ATLANTIC CITY MEDICAL CENTER EMPLOYEE BENEFIT TRUST
2500 ENGLISH CREEK AVE, EGG HARBOR TWP, NJ 08234

Total Revenue
$23,172
Total Expenses
$4,749
Net Assets
$1,406,255

Organizations Filed Purposes: ATLANTICARE HEALTH SYSTEM, INC. AND AFFILIATES (THE "COMPANY") ESTABLISHED THE ATLANTIC CITY MEDICAL CENTER GROUP LONG-TERM DISABILITY PLAN ("PLAN"), A DEFINED WELFARE BENEFIT PLAN, TO PROVIDE LONG-TERM DISABILITY BENEFITS FOR EMPLOYEES OF THE COMPANY, AS DEFINED IN THE PLAN. THE PLAN IS A SELF-INSURED PLAN AND CLAIMS ARE PAID THROUGH GENERAL ASSETS OF THE PLAN AND/OR THROUGH THE EMPLOYEE BENEFIT TRUST [AKA THE ATLANTIC CITY MEDICAL CENTER EMPLOYEE BENEFIT TRUST] (THE "TRUST"). ELIGIBILITY REQUIREMENTS FOR PARTICIPATION IN THE PLAN ARE: ALL REGULAR FULL-TIME EMPLOYEES WORKING 40 HOURS PER WEEK ARE ELIGIBLE FOR COVERAGE ON THE FIRST DAY ACTIVELY AT WORK COINCIDING WITH OR FOLLOWING 12 MONTHS OF CONTINUOUS EMPLOYMENT. BENEFIT PAYMENTS ARE MADE BASED ON 50% OF MONTHLY EARNINGS AT TIME OF TOTAL DISABILITY, REDUCED BY OTHER INCOME BENEFITS, UP TO A MAXIMUM OF $2,500 PER MONTH. PARTICIPANTS MAY ELECT TO "BUY-UP" A HIGHER PERCENTAGE OF BENEFITS, UP TO A MAXIMUM OF 66-2/3%. THE BENEFIT PERIOD

TO PROVIDE LONG-TERM DISABILITY BENEFITS FOR EMPLOYEES OF ATLANTIC CITY MEDICAL CENTER, AS DEFINED IN THE PLAN.

AtlantiCare Health System, Inc. and Affiliates (the "Company") established the Atlantic City Medical Center Group Long-Term Disability Plan ("Plan"), a defined welfare benefit plan, to provide long-term disability benefits for employees of the Company, as defined in the Plan. The Plan is a self-insured plan and claims are paid through general assets of the Plan and/or through the Employee Benefit Trust [aka The Atlantic City Medical Center Employee Benefit Trust] (the "Trust"). Eligibility requirements for participation in the Plan are: All regular full-time employees working 40 hours per week are eligible for coverage on the first day actively at work coinciding with or following 12 months of continuous employment. Benefit payments are made based on 50% of monthly earnings at time of total disability, reduced by other income benefits, up to a maximum of $2,500 per month. Participants may elect to "buy-up" a higher percentage of benefits, up to a maximum of 66-2/3%. The benefit period varies based on age of employee on the date total disability begins, as further defined in the Plan document. The Plan is funded primarily by employer contributions and nominal employee contributions for those who elected buy-up coverage. Such contributions are recorded on a cash basis. The Company plans and has the ability to make contributions which are sufficient to meet the current and future cost of the Plan. The assets of the Plan, together with the earnings on the cash and cash equivalents, are held in a trust fund and are used to provide benefits to the covered participants. The trust fund is administered by National Risk Management and funds are maintained in cash and cash equivalents accounts at PNC Bank (the "Trustee"), under an agreement with the Company.

Executives Listed on Filing

Total Salary includes financial earnings, benefits, and all related organization earnings listed on tax filing

NameTitleHours Per WeekTotal Salary
Atlanticare Health System IncTRUSTEE1$0

Data for this page was sourced from XML published by IRS (public 990 form dataset) from: https://s3.amazonaws.com/irs-form-990/201913019349300951_public.xml