GOODALL-WITCHER HOSPTIAL AUTHORITY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN
401k plan membership statisitcs for GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN
Measure | Date | Value |
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2019: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-09-01 | 1,407 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 1,500 |
Total of all active and inactive participants | 2019-09-01 | 1,500 |
2018: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-09-01 | 651 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 0 |
Total of all active and inactive participants | 2018-09-01 | 0 |
2017: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-09-01 | 651 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 651 |
Total of all active and inactive participants | 2017-09-01 | 651 |
2016: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-09-01 | 406 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 651 |
Total of all active and inactive participants | 2016-09-01 | 651 |
2015: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-09-01 | 0 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 406 |
Total of all active and inactive participants | 2015-09-01 | 406 |
2019: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2019 form 5500 responses |
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2019-09-01 | Type of plan entity | Single employer plan |
2019-09-01 | Plan funding arrangement – Insurance | Yes |
2019-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-09-01 | Plan benefit arrangement – Insurance | Yes |
2018: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2018 form 5500 responses |
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2018-09-01 | Type of plan entity | Single employer plan |
2018-09-01 | This submission is the final filing | Yes |
2018-09-01 | Plan funding arrangement – Insurance | Yes |
2018-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-09-01 | Plan benefit arrangement – Insurance | Yes |
2017: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2017 form 5500 responses |
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2017-09-01 | Type of plan entity | Single employer plan |
2017-09-01 | Plan funding arrangement – Insurance | Yes |
2017-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-09-01 | Plan benefit arrangement – Insurance | Yes |
2016: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2016 form 5500 responses |
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2016-09-01 | Type of plan entity | Single employer plan |
2016-09-01 | Plan funding arrangement – Insurance | Yes |
2016-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-09-01 | Plan benefit arrangement – Insurance | Yes |
2015: GOODALL-WITCHER HOSPITAL AUTHORITY MEDICAL BENEFIT PLAN 2015 form 5500 responses |
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2015-09-01 | Type of plan entity | Single employer plan |
2015-09-01 | First time form 5500 has been submitted | Yes |
2015-09-01 | Plan funding arrangement – Insurance | Yes |
2015-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-09-01 | Plan benefit arrangement – Insurance | Yes |
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 61739 |
Policy instance | 6 |
Insurance contract or identification number | 61739 | Number of Individuals Covered | 943 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-08-31 | Total amount of commissions paid to insurance broker | USD $18,831 | Total amount of fees paid to insurance company | USD $56 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $86,228 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,934 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 34 | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES |
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0908978 |
Policy instance | 5 |
Insurance contract or identification number | 0908978 | Number of Individuals Covered | 256 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-08-31 | Total amount of commissions paid to insurance broker | USD $1,542 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $13,917 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,542 | Insurance broker organization code? | 3 |
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COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
Policy contract number | E4662425 |
Policy instance | 4 |
Insurance contract or identification number | E4662425 | Number of Individuals Covered | 64 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-08-31 | Total amount of commissions paid to insurance broker | USD $10,186 | Total amount of fees paid to insurance company | USD $2,143 | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, CANCER, CRITICAL ILLNESS | Welfare Benefit Premiums Paid to Carrier | USD $60,966 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $4,382 | Amount paid for insurance broker fees | 485 | Additional information about fees paid to insurance broker | OTHER FEES | Insurance broker organization code? | 3 |
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UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
Policy contract number | 417007410010 |
Policy instance | 3 |
Insurance contract or identification number | 417007410010 | Number of Individuals Covered | 122 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-09-01 | Total amount of commissions paid to insurance broker | USD $52,045 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $351,325 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $52,045 | Insurance broker organization code? | 3 |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | G000BDTB |
Policy instance | 2 |
Insurance contract or identification number | G000BDTB | Number of Individuals Covered | 111 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-09-01 | Total amount of commissions paid to insurance broker | USD $5,500 | Total amount of fees paid to insurance company | USD $1,736 | Welfare Benefit Premiums Paid to Carrier | USD $54,996 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,500 | Amount paid for insurance broker fees | 1736 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
Policy contract number | E466137 |
Policy instance | 1 |
Insurance contract or identification number | E466137 | Number of Individuals Covered | 4 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-08-31 | Total amount of commissions paid to insurance broker | USD $776 | Total amount of fees paid to insurance company | USD $101 | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $6,962 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $180 | Amount paid for insurance broker fees | 42 | Additional information about fees paid to insurance broker | OTHER FEES | Insurance broker organization code? | 3 |
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COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
Policy contract number | E4662425 |
Policy instance | 1 |
Insurance contract or identification number | E4662425 | Number of Individuals Covered | 68 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $13,874 | Total amount of fees paid to insurance company | USD $3,784 | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, CANCER, CRITICAL ILLNESS | Welfare Benefit Premiums Paid to Carrier | USD $55,083 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,776 | Amount paid for insurance broker fees | 502 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 ) |
Policy contract number | 417007410010 |
Policy instance | 6 |
Insurance contract or identification number | 417007410010 | Number of Individuals Covered | 127 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-09-01 | Total amount of commissions paid to insurance broker | USD $55,520 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $335,169 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $55,520 | Insurance broker organization code? | 3 |
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0908978 |
Policy instance | 2 |
Insurance contract or identification number | 0908978 | Number of Individuals Covered | 238 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $1,501 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $15,007 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,501 | Insurance broker organization code? | 3 |
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COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
Policy contract number | E466137 |
Policy instance | 3 |
Insurance contract or identification number | E466137 | Number of Individuals Covered | 7 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $1,522 | Total amount of fees paid to insurance company | USD $460 | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $5,873 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $632 | Amount paid for insurance broker fees | 55 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
Policy contract number | 61739 |
Policy instance | 4 |
Insurance contract or identification number | 61739 | Number of Individuals Covered | 938 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $19,551 | Total amount of fees paid to insurance company | USD $57 | Life Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $85,018 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,753 | Insurance broker organization code? | 3 | Amount paid for insurance broker fees | 57 | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES |
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MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
Policy contract number | G000BDTB |
Policy instance | 5 |
Insurance contract or identification number | G000BDTB | Number of Individuals Covered | 104 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-09-01 | Total amount of commissions paid to insurance broker | USD $5,371 | Total amount of fees paid to insurance company | USD $3,257 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $53,705 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $5,371 | Amount paid for insurance broker fees | 3257 | Additional information about fees paid to insurance broker | OTHER COMPENSATION | Insurance broker organization code? | 3 |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000010220110 00 |
Policy instance | 2 |
Insurance contract or identification number | 000010220110 00 | Number of Individuals Covered | 179 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $448 | Total amount of fees paid to insurance company | USD $82 | Life Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D | Welfare Benefit Premiums Paid to Carrier | USD $2,984 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
Policy contract number | E4666137 |
Policy instance | 7 |
Insurance contract or identification number | E4666137 | Number of Individuals Covered | 5 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $1,447 | Total amount of fees paid to insurance company | USD $486 | Other welfare benefits provided | HOSPITAL | Welfare Benefit Premiums Paid to Carrier | USD $3,764 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
Policy contract number | 417006410010 |
Policy instance | 6 |
Insurance contract or identification number | 417006410010 | Number of Individuals Covered | 135 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-09-01 | Total amount of commissions paid to insurance broker | USD $42,823 | Total amount of fees paid to insurance company | USD $0 | Welfare Benefit Premiums Paid to Carrier | USD $328,831 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) |
Policy contract number | 0908978 |
Policy instance | 5 |
Insurance contract or identification number | 0908978 | Number of Individuals Covered | 108 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $1,293 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $13,832 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 000010220115 00 |
Policy instance | 1 |
Insurance contract or identification number | 000010220115 00 | Number of Individuals Covered | 180 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $5,907 | Total amount of fees paid to insurance company | USD $1,052 | Long Term Disability Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $39,377 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
Policy contract number | 0001D032897 000 |
Policy instance | 3 |
Insurance contract or identification number | 0001D032897 000 | Number of Individuals Covered | 101 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $7,530 | Total amount of fees paid to insurance company | USD $1,532 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $50,198 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
Policy contract number | E4662425 |
Policy instance | 4 |
Insurance contract or identification number | E4662425 | Number of Individuals Covered | 61 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $11,320 | Total amount of fees paid to insurance company | USD $3,748 | Temporary Disability Insurance Welfare Benefit | Yes | Other welfare benefits provided | AD&D, CANCER, CRITICAL ILLNESS | Welfare Benefit Premiums Paid to Carrier | USD $39,886 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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