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MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 401k Plan overview

Plan NameMOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN
Plan identification number 502

MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

MOTHER FRANCES HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:MOTHER FRANCES HOSPITAL
Employer identification number (EIN):750818167
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-07-01
5022017-01-01
5022016-01-01
5022015-01-01THOMAS A. WILKEN
5022014-01-01THOMAS A. WILKEN
5022013-01-01THOMAS A. WILKEN
5022012-01-01THOMAS A. WILKEN
5022011-01-01THOMAS A. WILKEN
5022010-01-01LAURA OWEN
5022009-01-01RANDY PERDUE
5022009-01-01RANDY PERDUE

Plan Statistics for MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN

401k plan membership statisitcs for MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN

Measure Date Value
2017: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-013,799
Total number of active participants reported on line 7a of the Form 55002017-07-010
Total of all active and inactive participants2017-07-010
Total participants2017-07-010
Total participants, beginning-of-year2017-01-013,801
Total number of active participants reported on line 7a of the Form 55002017-01-013,799
Total of all active and inactive participants2017-01-013,799
Total participants2017-01-013,799
2016: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,569
Total number of active participants reported on line 7a of the Form 55002016-01-013,801
Total of all active and inactive participants2016-01-013,801
Total participants2016-01-013,801
2015: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,525
Total number of active participants reported on line 7a of the Form 55002015-01-013,569
Total of all active and inactive participants2015-01-013,569
Total participants2015-01-013,569
2014: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013,411
Total number of active participants reported on line 7a of the Form 55002014-01-013,525
Total of all active and inactive participants2014-01-013,525
Total participants2014-01-013,525
2013: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013,489
Total number of active participants reported on line 7a of the Form 55002013-01-013,411
Total of all active and inactive participants2013-01-013,411
Total participants2013-01-013,411
2012: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,526
Total number of active participants reported on line 7a of the Form 55002012-01-013,489
Total of all active and inactive participants2012-01-013,489
Total participants2012-01-013,489
2011: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,590
Total number of active participants reported on line 7a of the Form 55002011-01-013,471
Total of all active and inactive participants2011-01-013,471
Total participants2011-01-013,471
2010: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-013,337
Total number of active participants reported on line 7a of the Form 55002010-01-013,590
Total of all active and inactive participants2010-01-013,590
Total participants2010-01-013,590
2009: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013,189
Total number of active participants reported on line 7a of the Form 55002009-01-013,337
Total of all active and inactive participants2009-01-013,337
Total participants2009-01-013,337

Form 5500 Responses for MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN

2017: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01This submission is the final filingYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-01-01Type of plan entitySingle employer plan
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MOTHER FRANCES HOSPITAL LIFE INSURANCE 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: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: MOTHER FRANCES HOSPITAL LIFE INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860060113
Policy instance 1
Insurance contract or identification number000860060113
Number of Individuals Covered0
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $119,983
Total amount of fees paid to insurance companyUSD $25,526
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $857,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $119,983
Amount paid for insurance broker fees25526
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860060114
Policy instance 2
Insurance contract or identification number000860060114
Number of Individuals Covered0
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $24,987
Total amount of fees paid to insurance companyUSD $10,433
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $356,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,987
Amount paid for insurance broker fees10433
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860060113
Policy instance 1
Insurance contract or identification number000860060113
Number of Individuals Covered3799
Insurance policy start date2017-01-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $61,040
Total amount of fees paid to insurance companyUSD $23,002
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $436,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61,040
Insurance broker organization code?3
Amount paid for insurance broker fees23002
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameLOCKTON COMPANIES LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000860060114
Policy instance 2
Insurance contract or identification number000860060114
Number of Individuals Covered3111
Insurance policy start date2017-01-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $12,002
Total amount of fees paid to insurance companyUSD $9,070
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $171,462
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,002
Insurance broker organization code?3
Amount paid for insurance broker fees9070
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameLOCKTON COMPANIES LLC

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