NORTH COUNTRY HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN
401k plan membership statisitcs for NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN
| Measure | Date | Value |
|---|
| 2020: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 465 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 465 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 7 |
| Total of all active and inactive participants | 2020-01-01 | 479 |
| 2019: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 462 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 458 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 2 |
| Total of all active and inactive participants | 2019-01-01 | 462 |
| 2018: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 487 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 468 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 2 |
| Total of all active and inactive participants | 2018-01-01 | 472 |
| 2017: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-11-01 | 483 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 479 |
| Number of retired or separated participants receiving benefits | 2017-11-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2017-11-01 | 6 |
| Total of all active and inactive participants | 2017-11-01 | 487 |
| 2016: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-11-01 | 476 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 480 |
| Number of retired or separated participants receiving benefits | 2016-11-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2016-11-01 | 2 |
| Total of all active and inactive participants | 2016-11-01 | 484 |
| 2015: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-11-01 | 465 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 467 |
| Number of retired or separated participants receiving benefits | 2015-11-01 | 6 |
| Number of other retired or separated participants entitled to future benefits | 2015-11-01 | 3 |
| Total of all active and inactive participants | 2015-11-01 | 476 |
| 2014: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-11-01 | 443 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 452 |
| Number of retired or separated participants receiving benefits | 2014-11-01 | 5 |
| Number of other retired or separated participants entitled to future benefits | 2014-11-01 | 8 |
| Total of all active and inactive participants | 2014-11-01 | 465 |
| 2013: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-11-01 | 475 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-11-01 | 444 |
| Number of retired or separated participants receiving benefits | 2013-11-01 | 5 |
| Number of other retired or separated participants entitled to future benefits | 2013-11-01 | 6 |
| Total of all active and inactive participants | 2013-11-01 | 455 |
| 2012: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-11-01 | 512 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-11-01 | 475 |
| Number of retired or separated participants receiving benefits | 2012-11-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2012-11-01 | 8 |
| Total of all active and inactive participants | 2012-11-01 | 491 |
| 2011: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-11-01 | 514 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-11-01 | 512 |
| Number of retired or separated participants receiving benefits | 2011-11-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2011-11-01 | 2 |
| Total of all active and inactive participants | 2011-11-01 | 518 |
| 2010: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-11-01 | 512 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-11-01 | 514 |
| Number of retired or separated participants receiving benefits | 2010-11-01 | 10 |
| Number of other retired or separated participants entitled to future benefits | 2010-11-01 | 3 |
| Total of all active and inactive participants | 2010-11-01 | 527 |
| 2009: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-11-01 | 498 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-11-01 | 499 |
| Number of retired or separated participants receiving benefits | 2009-11-01 | 11 |
| Number of other retired or separated participants entitled to future benefits | 2009-11-01 | 2 |
| Total of all active and inactive participants | 2009-11-01 | 512 |
| Total participants | 2009-11-01 | 0 |
| 2020: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2017 form 5500 responses |
|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | Submission has been amended | No |
| 2017-11-01 | This submission is the final filing | No |
| 2017-11-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2017-11-01 | Plan is a collectively bargained plan | No |
| 2017-11-01 | Plan funding arrangement – Insurance | Yes |
| 2017-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2016 form 5500 responses |
|---|
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Submission has been amended | No |
| 2016-11-01 | This submission is the final filing | No |
| 2016-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-11-01 | Plan is a collectively bargained plan | No |
| 2016-11-01 | Plan funding arrangement – Insurance | Yes |
| 2016-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2015 form 5500 responses |
|---|
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | Submission has been amended | No |
| 2015-11-01 | This submission is the final filing | No |
| 2015-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-11-01 | Plan is a collectively bargained plan | No |
| 2015-11-01 | Plan funding arrangement – Insurance | Yes |
| 2015-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2014 form 5500 responses |
|---|
| 2014-11-01 | Type of plan entity | Single employer plan |
| 2014-11-01 | Submission has been amended | No |
| 2014-11-01 | This submission is the final filing | No |
| 2014-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-11-01 | Plan is a collectively bargained plan | No |
| 2014-11-01 | Plan funding arrangement – Insurance | Yes |
| 2014-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2013 form 5500 responses |
|---|
| 2013-11-01 | Type of plan entity | Single employer plan |
| 2013-11-01 | Submission has been amended | No |
| 2013-11-01 | This submission is the final filing | No |
| 2013-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-11-01 | Plan is a collectively bargained plan | No |
| 2013-11-01 | Plan funding arrangement – Insurance | Yes |
| 2013-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2012 form 5500 responses |
|---|
| 2012-11-01 | Type of plan entity | Single employer plan |
| 2012-11-01 | Submission has been amended | No |
| 2012-11-01 | This submission is the final filing | No |
| 2012-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-11-01 | Plan is a collectively bargained plan | No |
| 2012-11-01 | Plan funding arrangement – Insurance | Yes |
| 2012-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2011 form 5500 responses |
|---|
| 2011-11-01 | Type of plan entity | Single employer plan |
| 2011-11-01 | Submission has been amended | No |
| 2011-11-01 | This submission is the final filing | No |
| 2011-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-11-01 | Plan is a collectively bargained plan | No |
| 2011-11-01 | Plan funding arrangement – Insurance | Yes |
| 2011-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2010 form 5500 responses |
|---|
| 2010-11-01 | Type of plan entity | Single employer plan |
| 2010-11-01 | Submission has been amended | No |
| 2010-11-01 | This submission is the final filing | No |
| 2010-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-11-01 | Plan is a collectively bargained plan | No |
| 2010-11-01 | Plan funding arrangement – Insurance | Yes |
| 2010-11-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: NORTH COUNTRY HOSPITAL & HEALTH CENTER, INC. LONG-TERM DISABILITY PLAN 2009 form 5500 responses |
|---|
| 2009-11-01 | Type of plan entity | Single employer plan |
| 2009-11-01 | Submission has been amended | No |
| 2009-11-01 | This submission is the final filing | No |
| 2009-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-11-01 | Plan is a collectively bargained plan | No |
| 2009-11-01 | Plan funding arrangement – Insurance | Yes |
| 2009-11-01 | Plan benefit arrangement – Insurance | Yes |
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GF3810B6360401 |
| Policy instance | 1 |
| Insurance contract or identification number | GF3810B6360401 | | Number of Individuals Covered | 465 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $11,047 | | Total amount of fees paid to insurance company | USD $4,629 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $220,938 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 4629 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 69893-8 |
| Policy instance | 2 |
| Insurance contract or identification number | 69893-8 | | Number of Individuals Covered | 465 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $8,228 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $77,527 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,389 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GF3810B6360401 |
| Policy instance | 1 |
| Insurance contract or identification number | GF3810B6360401 | | Number of Individuals Covered | 462 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $19,415 | | Total amount of fees paid to insurance company | USD $3,540 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $178,136 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $9,708 | | Amount paid for insurance broker fees | 3540 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 69893-8 |
| Policy instance | 2 |
| Insurance contract or identification number | 69893-8 | | Number of Individuals Covered | 458 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $8,329 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $58,629 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,358 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 ) |
| Policy contract number | GF3810B6360401 |
| Policy instance | 1 |
| Insurance contract or identification number | GF3810B6360401 | | Number of Individuals Covered | 480 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $3,117 | | Total amount of fees paid to insurance company | USD $1,396 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $31,174 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,117 | | Amount paid for insurance broker fees | 1396 | | Additional information about fees paid to insurance broker | SUPPLEMENTAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | BROWN & BROWN OF MASSACHUSETTS LLC |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | 69893-8 |
| Policy instance | 2 |
| Insurance contract or identification number | 69893-8 | | Number of Individuals Covered | 479 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $1,152 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $13,629 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $471 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | ACADIA BENEFITS INC |
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