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CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 401k Plan overview

Plan NameCONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY
Plan identification number 503

CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

CONWAY HOSPITAL, INC. D/B/A CONWAY MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:CONWAY HOSPITAL, INC. D/B/A CONWAY MEDICAL CENTER
Employer identification number (EIN):570314381
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-05-01DAVID MIER2023-06-13
5032021-05-01DAVID MIER2022-10-05
5032020-05-01MATTHEW J. SECURRO2021-09-08
5032019-05-01MATTHEW SECURRO2020-09-28
5032018-05-01MATTHEW SECURRO2019-09-24
5032017-05-01MATTHEW SECURRO MATTHEW SECURRO2018-08-27
5032016-05-01MATTHEW SECURRO
5032015-05-01MATTHEW SECURRO

Plan Statistics for CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY

401k plan membership statisitcs for CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY

Measure Date Value
2022: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2022 401k membership
Total participants, beginning-of-year2022-05-011,188
Total number of active participants reported on line 7a of the Form 55002022-05-011,229
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-011,229
Number of employers contributing to the scheme2022-05-010
2021: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2021 401k membership
Total participants, beginning-of-year2021-05-011,194
Total number of active participants reported on line 7a of the Form 55002021-05-011,188
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-011,188
Number of employers contributing to the scheme2021-05-010
2020: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2020 401k membership
Total participants, beginning-of-year2020-05-011,121
Total number of active participants reported on line 7a of the Form 55002020-05-011,113
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-011,113
Number of employers contributing to the scheme2020-05-010
2019: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2019 401k membership
Total participants, beginning-of-year2019-05-011,233
Total number of active participants reported on line 7a of the Form 55002019-05-011,121
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-011,121
Number of employers contributing to the scheme2019-05-010
2018: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2018 401k membership
Total participants, beginning-of-year2018-05-011,202
Total number of active participants reported on line 7a of the Form 55002018-05-011,337
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-011,337
Number of employers contributing to the scheme2018-05-010
2017: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2017 401k membership
Total participants, beginning-of-year2017-05-011,179
Total number of active participants reported on line 7a of the Form 55002017-05-011,202
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-011,202
2016: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2016 401k membership
Total participants, beginning-of-year2016-05-011,087
Total number of active participants reported on line 7a of the Form 55002016-05-011,179
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-011,179
2015: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2015 401k membership
Total participants, beginning-of-year2015-05-011,027
Total number of active participants reported on line 7a of the Form 55002015-05-011,087
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-011,087

Form 5500 Responses for CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY

2022: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: CONWAY MEDICAL CENTER GROUP SHORT TERM DISABILITY INSURANCE POLICY 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01First time form 5500 has been submittedYes
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159682
Policy instance 1
Insurance contract or identification number159682
Number of Individuals Covered1229
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159682
Policy instance 1
Insurance contract or identification number159682
Number of Individuals Covered1188
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159682
Policy instance 1
Insurance contract or identification number159682
Number of Individuals Covered1116
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159682
Policy instance 1
Insurance contract or identification number159682
Number of Individuals Covered1111
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159682
Policy instance 1
Insurance contract or identification number159682
Number of Individuals Covered1337
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,149
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees5149
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159682
Policy instance 1
Insurance contract or identification number159682
Number of Individuals Covered1233
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,270
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1270
Additional information about fees paid to insurance brokerCONTINGENT COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameAON CONSULTING INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number159682
Policy instance 1
Insurance contract or identification number159682
Number of Individuals Covered1028
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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