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AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 401k Plan overview

Plan NameAVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN
Plan identification number 501

AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 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
  • Other welfare benefit cover

401k Sponsoring company profile

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

Company Name:AVERA HEALTH
Employer identification number (EIN):562143771
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01KIM ENEBO2024-02-28 KIM ENEBO2024-02-02
5012021-07-01KIMBERLY ENEBO2023-01-30 KIMBERLY ENEBO2023-01-30
5012020-07-01KIM ENEBO2021-12-06 KIM ENEBO2021-12-06
5012019-07-01KIMBERLY S ENEBO2020-11-05 KIMBERLY S ENEBO2020-11-05
5012017-07-01
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01KIMBERLY S ENEBO
5012011-07-01KIMBERLY ENEBO

Plan Statistics for AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN

401k plan membership statisitcs for AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN

Measure Date Value
2022: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01456
Total number of active participants reported on line 7a of the Form 55002022-07-01476
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01476
2021: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01594
Total number of active participants reported on line 7a of the Form 55002021-07-01615
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01615
2020: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01459
Total number of active participants reported on line 7a of the Form 55002020-07-01467
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01467
2019: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01434
Total number of active participants reported on line 7a of the Form 55002019-07-01454
Total of all active and inactive participants2019-07-01454
2017: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01419
Total number of active participants reported on line 7a of the Form 55002017-07-01434
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01434
2016: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01415
Total number of active participants reported on line 7a of the Form 55002016-07-01416
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01416
2015: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01420
Total number of active participants reported on line 7a of the Form 55002015-07-01424
Total of all active and inactive participants2015-07-01424
2014: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01413
Total number of active participants reported on line 7a of the Form 55002014-07-01419
Total of all active and inactive participants2014-07-01419
2013: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01516
Total number of active participants reported on line 7a of the Form 55002013-07-01405
Total of all active and inactive participants2013-07-01405
2012: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01317
Total number of active participants reported on line 7a of the Form 55002012-07-01443
Total of all active and inactive participants2012-07-01443
2011: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01272
Total number of active participants reported on line 7a of the Form 55002011-07-01263
Number of retired or separated participants receiving benefits2011-07-011
Total of all active and inactive participants2011-07-01264

Form 5500 Responses for AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN

2022: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – General assets of the sponsorYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – General assets of the sponsorYes
2021: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – General assets of the sponsorYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – General assets of the sponsorYes
2020: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – General assets of the sponsorYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – General assets of the sponsorYes
2019: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
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
2017: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2014: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – General assets of the sponsorYes
2013: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – General assets of the sponsorYes
2011: AVERA HEART HOSPITAL OF SOUTH DAKOTA, LLC WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202581
Policy instance 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202581
Policy instance 3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202581
Policy instance 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202581
Policy instance 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202581
Policy instance 3
AVERA HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 95839 )
Policy contract numberHHA
Policy instance 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 2
AVERA HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 95839 )
Policy contract numberHHA1
Policy instance 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 2
AVERA HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 95839 )
Policy contract numberHHA1
Policy instance 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 1
AVERA HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 95839 )
Policy contract numberHHA1
Policy instance 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 3
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberERLL00100380001
Policy instance 1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 2
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number869864G
Policy instance 3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07460
Policy instance 2
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract numberERLL00100380001
Policy instance 1

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