10-01 | | Insurance policy end date | 2023-09-30 | | Total amount of commissions paid to insurance broker | USD $18,277 | | Total amount of fees paid to insurance company | USD $2,005 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $91,385 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,708 | | Amount paid for insurance broker fees | 1203 | | Additional information about fees paid to insurance broker | ADMINISTRATION | | Insurance broker organization code? | 3 |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL303240 |
| Policy instance | 1 |
| Insurance contract or identification number | VPL303240 | | Number of Individuals Covered | 221 | | Insurance policy start date | 2021-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $15,657 | | Total amount of fees paid to insurance company | USD $769 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $78,286 | | Commission paid to Insurance Broker | USD $11,743 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 769 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL303240 |
| Policy instance | 1 |
| Insurance contract or identification number | VPL303240 | | Number of Individuals Covered | 225 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-09-30 | | Total amount of commissions paid to insurance broker | USD $16,548 | | Total amount of fees paid to insurance company | USD $5,238 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $82,740 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,411 | | Amount paid for insurance broker fees | 3380 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | ADMINISTRATION |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL303240 |
| Policy instance | 1 |
| Insurance contract or identification number | VPL303240 | | Number of Individuals Covered | 200 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $12,261 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,304 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,196 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 237422 |
| Policy instance | 1 |
| Insurance contract or identification number | 237422 | | Number of Individuals Covered | 196 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $14,190 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $70,878 | | Commission paid to Insurance Broker | USD $14,190 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 237422 |
| Policy instance | 1 |
| Insurance contract or identification number | 237422 | | Number of Individuals Covered | 172 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Total amount of commissions paid to insurance broker | USD $12,619 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $69,245 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 237422 |
| Policy instance | 1 |
| Insurance contract or identification number | 237422 | | Number of Individuals Covered | 169 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $11,755 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $70,139 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $29 | | Insurance broker organization code? | 3 | | Insurance broker name | ISG ADVISORS LLC |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 237422 |
| Policy instance | 1 |
| Insurance contract or identification number | 237422 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $14,861 | | Total amount of fees paid to insurance company | USD $3,212 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $74,126 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,861 | | Amount paid for insurance broker fees | 3212 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 | | Insurance broker name | ISG ADVISORS LLC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL 660708 |
| Policy instance | 1 |
| Insurance contract or identification number | VPL 660708 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $13,712 | | Total amount of fees paid to insurance company | USD $747 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $68,562 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,712 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 747 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | | Insurance broker name | NFP INSURANCE SERVICES INC |
|
| RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 ) |
| Policy contract number | VPL 660708 |
| Policy instance | 1 |
| Insurance contract or identification number | VPL 660708 | | Number of Individuals Covered | 177 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $11,860 | | Total amount of fees paid to insurance company | USD $3,254 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $59,298 | | Commission paid to Insurance Broker | USD $11,860 | | Amount paid for insurance broker fees | 3254 | | Additional information about fees paid to insurance broker | ADMINISTRATIVE AND OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | IG ADVISORS LLC |
|
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