THE JAMES B. HAGGIN MEMORIAL HOSPITAL has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN
401k plan membership statisitcs for THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN
| Measure | Date | Value |
|---|
| 2017: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-09-01 | 154 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 0 |
| Total of all active and inactive participants | 2017-09-01 | 0 |
| Total participants | 2017-09-01 | 0 |
| 2016: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-09-01 | 159 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 154 |
| Total of all active and inactive participants | 2016-09-01 | 154 |
| Total participants | 2016-09-01 | 154 |
| 2015: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-09-01 | 179 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 159 |
| Total of all active and inactive participants | 2015-09-01 | 159 |
| Total participants | 2015-09-01 | 159 |
| 2014: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-09-01 | 177 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 179 |
| Total of all active and inactive participants | 2014-09-01 | 179 |
| Total participants | 2014-09-01 | 179 |
| 2013: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-09-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 177 |
| Total of all active and inactive participants | 2013-09-01 | 177 |
| Total participants | 2013-09-01 | 177 |
| 2017: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2017 form 5500 responses |
|---|
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | This submission is the final filing | Yes |
| 2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2016 form 5500 responses |
|---|
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2015 form 5500 responses |
|---|
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2014 form 5500 responses |
|---|
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: THE JAMES B. HAGGIN MEMORIAL HOSPITAL GROUP LIFE PLAN 2013 form 5500 responses |
|---|
| 2013-09-01 | Type of plan entity | Single employer plan |
| 2013-09-01 | First time form 5500 has been submitted | Yes |
| 2013-09-01 | Plan funding arrangement – Insurance | Yes |
| 2013-09-01 | Plan benefit arrangement – Insurance | Yes |
| COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 ) |
| Policy contract number | E3786480 |
| Policy instance | 1 |
| Insurance contract or identification number | E3786480 | | Number of Individuals Covered | 151 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $11,138 | | Total amount of fees paid to insurance company | USD $6,728 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | CANCER, MEDICAL BRIDGE | | Welfare Benefit Premiums Paid to Carrier | USD $63,648 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,633 | | Amount paid for insurance broker fees | 5952 | | Additional information about fees paid to insurance broker | FEES | | Insurance broker organization code? | 3 | | Insurance broker name | MIKE TERRY |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 876538G |
| Policy instance | 2 |
| Insurance contract or identification number | 876538G | | Number of Individuals Covered | 169 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2017-12-01 | | Total amount of commissions paid to insurance broker | USD $5,136 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $25,680 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,136 | | Insurance broker organization code? | 3 | | Insurance broker name | THE HINTON AGENCY LLC |
|
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