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FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 401k Plan overview

Plan NameFISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN
Plan identification number 502

FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

FISHERMEN'S HOSPITAL INC has sponsored the creation of one or more 401k plans.

Company Name:FISHERMEN'S HOSPITAL INC
Employer identification number (EIN):590914771
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-07-01
5022015-07-01
5022014-07-01
5022013-07-01
5022012-07-01HAL. W. LEFTWICH
5022011-07-01HAL. W. LEFTWICH

Plan Statistics for FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN

401k plan membership statisitcs for FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN

Measure Date Value
2016: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0172
Total number of active participants reported on line 7a of the Form 55002016-07-010
Total of all active and inactive participants2016-07-010
2015: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0172
Total number of active participants reported on line 7a of the Form 55002015-07-0172
Total of all active and inactive participants2015-07-0172
2014: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01149
Total number of active participants reported on line 7a of the Form 55002014-07-0172
Total of all active and inactive participants2014-07-0172
2013: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01146
Total number of active participants reported on line 7a of the Form 55002013-07-01149
Total of all active and inactive participants2013-07-01149
2012: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01156
Total number of active participants reported on line 7a of the Form 55002012-07-01146
Total of all active and inactive participants2012-07-01146
2011: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-010
Total number of active participants reported on line 7a of the Form 55002011-07-01156
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01156

Form 5500 Responses for FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN

2016: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01This submission is the final filingYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: FISHERMEN'S HOSPITAL LIFE/DISABILITY INSURANCE BENEFIT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01First time form 5500 has been submittedYes
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4247961
Policy instance 1
Insurance contract or identification numberE4247961
Number of Individuals Covered72
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $15,321
Total amount of fees paid to insurance companyUSD $2,058
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $43,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,904
Amount paid for insurance broker fees181
Insurance broker organization code?3
Insurance broker namePARAGON ADVISORY LLC
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE4247961
Policy instance 1
Insurance contract or identification numberE4247961
Number of Individuals Covered72
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $26,899
Total amount of fees paid to insurance companyUSD $7,915
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,339
Amount paid for insurance broker fees1876
Insurance broker organization code?3
Insurance broker nameSTACY MARIE FRADY
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number151813
Policy instance 1
Insurance contract or identification number151813
Number of Individuals Covered149
Insurance policy start date2013-07-01
Insurance policy end date2014-04-01
Total amount of commissions paid to insurance brokerUSD $4,647
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $30,971
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,647
Insurance broker organization code?3
Insurance broker nameDEMOSS FINANCIAL INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number151813
Policy instance 1
Insurance contract or identification number151813
Number of Individuals Covered146
Insurance policy start date2012-07-01
Insurance policy end date2013-07-01
Total amount of commissions paid to insurance brokerUSD $5,925
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,925
Insurance broker organization code?3
Insurance broker nameDEMOSS FINANCIAL INC
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number151813
Policy instance 1
Insurance contract or identification number151813
Number of Individuals Covered156
Insurance policy start date2011-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $7,059
Total amount of fees paid to insurance companyUSD $989
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $47,059
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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