401k Plan data: JSMC WELFARE PLAN plan

JSMC WELFARE PLAN 401k Plan overview

Plan Name	JSMC WELFARE PLAN
Plan identification number	509

JSMC WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

JENNIE STUART MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name: JENNIE STUART MEDICAL CENTER

Employer identification number (EIN): 610482973

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JSMC WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
509 2014-01-01 GREG MOORE
509 2013-01-01 JIM BISHOP, CPA
509 2012-01-01 JIM BISHOP, CPA
509 2011-01-01 JIM BISHOP, CPA
509 2010-01-01 SAMUEL BROWN
509 2009-01-01 SAMUEL BROWN
509 2008-01-01 SAMUEL BROWN

Plan id#	Filing Submission Date	Name of Administrator
509	2014-01-01	GREG MOORE
509	2013-01-01	JIM BISHOP, CPA
509	2012-01-01	JIM BISHOP, CPA
509	2011-01-01	JIM BISHOP, CPA
509	2010-01-01	SAMUEL BROWN
509	2009-01-01	SAMUEL BROWN
509	2008-01-01	SAMUEL BROWN

Plan Statistics for JSMC WELFARE PLAN

401k plan membership statisitcs for JSMC WELFARE PLAN

Measure Date Value
2014: JSMC WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 657
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
2013: JSMC WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 354
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 657
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 657
2012: JSMC WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 371
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 354
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 354
2011: JSMC WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 349
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 371
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 371
2010: JSMC WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 144
Total of all active and inactive participants 2010-01-01 144
Total participants 2010-01-01 144
2009: JSMC WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 115
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 123
Total of all active and inactive participants 2009-01-01 123
Total participants 2009-01-01 123
Number of employers contributing to the scheme 2009-01-01 0
2008: JSMC WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year 2008-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2008-01-01 115
Total of all active and inactive participants 2008-01-01 115
Total participants 2008-01-01 115

Measure	Date	Value
2014: JSMC WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	657
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
2013: JSMC WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	354
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	657
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	657
2012: JSMC WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	371
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	354
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	354
2011: JSMC WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	349
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	371
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	371
2010: JSMC WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	144
Total of all active and inactive participants	2010-01-01	144
Total participants	2010-01-01	144
2009: JSMC WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	115
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	123
Total of all active and inactive participants	2009-01-01	123
Total participants	2009-01-01	123
Number of employers contributing to the scheme	2009-01-01	0
2008: JSMC WELFARE PLAN 2008 401k membership
Total participants, beginning-of-year	2008-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2008-01-01	115
Total of all active and inactive participants	2008-01-01	115
Total participants	2008-01-01	115

Form 5500 Responses for JSMC WELFARE PLAN

2014: JSMC WELFARE PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: JSMC WELFARE PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: JSMC WELFARE PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: JSMC WELFARE PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: JSMC WELFARE PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: JSMC WELFARE PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: JSMC WELFARE PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	JENNIE STUART MEDICAL CENTER
Employer identification number (EIN):	610482973
NAIC Classification:	622000
NAIC Description:	Hospitals