COMMUNITY HEALTHCARE CENTER has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan COMMUNITY HEALTHCARE CENTER EMPLOYEE BENEFIT PLAN - LIFE INSURANCE
401k plan membership statisitcs for COMMUNITY HEALTHCARE CENTER EMPLOYEE BENEFIT PLAN - LIFE INSURANCE
| 2018: COMMUNITY HEALTHCARE CENTER EMPLOYEE BENEFIT PLAN - LIFE INSURANCE 2018 form 5500 responses |
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| 2018-08-01 | Type of plan entity | Single employer plan |
| 2018-08-01 | This submission is the final filing | Yes |
| 2018-08-01 | Plan funding arrangement – Insurance | Yes |
| 2018-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: COMMUNITY HEALTHCARE CENTER EMPLOYEE BENEFIT PLAN - LIFE INSURANCE 2017 form 5500 responses |
|---|
| 2017-08-01 | Type of plan entity | Single employer plan |
| 2017-08-01 | Plan funding arrangement – Insurance | Yes |
| 2017-08-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-08-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD607011 |
| Policy instance | 1 |
| Insurance contract or identification number | SGD607011 | | Number of Individuals Covered | 212 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-08-01 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,220 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM606760 |
| Policy instance | 2 |
| Insurance contract or identification number | SGM606760 | | Number of Individuals Covered | 206 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-08-01 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $11,489 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM606761 |
| Policy instance | 3 |
| Insurance contract or identification number | SGM606761 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-08-01 | | Total amount of commissions paid to insurance broker | USD $1,784 | | Other welfare benefits provided | SUPPLEMENTAL LIFE/DEPENDENT LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $11,896 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,784 | | Insurance broker organization code? | 3 |
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| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SOK604793 |
| Policy instance | 4 |
| Insurance contract or identification number | SOK604793 | | Number of Individuals Covered | 246 | | Insurance policy start date | 2018-08-01 | | Insurance policy end date | 2019-08-01 | | Other welfare benefits provided | ACCIDENTAL DEATH | | Welfare Benefit Premiums Paid to Carrier | USD $2,441 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGD607011 |
| Policy instance | 1 |
| Insurance contract or identification number | SGD607011 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-08-01 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $28,533 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM606760 |
| Policy instance | 2 |
| Insurance contract or identification number | SGM606760 | | Number of Individuals Covered | 185 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-08-01 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $8,004 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SGM606761 |
| Policy instance | 3 |
| Insurance contract or identification number | SGM606761 | | Number of Individuals Covered | 79 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-08-01 | | Total amount of commissions paid to insurance broker | USD $1,122 | | Other welfare benefits provided | SUPPLEMENTAL LIFE/DEPENDENT LIFE | | Welfare Benefit Premiums Paid to Carrier | USD $8,051 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SOK604793 |
| Policy instance | 4 |
| Insurance contract or identification number | SOK604793 | | Number of Individuals Covered | 79 | | Insurance policy start date | 2017-08-01 | | Insurance policy end date | 2018-08-01 | | Other welfare benefits provided | ACCIDENTAL DEATH | | Welfare Benefit Premiums Paid to Carrier | USD $2,468 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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