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FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 401k Plan overview

Plan NameFREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN
Plan identification number 507

FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

FREEMAN HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:FREEMAN HEALTH SYSTEM
Employer identification number (EIN):431704371
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about FREEMAN HEALTH SYSTEM

Jurisdiction of Incorporation: Missouri Secretary of State
Incorporation Date:
Company Identification Number: N00051816

More information about FREEMAN HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072016-01-01STEVE GRADDY
5072016-01-01STEVE GRADDY
5072015-01-01STEVE GRADDY
5072014-01-01STEVE GRADDY STEVE GRADDY2015-07-08
5072013-01-01STEVE GRADDY
5072012-01-01STEVE GRADDY
5072011-01-01JOE KIRK
5072009-01-01JOE KIRK

Plan Statistics for FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN

401k plan membership statisitcs for FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN

Measure Date Value
2016: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,159
Total number of active participants reported on line 7a of the Form 55002016-01-013,272
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-013,272
2015: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,161
Total number of active participants reported on line 7a of the Form 55002015-01-013,159
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-013,159
2014: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,069
Total number of active participants reported on line 7a of the Form 55002014-01-013,161
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-013,161
2013: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,023
Total number of active participants reported on line 7a of the Form 55002013-01-013,069
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-013,069
2012: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,120
Total number of active participants reported on line 7a of the Form 55002012-01-013,023
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-013,023
2011: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,844
Total number of active participants reported on line 7a of the Form 55002011-01-013,120
Total of all active and inactive participants2011-01-013,120
2009: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013,996
Total number of active participants reported on line 7a of the Form 55002009-01-013,988
Number of retired or separated participants receiving benefits2009-01-010
Total of all active and inactive participants2009-01-013,988
Total participants2009-01-010

Form 5500 Responses for FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN

2016: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 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
2015: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 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: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 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: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 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: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 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: FREEMAN HOSPITAL AND HEALTH SYSTEM LIFE INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
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

THE LINCOLN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010166442
Policy instance 1
Insurance contract or identification number000010166442
Number of Individuals Covered3159
Insurance policy start date2015-01-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $29,417
Total amount of fees paid to insurance companyUSD $7,169
Life Insurance Welfare BenefitYes
Other welfare benefits providedA D & D
Welfare Benefit Premiums Paid to CarrierUSD $294,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,417
Amount paid for insurance broker fees7169
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameVHA MID AMERICA LIFE INS SVCS
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract number0283668
Policy instance 2
Insurance contract or identification number0283668
Number of Individuals Covered3187
Insurance policy start date2015-10-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $169
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedA D & D
Welfare Benefit Premiums Paid to CarrierUSD $36,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $169
Insurance broker organization code?3
Insurance broker nameVHA MID-AMERICA INSURANCE SERVICES
THE LINCOLN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010166442
Policy instance 1
Insurance contract or identification number000010166442
Number of Individuals Covered3161
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $35,843
Total amount of fees paid to insurance companyUSD $13,997
Life Insurance Welfare BenefitYes
Other welfare benefits providedA D & D
Welfare Benefit Premiums Paid to CarrierUSD $358,433
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,843
Amount paid for insurance broker fees13997
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameVHA MID AMERICA LIFE INS SVCS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number000010166442
Policy instance 1
Insurance contract or identification number000010166442
Number of Individuals Covered3069
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $31,104
Total amount of fees paid to insurance companyUSD $17,372
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedA D & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $311,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,104
Amount paid for insurance broker fees17372
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameVHA MID AMERICA INSURANCE SERVICES
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67099-5
Policy instance 1
Insurance contract or identification number67099-5
Number of Individuals Covered4722
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $60,417
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedA D & D
Welfare Benefit Premiums Paid to CarrierUSD $426,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,417
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67099-5
Policy instance 1
Insurance contract or identification number67099-5
Number of Individuals Covered4356
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $55,332
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedA D & D
Welfare Benefit Premiums Paid to CarrierUSD $390,368
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80012 )
Policy contract number879837
Policy instance 1
Insurance contract or identification number879837
Number of Individuals Covered3844
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $62,229
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedA D & D
Welfare Benefit Premiums Paid to CarrierUSD $394,339
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,229
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC

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