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ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 401k Plan overview

Plan NameALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN
Plan identification number 501

ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

ALL CHILDRENS HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name:ALL CHILDRENS HEALTH SYSTEM, INC.
Employer identification number (EIN):592481740
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-01-01JIM SCHMIDT JIM SCHMIDT2018-10-04
5012016-01-01CHRISTOPHER WHITBY CHRISTOPHER WHITBY2017-10-13
5012015-01-01DOUGLAS MYERS DOUGLAS MYERS2016-10-13
5012014-01-01CLAYTON SPRIET CLAYTON SPRIET2015-10-13
5012013-01-01NANCY TEMPLIN NANCY TEMPLIN2014-10-07
5012012-01-01NANCY TEMPLIN NANCY TEMPLIN2013-07-29
5012011-01-01NANCY TEMPLIN NANCY TEMPLIN2012-10-15
5012010-01-01NANCY TEMPLIN NANCY TEMPLIN2011-10-17
5012009-01-01NANCY TEMPLIN NANCY TEMPLIN2010-10-15

Plan Statistics for ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN

401k plan membership statisitcs for ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN

Measure Date Value
2017: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,623
Total number of active participants reported on line 7a of the Form 55002017-01-012,719
Total of all active and inactive participants2017-01-012,719
Total participants2017-01-012,719
2016: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,445
Total number of active participants reported on line 7a of the Form 55002016-01-012,623
Total of all active and inactive participants2016-01-012,623
Total participants2016-01-012,623
2015: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,514
Total number of active participants reported on line 7a of the Form 55002015-01-012,445
Total of all active and inactive participants2015-01-012,445
Total participants2015-01-012,445
2014: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,462
Total number of active participants reported on line 7a of the Form 55002014-01-012,514
Total of all active and inactive participants2014-01-012,514
Total participants2014-01-012,514
2013: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,370
Total number of active participants reported on line 7a of the Form 55002013-01-012,462
Total of all active and inactive participants2013-01-012,462
Total participants2013-01-012,462
2012: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,193
Total number of active participants reported on line 7a of the Form 55002012-01-012,370
Total of all active and inactive participants2012-01-012,370
2011: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,136
Total number of active participants reported on line 7a of the Form 55002011-01-012,193
Total of all active and inactive participants2011-01-012,193
2010: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-012,028
Total number of active participants reported on line 7a of the Form 55002010-01-012,136
Total of all active and inactive participants2010-01-012,136
2009: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,811
Total number of active participants reported on line 7a of the Form 55002009-01-012,028
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 participants2009-01-012,028

Form 5500 Responses for ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN

2017: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT 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 funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT 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 funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT 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 funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT 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
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: ALL CHILDREN'S HEALTH SYSTEM EMPLOYEE HEALTH AND DENTAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
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

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number242571
Policy instance 1
Insurance contract or identification number242571
Number of Individuals Covered2719
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $10,200,825
Total amount of fees paid to insurance companyUSD $17,500
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Welfare Benefit Premiums Paid to CarrierUSD $1,200,825
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,200,825
Additional information about fees paid to insurance brokerSTOP LOSS PREMIUMS
Insurance broker organization code?3
Amount paid for insurance broker fees17500
Insurance broker nameROGER BOUCHARD INSURANCE INC.
HUMANA HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 95885 )
Policy contract number707541
Policy instance 1
Insurance contract or identification number707541
Number of Individuals Covered2445
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $101,520
Total amount of fees paid to insurance companyUSD $2,751,107
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $101,520
Insurance broker organization code?3
Insurance broker nameROGER BOUCHARD INSURANCE INC
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number707541
Policy instance 1
Insurance contract or identification number707541
Number of Individuals Covered2514
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $86,531
Total amount of fees paid to insurance companyUSD $1,560,024
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $86,531
Insurance broker organization code?3
Insurance broker nameROGER BOUCHARD INSURANCE INC
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number707541
Policy instance 1
Insurance contract or identification number707541
Number of Individuals Covered2462
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $84,605
Total amount of fees paid to insurance companyUSD $1,204,240
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
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
Commission paid to Insurance BrokerUSD $84,605
Insurance broker organization code?3
Insurance broker nameROGER BOUCHARD INSURANCE INC
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number707541
Policy instance 1
Insurance contract or identification number707541
Number of Individuals Covered2370
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $113,778
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
Health Insurance Welfare BenefitYes
Dental 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 $113,778
Insurance broker organization code?3
Insurance broker nameROGER BOUCHARD INSURANCE INC
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number707541
Policy instance 1
Insurance contract or identification number707541
Number of Individuals Covered2193
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $117,020
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
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number707541
Policy instance 1
Insurance contract or identification number707541
Number of Individuals Covered2136
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $102,490
Total amount of fees paid to insurance companyUSD $1,072,323
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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