401k Plan data: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN plan

MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 401k Plan overview

Plan Name	MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN
Plan identification number	508

MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

MERCY HEALTH CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: MERCY HEALTH CORPORATION

Employer identification number (EIN): 472158680

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
508 2023-01-01
508 2022-01-01
508 2021-01-01
508 2020-01-01
508 2019-01-01
508 2018-01-01 KATHY HARRIS
508 2017-01-01 KATHY HARRIS

Plan Statistics for MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN

Measure Date Value
2023: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 2,975
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 2,815
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 2,815
2022: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 5,087
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 5,050
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 5,050
2021: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 5,479
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 4,999
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 4,999
2020: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 6,651
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 5,425
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 5,425
2019: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 5,197
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 6,601
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 6,601
2018: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 5,992
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 5,197
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 5,197
2017: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 5,988
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 5,992
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 5,992

Measure	Date	Value
2023: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	2,975
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	2,815
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	2,815
2022: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	5,087
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	5,050
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	5,050
2021: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	5,479
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	4,999
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	4,999
2020: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	6,651
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	5,425
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	5,425
2019: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	5,197
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	6,601
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	6,601
2018: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	5,992
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	5,197
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	5,197
2017: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	5,988
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	5,992
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	5,992

Form 5500 Responses for MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN

2023: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: MERCY HEALTH CORPORATION EMPLOYEES' SHORT TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00040975

Policy instance

Insurance contract or identification number	00040975
Number of Individuals Covered	2815
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $1,136,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MERCY HEALTH CORPORATION
Employer identification number (EIN):	472158680
NAIC Classification:	622000
NAIC Description:	Hospitals