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SKY LAKES MEDICAL CENTER 401k Plan overview

Plan NameSKY LAKES MEDICAL CENTER
Plan identification number 501

SKY LAKES MEDICAL CENTER Benefits

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

401k Sponsoring company profile

SKY LAKES MEDICAL CENTER has sponsored the creation of one or more 401k plans.

Company Name:SKY LAKES MEDICAL CENTER
Employer identification number (EIN):930508781
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SKY LAKES MEDICAL CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012023-01-01RICHARD RICO
5012022-01-01
5012022-01-01RICHARD RICO
5012021-01-01
5012021-01-01RICHARD RICO
5012020-01-01
5012019-01-01
5012017-01-01DON YORK
5012016-01-01DON YORK
5012015-01-01DON YORK
5012014-01-01DON YORK
5012013-01-01DON YORK
5012012-01-01DON YORK
5012011-01-01DON YORK
5012010-01-01DON YORK
5012009-01-01RICHARD RICO

Plan Statistics for SKY LAKES MEDICAL CENTER

401k plan membership statisitcs for SKY LAKES MEDICAL CENTER

Measure Date Value
2023: SKY LAKES MEDICAL CENTER 2023 401k membership
Total participants, beginning-of-year2023-01-011,212
Total number of active participants reported on line 7a of the Form 55002023-01-011,330
Total of all active and inactive participants2023-01-011,330
2022: SKY LAKES MEDICAL CENTER 2022 401k membership
Total participants, beginning-of-year2022-01-011,192
Total number of active participants reported on line 7a of the Form 55002022-01-011,231
Total of all active and inactive participants2022-01-011,231
2021: SKY LAKES MEDICAL CENTER 2021 401k membership
Total participants, beginning-of-year2021-01-011,222
Total number of active participants reported on line 7a of the Form 55002021-01-011,200
Total of all active and inactive participants2021-01-011,200
2020: SKY LAKES MEDICAL CENTER 2020 401k membership
Total participants, beginning-of-year2020-01-011,250
Total number of active participants reported on line 7a of the Form 55002020-01-011,210
Total of all active and inactive participants2020-01-011,210
2019: SKY LAKES MEDICAL CENTER 2019 401k membership
Total participants, beginning-of-year2019-01-011,228
Total number of active participants reported on line 7a of the Form 55002019-01-011,252
Total of all active and inactive participants2019-01-011,252
2017: SKY LAKES MEDICAL CENTER 2017 401k membership
Total participants, beginning-of-year2017-01-011,146
Total number of active participants reported on line 7a of the Form 55002017-01-011,179
Total of all active and inactive participants2017-01-011,179
2016: SKY LAKES MEDICAL CENTER 2016 401k membership
Total participants, beginning-of-year2016-01-011,071
Total number of active participants reported on line 7a of the Form 55002016-01-011,146
Total of all active and inactive participants2016-01-011,146
2015: SKY LAKES MEDICAL CENTER 2015 401k membership
Total participants, beginning-of-year2015-01-011,018
Total number of active participants reported on line 7a of the Form 55002015-01-011,071
Total of all active and inactive participants2015-01-011,071
2014: SKY LAKES MEDICAL CENTER 2014 401k membership
Total participants, beginning-of-year2014-01-011,132
Total number of active participants reported on line 7a of the Form 55002014-01-011,179
Total of all active and inactive participants2014-01-011,179
2013: SKY LAKES MEDICAL CENTER 2013 401k membership
Total participants, beginning-of-year2013-01-01918
Total number of active participants reported on line 7a of the Form 55002013-01-01975
Total of all active and inactive participants2013-01-01975
2012: SKY LAKES MEDICAL CENTER 2012 401k membership
Total participants, beginning-of-year2012-01-01896
Total number of active participants reported on line 7a of the Form 55002012-01-01918
Total of all active and inactive participants2012-01-01918
2011: SKY LAKES MEDICAL CENTER 2011 401k membership
Total participants, beginning-of-year2011-01-01901
Total number of active participants reported on line 7a of the Form 55002011-01-01896
Total of all active and inactive participants2011-01-01896
2010: SKY LAKES MEDICAL CENTER 2010 401k membership
Total participants, beginning-of-year2010-01-01905
Total number of active participants reported on line 7a of the Form 55002010-01-01901
Total of all active and inactive participants2010-01-01901
2009: SKY LAKES MEDICAL CENTER 2009 401k membership
Total participants, beginning-of-year2009-01-01985
Total number of active participants reported on line 7a of the Form 55002009-01-01905
Total of all active and inactive participants2009-01-01905

Form 5500 Responses for SKY LAKES MEDICAL CENTER

2023: SKY LAKES MEDICAL CENTER 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: SKY LAKES MEDICAL CENTER 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: SKY LAKES MEDICAL CENTER 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: SKY LAKES MEDICAL CENTER 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: SKY LAKES MEDICAL CENTER 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2017: SKY LAKES MEDICAL CENTER 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: SKY LAKES MEDICAL CENTER 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: SKY LAKES MEDICAL CENTER 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: SKY LAKES MEDICAL CENTER 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: SKY LAKES MEDICAL CENTER 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: SKY LAKES MEDICAL CENTER 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: SKY LAKES MEDICAL CENTER 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: SKY LAKES MEDICAL CENTER 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: SKY LAKES MEDICAL CENTER 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 672950
Policy instance 2
Insurance contract or identification numberVAR 672950
Number of Individuals Covered254
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $252
Total amount of fees paid to insurance companyUSD $594
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,044
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 668975
Policy instance 1
Insurance contract or identification numberGL 668975
Number of Individuals Covered1217
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $9,654
Total amount of fees paid to insurance companyUSD $23,286
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $193,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 668975
Policy instance 1
Insurance contract or identification numberGL 668975
Number of Individuals Covered1189
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $9,848
Total amount of fees paid to insurance companyUSD $23,452
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $196,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 672950
Policy instance 2
Insurance contract or identification numberVAR 672950
Number of Individuals Covered208
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $234
Total amount of fees paid to insurance companyUSD $550
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,670
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 668975
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 672950
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 672950
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 668975
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 668975
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 672950
Policy instance 2
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 668975
Policy instance 1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 668975
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 965274
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX963642
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX963642
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 965274
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX963642
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 965271
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX 963642
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 965274
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 965274
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX 963642
Policy instance 2
LIFEMAP ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 97985 )
Policy contract numberWTB 000267
Policy instance 1

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