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

Plan NameALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN
Plan identification number 509

ALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN Benefits

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5092017-01-01JIM SCHMIDT JIM SCHMIDT2018-09-26
5092016-01-01CHRISTOPHER WHITBY CHRISTOPHER WHITBY2017-10-13
5092015-01-01DOUGLAS MYERS DOUGLAS MYERS2016-10-13
5092014-01-01CLAYTON SPRIET CLAYTON SPRIET2015-10-13
5092013-01-01NANCY TEMPLIN NANCY TEMPLIN2014-10-07
5092012-01-01NANCY TEMPLIN NANCY TEMPLIN2013-10-15
5092011-04-01NANCY TEMPLIN NANCY TEMPLIN2012-10-17

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

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

Measure Date Value
2017: ALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,491
Total number of active participants reported on line 7a of the Form 55002017-01-012,467
Total of all active and inactive participants2017-01-012,467
Total participants2017-01-012,467
2016: ALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,491
Total number of active participants reported on line 7a of the Form 55002016-01-012,491
Total of all active and inactive participants2016-01-012,491
Total participants2016-01-012,491
2015: ALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,473
Total number of active participants reported on line 7a of the Form 55002015-01-012,491
Total of all active and inactive participants2015-01-012,491
Total participants2015-01-012,491
2014: ALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,400
Total number of active participants reported on line 7a of the Form 55002014-01-012,473
Total of all active and inactive participants2014-01-012,473
Total participants2014-01-012,473
2013: ALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,344
Total number of active participants reported on line 7a of the Form 55002013-01-012,400
Total of all active and inactive participants2013-01-012,400
Total participants2013-01-012,400
2012: ALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,171
Total number of active participants reported on line 7a of the Form 55002012-01-012,344
Total of all active and inactive participants2012-01-012,344
2011: ALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-010
Total number of active participants reported on line 7a of the Form 55002011-04-012,171
Total of all active and inactive participants2011-04-012,171

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

2017: ALL CHILDREN'S HEALTH SYSTEM SHORT 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 SHORT 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 SHORT 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 SHORT 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 SHORT 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 SHORT 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
2011: ALL CHILDREN'S HEALTH SYSTEM SHORT TERM DISABILITY PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01First time form 5500 has been submittedYes
2011-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

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 Covered2467
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $51,325
Total amount of fees paid to insurance companyUSD $18,634
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
Welfare Benefit Premiums Paid to CarrierUSD $568,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,325
Insurance broker organization code?3
Amount paid for insurance broker fees18634
Insurance broker nameMARSH & MCLENNAN AGENCY LLC
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 Covered2491
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $90,869
Total amount of fees paid to insurance companyUSD $25,421
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
Welfare Benefit Premiums Paid to CarrierUSD $615,538
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees25421
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $90,869
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
Policy instance 1
Insurance contract or identification number395174G
Number of Individuals Covered2473
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $95,554
Total amount of fees paid to insurance companyUSD $24,179
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
Welfare Benefit Premiums Paid to CarrierUSD $682,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees24179
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $95,554
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
Policy instance 1
Insurance contract or identification number395174G
Number of Individuals Covered2400
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $77,338
Total amount of fees paid to insurance companyUSD $15,123
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
Welfare Benefit Premiums Paid to CarrierUSD $463,531
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15123
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $77,338
Insurance broker nameCHILD HEALTH CORP OF AMERICA
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395174GRH
Policy instance 1
Insurance contract or identification number395174GRH
Insurance policy start date2012-04-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $62,737
Total amount of fees paid to insurance companyUSD $20,670
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $516,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,737
Insurance broker organization code?3
Amount paid for insurance broker fees20670
Insurance broker nameALEXANDER BENEFITS CONSULTING LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number395174GRH
Policy instance 1
Insurance contract or identification number395174GRH
Number of Individuals Covered2171
Insurance policy start date2011-04-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $31,549
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
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $225,354
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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