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ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 401k Plan overview

Plan NameATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN
Plan identification number 506

ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

ATHENS REGIONAL HEALTH SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:ATHENS REGIONAL HEALTH SERVICES, INC.
Employer identification number (EIN):581930582
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5062017-01-01
5062016-01-01VICKI A CANSLER
5062015-01-01WENDY COOK WENDY COOK2016-10-11
5062014-01-01WENDY COOK WENDY COOK2015-10-02
5062013-01-01WENDY COOK WENDY COOK2014-10-13
5062012-01-01WENDY COOK WENDY COOK2013-10-14
5062011-01-01GRANT TRIBBLE GRANT TRIBBLE2012-10-11
5062010-01-01GRANT TRIBBLE GRANT TRIBBLE2011-10-10
5062009-01-01W. LARRY WEBB W. LARRY WEBB2010-07-19

Plan Statistics for ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN

401k plan membership statisitcs for ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN

Measure Date Value
2017: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,377
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
2016: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,381
Total number of active participants reported on line 7a of the Form 55002016-01-012,377
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-012,377
2015: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,472
Total number of active participants reported on line 7a of the Form 55002015-01-012,381
Total of all active and inactive participants2015-01-012,381
2014: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,503
Total number of active participants reported on line 7a of the Form 55002014-01-012,472
Total of all active and inactive participants2014-01-012,472
2013: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,448
Total number of active participants reported on line 7a of the Form 55002013-01-012,503
Total of all active and inactive participants2013-01-012,503
2012: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,213
Total number of active participants reported on line 7a of the Form 55002012-01-012,448
Total of all active and inactive participants2012-01-012,448
2011: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,470
Total number of active participants reported on line 7a of the Form 55002011-01-012,213
Total of all active and inactive participants2011-01-012,213
2010: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-012,352
Total number of active participants reported on line 7a of the Form 55002010-01-012,470
Total of all active and inactive participants2010-01-012,470
2009: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,352
Total number of active participants reported on line 7a of the Form 55002009-01-012,440
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-012,440

Form 5500 Responses for ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN

2017: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: ATHENS REGIONAL HEALTH SERVICES DISABILITY INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK980127
Policy instance 1
Insurance contract or identification numberLK980127
Number of Individuals Covered2377
Insurance policy start date2017-01-01
Insurance policy end date2017-03-19
Total amount of commissions paid to insurance brokerUSD $17,719
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $240,553
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,719
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC

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