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CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 401k Plan overview

Plan NameCRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN
Plan identification number 503

CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • 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

CRITTENDEN HEALTH SYSTEMS has sponsored the creation of one or more 401k plans.

Company Name:CRITTENDEN HEALTH SYSTEMS
Employer identification number (EIN):610391376
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-05-01TERESA KAYSE2020-06-05
5032018-05-01TERESA KAYSE2020-11-09
5032017-05-01TERESA KAYSE2020-06-05
5032016-09-01TERESA KAYSE2020-06-05
5032015-09-01JIM BISHOP
5032014-09-01JAN GREGORY
5032013-09-01JAN GREGORY
5032012-09-01JAN GREGORY
5032011-09-01JAN GREGORY
5032010-09-01JAN GREGORY
5032009-09-01JAN GREGORY

Plan Statistics for CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN

401k plan membership statisitcs for CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN

Measure Date Value
2018: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01107
Total number of active participants reported on line 7a of the Form 55002018-05-0198
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-014
Total of all active and inactive participants2018-05-01102
Number of employers contributing to the scheme2018-05-010
2017: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01130
Total number of active participants reported on line 7a of the Form 55002017-05-01122
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-013
Total of all active and inactive participants2017-05-01125
Number of employers contributing to the scheme2017-05-010
2016: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01130
Total number of active participants reported on line 7a of the Form 55002016-09-01130
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-01130
Number of employers contributing to the scheme2016-09-010
2015: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01124
Total number of active participants reported on line 7a of the Form 55002015-09-01130
Number of retired or separated participants receiving benefits2015-09-010
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01130
2014: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01129
Total number of active participants reported on line 7a of the Form 55002014-09-01124
Number of retired or separated participants receiving benefits2014-09-010
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01124
2013: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01136
Total number of active participants reported on line 7a of the Form 55002013-09-01129
Number of retired or separated participants receiving benefits2013-09-010
Number of other retired or separated participants entitled to future benefits2013-09-010
Total of all active and inactive participants2013-09-01129
2012: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01153
Total number of active participants reported on line 7a of the Form 55002012-09-01136
Number of retired or separated participants receiving benefits2012-09-010
Number of other retired or separated participants entitled to future benefits2012-09-010
Total of all active and inactive participants2012-09-01136
2011: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01161
Total number of active participants reported on line 7a of the Form 55002011-09-01153
Number of retired or separated participants receiving benefits2011-09-010
Number of other retired or separated participants entitled to future benefits2011-09-010
Total of all active and inactive participants2011-09-01153
2010: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2010 401k membership
Total participants, beginning-of-year2010-09-01155
Total number of active participants reported on line 7a of the Form 55002010-09-01161
Number of retired or separated participants receiving benefits2010-09-010
Number of other retired or separated participants entitled to future benefits2010-09-010
Total of all active and inactive participants2010-09-01161
2009: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01161
Total number of active participants reported on line 7a of the Form 55002009-09-01155
Number of retired or separated participants receiving benefits2009-09-010
Number of other retired or separated participants entitled to future benefits2009-09-010
Total of all active and inactive participants2009-09-01155

Form 5500 Responses for CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN

2018: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedYes
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes
2015: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan benefit arrangement – InsuranceYes
2014: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan benefit arrangement – InsuranceYes
2013: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan benefit arrangement – InsuranceYes
2012: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan benefit arrangement – InsuranceYes
2011: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan benefit arrangement – InsuranceYes
2010: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2010 form 5500 responses
2010-09-01Type of plan entitySingle employer plan
2010-09-01Submission has been amendedNo
2010-09-01This submission is the final filingNo
2010-09-01This return/report is a short plan year return/report (less than 12 months)No
2010-09-01Plan is a collectively bargained planNo
2010-09-01Plan funding arrangement – InsuranceYes
2010-09-01Plan benefit arrangement – InsuranceYes
2009: CRITTENDEN HEALTH SYSTEMS GROUP LIFE PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number010124822
Policy instance 1
Insurance contract or identification number010124822
Number of Individuals Covered104
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $6,869
Total amount of fees paid to insurance companyUSD $1,838
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 BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $37,223
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,869
Amount paid for insurance broker fees1838
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )
Policy contract number10124822
Policy instance 1
Insurance contract or identification number10124822
Number of Individuals Covered115
Insurance policy start date2016-09-01
Insurance policy end date2017-08-31
Total amount of commissions paid to insurance brokerUSD $8,703
Total amount of fees paid to insurance companyUSD $2,403
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 BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $46,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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