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CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE 401k Plan overview

Plan NameCALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE
Plan identification number 503

CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

CALHOUN - LIBERTY HOSPITAL ASSOCIATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:CALHOUN - LIBERTY HOSPITAL ASSOCIATION, INC.
Employer identification number (EIN):593051173
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-02-01
5032017-02-01
5032016-02-01 CHARLES STEWARD2019-05-13

Plan Statistics for CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE

401k plan membership statisitcs for CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE

Measure Date Value
2017: CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE 2017 401k membership
Total participants, beginning-of-year2017-02-01109
Total number of active participants reported on line 7a of the Form 55002017-02-01109
Total of all active and inactive participants2017-02-01109
Total participants2017-02-01109
2016: CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE 2016 401k membership
Total participants, beginning-of-year2016-02-01107
Total number of active participants reported on line 7a of the Form 55002016-02-01109
Number of retired or separated participants receiving benefits2016-02-010
Number of other retired or separated participants entitled to future benefits2016-02-010
Total of all active and inactive participants2016-02-01109
Total participants2016-02-01109

Form 5500 Responses for CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE

2017: CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Submission has been amendedNo
2017-02-01This submission is the final filingNo
2017-02-01This return/report is a short plan year return/report (less than 12 months)No
2017-02-01Plan is a collectively bargained planNo
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: CALHOUN LIBERTY HOSPITAL HUMANA LIFE INSURANCE 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01First time form 5500 has been submittedYes
2016-02-01Submission has been amendedNo
2016-02-01This submission is the final filingNo
2016-02-01This return/report is a short plan year return/report (less than 12 months)No
2016-02-01Plan is a collectively bargained planNo
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number535785
Policy instance 1
Insurance contract or identification number535785
Number of Individuals Covered19
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $1,064
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 BenefitYes
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

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