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THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 401k Plan overview

Plan NameTHE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL
Plan identification number 507

THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

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

Company Name:STONEWALL JACKSON MEMORIAL HOSPITAL
Employer identification number (EIN):550422958
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072019-07-01JASON ANDERSON2020-10-30
5072018-09-01RHONDA MITCHELL2020-03-09
5072017-09-01
5072016-09-01RHONDA HAGER RHONDA HAGER2018-05-22
5072015-09-01RHONDA HAGER RHONDA HAGER2017-05-11
5072014-09-01RHONDA HAGER RHONDA HAGER2016-03-25
5072013-09-01RHONDA HAGER RHONDA HAGER2015-02-24
5072012-09-01RHONDA HAGER RHONDA HAGER2014-02-17
5072011-09-01RHONDA HAGER RHONDA HAGER2013-02-18
5072010-09-01RHONDA M. HAGER RHONDA M. HAGER2012-02-24
5072009-09-01RHONDA HAGER RHONDA HAGER2011-03-16

Plan Statistics for THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL

401k plan membership statisitcs for THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL

Measure Date Value
2019: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2019 401k membership
Total participants, beginning-of-year2019-07-01259
Total number of active participants reported on line 7a of the Form 55002019-07-010
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-010
Number of employers contributing to the scheme2019-07-010
2018: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2018 401k membership
Total participants, beginning-of-year2018-09-01325
Total number of active participants reported on line 7a of the Form 55002018-09-01261
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-010
Total of all active and inactive participants2018-09-01261
Number of employers contributing to the scheme2018-09-010
2017: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2017 401k membership
Total participants, beginning-of-year2017-09-01258
Total number of active participants reported on line 7a of the Form 55002017-09-01324
Number of retired or separated participants receiving benefits2017-09-011
Total of all active and inactive participants2017-09-01325
2016: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2016 401k membership
Total participants, beginning-of-year2016-09-01284
Total number of active participants reported on line 7a of the Form 55002016-09-01258
Number of retired or separated participants receiving benefits2016-09-011
Total of all active and inactive participants2016-09-01259
2015: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2015 401k membership
Total participants, beginning-of-year2015-09-01277
Total number of active participants reported on line 7a of the Form 55002015-09-01277
Total of all active and inactive participants2015-09-01277
2014: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2014 401k membership
Total participants, beginning-of-year2014-09-01298
Total number of active participants reported on line 7a of the Form 55002014-09-01277
Total of all active and inactive participants2014-09-01277
2013: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2013 401k membership
Total participants, beginning-of-year2013-09-01298
Total number of active participants reported on line 7a of the Form 55002013-09-01298
Total of all active and inactive participants2013-09-01298
2012: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2012 401k membership
Total participants, beginning-of-year2012-09-01279
Total number of active participants reported on line 7a of the Form 55002012-09-01298
Number of retired or separated participants receiving benefits2012-09-010
Total of all active and inactive participants2012-09-01298
2011: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2011 401k membership
Total participants, beginning-of-year2011-09-01275
Total number of active participants reported on line 7a of the Form 55002011-09-01278
Number of retired or separated participants receiving benefits2011-09-011
Total of all active and inactive participants2011-09-01279
2010: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2010 401k membership
Total participants, beginning-of-year2010-09-01267
Total number of active participants reported on line 7a of the Form 55002010-09-01274
Number of retired or separated participants receiving benefits2010-09-011
Total of all active and inactive participants2010-09-01275
2009: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2009 401k membership
Total participants, beginning-of-year2009-09-01241
Total number of active participants reported on line 7a of the Form 55002009-09-01267
Total of all active and inactive participants2009-09-01267

Form 5500 Responses for THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL

2019: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01This submission is the final filingYes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – General assets of the sponsorYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – General assets of the sponsorYes
2018: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – General assets of the sponsorYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement – General assets of the sponsorYes
2017: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – General assets of the sponsorYes
2017-09-01Plan benefit arrangement – General assets of the sponsorYes
2016: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – General assets of the sponsorYes
2016-09-01Plan benefit arrangement – General assets of the sponsorYes
2015: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – General assets of the sponsorYes
2015-09-01Plan benefit arrangement – General assets of the sponsorYes
2014: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – General assets of the sponsorYes
2014-09-01Plan benefit arrangement – General assets of the sponsorYes
2013: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – General assets of the sponsorYes
2013-09-01Plan benefit arrangement – General assets of the sponsorYes
2012: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Plan funding arrangement – General assets of the sponsorYes
2012-09-01Plan benefit arrangement – General assets of the sponsorYes
2011: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Plan funding arrangement – General assets of the sponsorYes
2011-09-01Plan benefit arrangement – General assets of the sponsorYes
2010: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2010 form 5500 responses
2010-09-01Type of plan entitySingle employer plan
2010-09-01Plan funding arrangement – General assets of the sponsorYes
2010-09-01Plan benefit arrangement – General assets of the sponsorYes
2009: THE HEALTH PLAN OF WEST VIRGINIA FOR STONEWALL JACKSON MEMORIAL HOSPITAL 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01This submission is the final filingNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – General assets of the sponsorYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30091159
Policy instance 1
Insurance contract or identification number30091159
Number of Individuals Covered1585
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $274,304
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF DISTRICT OF COLUMBIA (National Association of Insurance Commissioners NAIC id number: 12329 )
Policy contract number15869
Policy instance 2
Insurance contract or identification number15869
Number of Individuals Covered3529
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $823,168
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX968945
Policy instance 3
Insurance contract or identification numberFLX968945
Number of Individuals Covered0
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $54,760
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $914,173
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,214
Amount paid for insurance broker fees0
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30027714
Policy instance 1
Insurance contract or identification number30027714
Number of Individuals Covered239
Insurance policy start date2018-09-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $1,449
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $31,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,449
Amount paid for insurance broker fees0
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number434715
Policy instance 2
Insurance contract or identification number434715
Number of Individuals Covered232
Insurance policy start date2018-09-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,783
Total amount of fees paid to insurance companyUSD $4,208
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $118,845
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,783
Amount paid for insurance broker fees4208
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30027714
Policy instance 1
Insurance contract or identification number30027714
Number of Individuals Covered237
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $37,650
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,650
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00434715
Policy instance 2
Insurance contract or identification number00434715
Number of Individuals Covered231
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $4,055
Total amount of fees paid to insurance companyUSD $6,266
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $137,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract numberR0437301
Policy instance 3
Insurance contract or identification numberR0437301
Number of Individuals Covered110
Insurance policy start date2017-08-31
Insurance policy end date2018-08-30
Total amount of commissions paid to insurance brokerUSD $3,103
Total amount of fees paid to insurance companyUSD $8
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,031
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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