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ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 401k Plan overview

Plan NameALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN
Plan identification number 503

ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

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 LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-01-01JIM SCHMIDT2018-09-26 JIM SCHMIDT2018-09-26
5032016-01-01CHRISTOPHER WHITBY CHRISTOPHER WHITBY2017-10-13
5032015-01-01DOUGLAS MYERS DOUGLAS MYERS2016-10-13
5032014-01-01CLAYTON SPRIET CLAYTON SPRIET2015-10-13
5032013-01-01NANCY TEMPLIN NANCY TEMPLIN2014-10-07
5032012-01-01NANCY TEMPLIN NANCY TEMPLIN2013-10-15
5032010-10-01NANCY TEMPLIN NANCY TEMPLIN2012-07-11
5032009-10-01NANCY TEMPLIN NANCY TEMPLIN2011-07-15
5032008-10-01

Plan Statistics for ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN

401k plan membership statisitcs for ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN

Measure Date Value
2017: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,405
Total number of active participants reported on line 7a of the Form 55002017-01-012,508
Total of all active and inactive participants2017-01-012,508
Total participants2017-01-012,508
2016: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,552
Total number of active participants reported on line 7a of the Form 55002016-01-012,552
Total of all active and inactive participants2016-01-012,552
Total participants2016-01-012,552
2015: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,509
Total number of active participants reported on line 7a of the Form 55002015-01-012,552
Total of all active and inactive participants2015-01-012,552
Total participants2015-01-012,552
2014: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,438
Total number of active participants reported on line 7a of the Form 55002014-01-012,509
Total of all active and inactive participants2014-01-012,509
Total participants2014-01-012,509
2013: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,363
Total number of active participants reported on line 7a of the Form 55002013-01-012,438
Total of all active and inactive participants2013-01-012,438
Total participants2013-01-012,438
2012: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,091
Total number of active participants reported on line 7a of the Form 55002012-01-012,363
Total of all active and inactive participants2012-01-012,363
2010: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-012,026
Total number of active participants reported on line 7a of the Form 55002010-10-012,091
Total of all active and inactive participants2010-10-012,091
2009: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-011,920
Total number of active participants reported on line 7a of the Form 55002009-10-012,026
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-010
Total of all active and inactive participants2009-10-012,026

Form 5500 Responses for ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN

2017: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY 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 benefit arrangement – InsuranceYes
2016: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY 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: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY 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: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY 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: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY 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 benefit arrangement – InsuranceYes
2012: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2010: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01This submission is the final filingNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes
2008: ALL CHILDREN'S HEALTH SYSTEM LONG TERM DISABILITY PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395174G/676247G
Policy instance 1
Insurance contract or identification number395174G/676247G
Number of Individuals Covered2361
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $88,714
Total amount of fees paid to insurance companyUSD $27,755
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 BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $1,009,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees27755
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $88,714
Insurance broker nameCHILD HEALTH CORP OF AMERICA
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395174G/676247G
Policy instance 1
Insurance contract or identification number395174G/676247G
Number of Individuals Covered2552
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $145,892
Total amount of fees paid to insurance companyUSD $42,162
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 BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $1,047,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees42162
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $145,892
Insurance broker nameCHILD HEALTH CORP OF AMERICA
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number676247G
Policy instance 1
Insurance contract or identification number676247G
Number of Individuals Covered2509
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $147,626
Total amount of fees paid to insurance companyUSD $24,465
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 BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $962,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees24465
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $147,626
Insurance broker nameCHILD HEALTH CORP OF AMERICA
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395174G/676247G
Policy instance 1
Insurance contract or identification number395174G/676247G
Number of Individuals Covered2438
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $135,788
Total amount of fees paid to insurance companyUSD $28,518
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 BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $863,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees28518
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $135,788
Insurance broker nameCHILD HEALTH CORPORATION OF AMERICA
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395174G
Policy instance 1
Insurance contract or identification number395174G
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $119,861
Total amount of fees paid to insurance companyUSD $32,265
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $806,616
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $119,861
Insurance broker organization code?3
Amount paid for insurance broker fees32265
Insurance broker nameALEXANDER BENEFITS CONSULTING
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395174G
Policy instance 1
Insurance contract or identification number395174G
Number of Individuals Covered2091
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $71,872
Total amount of fees paid to insurance companyUSD $24,027
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $431,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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