401k Plan data: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P plan

RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 401k Plan overview

Plan Name	RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P
Plan identification number	505

RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

RENOWN HEALTH has sponsored the creation of one or more 401k plans.

Company Name: RENOWN HEALTH

Employer identification number (EIN): 942972845

NAIC Classification: 622000
NAIC Description: Hospitals

Additional information about RENOWN HEALTH

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 1985-07-29

Company Identification Number: 19851012396

Legal Registered Office Address: 50 W. LIBERTY STREET, 11TH FLOOR

RENO
United States of America (USA)
89502

More information about RENOWN HEALTH

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2021-01-01 SUZANNE OETJEN 2022-06-09
505 2020-01-01 MICHELLE SANCHEZ-BICKLEY 2021-08-25
505 2019-01-01 MICHELLE SANCHEZ-BICKLEY 2020-10-07
505 2018-01-01 MICHELLE SANCHEZ-BICKLEY 2019-07-25

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
505	2021-01-01	SUZANNE OETJEN	2022-06-09
505	2020-01-01	MICHELLE SANCHEZ-BICKLEY	2021-08-25
505	2019-01-01	MICHELLE SANCHEZ-BICKLEY	2020-10-07
505	2018-01-01	MICHELLE SANCHEZ-BICKLEY	2019-07-25

Plan Statistics for RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P

401k plan membership statisitcs for RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P

Measure Date Value
2021: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2021 401k membership
Total participants, beginning-of-year 2021-01-01 420
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 447
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 447
Number of employers contributing to the scheme 2021-01-01 0
2020: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2020 401k membership
Total participants, beginning-of-year 2020-01-01 387
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 387
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 387
Number of employers contributing to the scheme 2020-01-01 0
2019: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2019 401k membership
Total participants, beginning-of-year 2019-01-01 362
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 362
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 362
Number of employers contributing to the scheme 2019-01-01 0
2018: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2018 401k membership
Total participants, beginning-of-year 2018-01-01 325
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 362
Total of all active and inactive participants 2018-01-01 362

Measure	Date	Value
2021: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2021 401k membership
Total participants, beginning-of-year	2021-01-01	420
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	447
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	447
Number of employers contributing to the scheme	2021-01-01	0
2020: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2020 401k membership
Total participants, beginning-of-year	2020-01-01	387
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	387
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	387
Number of employers contributing to the scheme	2020-01-01	0
2019: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2019 401k membership
Total participants, beginning-of-year	2019-01-01	362
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	362
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	362
Number of employers contributing to the scheme	2019-01-01	0
2018: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2018 401k membership
Total participants, beginning-of-year	2018-01-01	325
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	362
Total of all active and inactive participants	2018-01-01	362

Form 5500 Responses for RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P

2021: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: RENOWN HEALTH SELF INSURED SHORT TERM DISABILITY P 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Potentially related plans

RENOWN HEALTH LLC 401(K) PLAN [EIN = 852970881]

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Company Name:	RENOWN HEALTH
Employer identification number (EIN):	942972845
NAIC Classification:	622000
NAIC Description:	Hospitals

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	1985-07-29
Company Identification Number:	19851012396
Legal Registered Office Address:	50 W. LIBERTY STREET, 11TH FLOOR RENO United States of America (USA) 89502