401k Plan data: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN plan

REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 401k Plan overview

Plan Name	REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN
Plan identification number	506

REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

REYNOLDS MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name: REYNOLDS MEMORIAL HOSPITAL

Employer identification number (EIN): 550357045

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2018-01-01 LAURA CARNEY LAURA CARNEY 2019-07-15
506 2017-07-01 ALEX INCLAN DAVID HESS 2018-07-23
506 2016-07-01 ALEX INCLAN DAVID HESS 2017-12-07
506 2015-07-01 ALEX INCLAN DAVID HESS 2016-12-23
506 2014-07-01 ALEX INCLAN DAVID HESS 2015-12-31
506 2013-07-01 WILLIAM HUNT JAY PRAGER 2014-09-15
506 2012-07-01 WILLIAM HUNT JAY PRAGER 2013-12-20
506 2011-07-01 WILLIAM HUNT JAY PRAGER 2012-11-09
506 2009-07-01 WILLIAM HUNT JAY PRAGER 2011-01-28

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
506	2018-01-01	LAURA CARNEY	LAURA CARNEY	2019-07-15
506	2017-07-01	ALEX INCLAN	DAVID HESS	2018-07-23
506	2016-07-01	ALEX INCLAN	DAVID HESS	2017-12-07
506	2015-07-01	ALEX INCLAN	DAVID HESS	2016-12-23
506	2014-07-01	ALEX INCLAN	DAVID HESS	2015-12-31
506	2013-07-01	WILLIAM HUNT	JAY PRAGER	2014-09-15
506	2012-07-01	WILLIAM HUNT	JAY PRAGER	2013-12-20
506	2011-07-01	WILLIAM HUNT	JAY PRAGER	2012-11-09
506	2009-07-01	WILLIAM HUNT	JAY PRAGER	2011-01-28

Plan Statistics for REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN

401k plan membership statisitcs for REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN

Measure Date Value
2018: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
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 0
Total participants 2018-01-01 0
2017: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 287
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 281
Number of retired or separated participants receiving benefits 2017-07-01 1
Total of all active and inactive participants 2017-07-01 282
Total participants 2017-07-01 282
2016: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 278
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 285
Number of retired or separated participants receiving benefits 2016-07-01 2
Total of all active and inactive participants 2016-07-01 287
Total participants 2016-07-01 287
2015: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 279
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 277
Number of retired or separated participants receiving benefits 2015-07-01 1
Total of all active and inactive participants 2015-07-01 278
Total participants 2015-07-01 278
2014: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 297
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 278
Number of retired or separated participants receiving benefits 2014-07-01 1
Total of all active and inactive participants 2014-07-01 279
Total participants 2014-07-01 279
2013: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 319
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 293
Number of retired or separated participants receiving benefits 2013-07-01 4
Total of all active and inactive participants 2013-07-01 297
Total participants 2013-07-01 297
2012: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 324
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 315
Number of retired or separated participants receiving benefits 2012-07-01 4
Total of all active and inactive participants 2012-07-01 319
Total participants 2012-07-01 319
2011: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 320
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 319
Number of retired or separated participants receiving benefits 2011-07-01 5
Number of other retired or separated participants entitled to future benefits 2011-07-01 0
Total of all active and inactive participants 2011-07-01 324
Total participants 2011-07-01 324
2009: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 335
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 347
Number of retired or separated participants receiving benefits 2009-07-01 2
Number of other retired or separated participants entitled to future benefits 2009-07-01 0
Total of all active and inactive participants 2009-07-01 349
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 349
Number of participants with account balances 2009-07-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0

Measure	Date	Value
2018: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
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	0
Total participants	2018-01-01	0
2017: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	287
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	281
Number of retired or separated participants receiving benefits	2017-07-01	1
Total of all active and inactive participants	2017-07-01	282
Total participants	2017-07-01	282
2016: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	278
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	285
Number of retired or separated participants receiving benefits	2016-07-01	2
Total of all active and inactive participants	2016-07-01	287
Total participants	2016-07-01	287
2015: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	279
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	277
Number of retired or separated participants receiving benefits	2015-07-01	1
Total of all active and inactive participants	2015-07-01	278
Total participants	2015-07-01	278
2014: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	297
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	278
Number of retired or separated participants receiving benefits	2014-07-01	1
Total of all active and inactive participants	2014-07-01	279
Total participants	2014-07-01	279
2013: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	319
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	293
Number of retired or separated participants receiving benefits	2013-07-01	4
Total of all active and inactive participants	2013-07-01	297
Total participants	2013-07-01	297
2012: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	324
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	315
Number of retired or separated participants receiving benefits	2012-07-01	4
Total of all active and inactive participants	2012-07-01	319
Total participants	2012-07-01	319
2011: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	320
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	319
Number of retired or separated participants receiving benefits	2011-07-01	5
Number of other retired or separated participants entitled to future benefits	2011-07-01	0
Total of all active and inactive participants	2011-07-01	324
Total participants	2011-07-01	324
2009: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	335
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	347
Number of retired or separated participants receiving benefits	2009-07-01	2
Number of other retired or separated participants entitled to future benefits	2009-07-01	0
Total of all active and inactive participants	2009-07-01	349
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	349
Number of participants with account balances	2009-07-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0

Form 5500 Responses for REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN

2018: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION 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	Yes
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: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: REYNOLDS MEMORIAL HOSPITAL SALARY CONVERSION PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

HEALTH PLAN UPPER OHIO VALLEY (National Association of Insurance Commissioners NAIC id number: 95677 )

Policy contract number

9070

Policy instance

Insurance contract or identification number	9070
Number of Individuals Covered	282
Insurance policy start date	2017-07-01
Insurance policy end date	2017-12-31
Total amount of fees paid to insurance company	USD $33,280
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	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
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 $33,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	REYNOLDS MEMORIAL HOSPITAL
Employer identification number (EIN):	550357045
NAIC Classification:	622000
NAIC Description:	Hospitals