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THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 401k Plan overview

Plan NameTHE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN
Plan identification number 503

THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

401k Sponsoring company profile

THE GENERAL HOSPITAL CORPORATION FRUIT STREET has sponsored the creation of one or more 401k plans.

Company Name:THE GENERAL HOSPITAL CORPORATION FRUIT STREET
Employer identification number (EIN):042697983
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032018-01-01
5032017-01-01CHRISTINE ZOTTOLI
5032016-01-01DONNA CLANCY
5032015-01-01PAUL CHANEY
5032014-01-01PAUL CHANEY DONNA CLANCY2015-07-29
5032013-01-01PAUL CHANEY AMY VACCHINA2014-09-30
5032012-01-01PAUL CHANEY AMY VACCHINA2014-07-24
5032011-01-01PAUL CHANEY AMY VACCHINA2012-07-24
5032010-01-01PAUL CHANEY AMY VACCHINA2011-10-17
5032009-01-01PAUL CHANEY AMY VACCHINA2010-07-23
5032009-01-01PAUL CHANEY AMY VACCHINA2011-10-17
5032009-01-01PAUL CHANEY AMY VACCHINA2011-10-17
5032009-01-01PAUL CHANEY AMY VACCHINA2011-10-17
5032009-01-01PAUL CHANEY AMY VACCHINA2010-07-23

Plan Statistics for THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN

401k plan membership statisitcs for THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN

Measure Date Value
2018: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0121,340
Total number of active participants reported on line 7a of the Form 55002018-01-0120,881
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0120,881
2017: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0121,456
Total number of active participants reported on line 7a of the Form 55002017-01-0121,340
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0121,340
2016: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0119,583
Total number of active participants reported on line 7a of the Form 55002016-01-0121,456
Total of all active and inactive participants2016-01-0121,456
2015: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0115,207
Total number of active participants reported on line 7a of the Form 55002015-01-0119,583
Total of all active and inactive participants2015-01-0119,583
2014: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0110,880
Total number of active participants reported on line 7a of the Form 55002014-01-0115,207
Total of all active and inactive participants2014-01-0115,207
2013: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0114,110
Total number of active participants reported on line 7a of the Form 55002013-01-0110,880
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0110,880
2012: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0114,110
Total number of active participants reported on line 7a of the Form 55002012-01-0110,847
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0110,847
2011: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0113,509
Total number of active participants reported on line 7a of the Form 55002011-01-0114,110
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0114,110
2010: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0124,036
Total number of active participants reported on line 7a of the Form 55002010-01-0113,509
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0113,509
2009: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0123,421
Total number of active participants reported on line 7a of the Form 55002009-01-0124,036
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0124,036

Financial Data on THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN

Measure Date Value
2018 : THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$33,359
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$848,487
Total income from all sources (including contributions)2018-12-31$18,876,978
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$21,429,168
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$21,257,720
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$22,356,304
Value of total assets at end of year2018-12-31$36,101,499
Value of total assets at beginning of year2018-12-31$39,468,817
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$171,448
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$171,448
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$19,891,422
Participant contributions at end of year2018-12-31$763,042
Participant contributions at beginning of year2018-12-31$857,358
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$92,580
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$6,739
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$58,952
Liabilities. Value of operating payables at end of year2018-12-31$26,620
Liabilities. Value of operating payables at beginning of year2018-12-31$28,365
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-2,552,190
Value of net assets at end of year (total assets less liabilities)2018-12-31$36,068,140
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$38,620,330
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in master investment trust accounts at end of year2018-12-31$35,033,332
Value of interest in master investment trust accounts at beginning of year2018-12-31$38,186,478
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$10,063,679
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$2,464,882
Employer contributions (assets) at end of year2018-12-31$305,125
Employer contributions (assets) at beginning of year2018-12-31$332,401
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$11,194,041
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$761,170
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31WOLF & COMPANY, P.C.
Accountancy firm EIN2018-12-31042689883
2017 : THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$848,487
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$77,326
Total income from all sources (including contributions)2017-12-31$26,785,627
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$20,465,156
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$20,286,076
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$21,482,015
Value of total assets at end of year2017-12-31$39,468,817
Value of total assets at beginning of year2017-12-31$32,377,185
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$179,080
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$179,080
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$19,176,744
Participant contributions at end of year2017-12-31$857,358
Participant contributions at beginning of year2017-12-31$948,250
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$92,580
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$58,952
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$48,613
Liabilities. Value of operating payables at end of year2017-12-31$28,365
Liabilities. Value of operating payables at beginning of year2017-12-31$28,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$6,320,471
Value of net assets at end of year (total assets less liabilities)2017-12-31$38,620,330
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$32,299,859
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in master investment trust accounts at end of year2017-12-31$38,186,478
Value of interest in master investment trust accounts at beginning of year2017-12-31$31,170,905
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$10,751,851
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,305,271
Employer contributions (assets) at end of year2017-12-31$332,401
Employer contributions (assets) at beginning of year2017-12-31$258,030
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$9,534,225
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$761,170
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$0
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BDO USA, LLP
Accountancy firm EIN2017-12-31135381590
2016 : THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$77,326
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$860,417
Total income from all sources (including contributions)2016-12-31$23,128,768
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$20,782,728
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$20,607,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$21,985,995
Value of total assets at end of year2016-12-31$32,377,185
Value of total assets at beginning of year2016-12-31$30,814,236
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$175,666
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$175,666
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$19,632,887
Participant contributions at end of year2016-12-31$948,250
Participant contributions at beginning of year2016-12-31$994,335
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$48,613
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$846,302
Liabilities. Value of operating payables at end of year2016-12-31$28,713
Liabilities. Value of operating payables at beginning of year2016-12-31$14,115
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,346,040
Value of net assets at end of year (total assets less liabilities)2016-12-31$32,299,859
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$29,953,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in master investment trust accounts at end of year2016-12-31$31,170,905
Value of interest in master investment trust accounts at beginning of year2016-12-31$29,138,810
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$11,352,063
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,353,108
Employer contributions (assets) at end of year2016-12-31$258,030
Employer contributions (assets) at beginning of year2016-12-31$681,091
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$9,254,999
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BDO USA, LLP
Accountancy firm EIN2016-12-31135381590
2015 : THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$0
Total transfer of assets from this plan2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$860,417
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$887,306
Total income from all sources (including contributions)2015-12-31$20,186,887
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$19,797,788
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$19,629,833
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$21,262,419
Value of total assets at end of year2015-12-31$30,814,236
Value of total assets at beginning of year2015-12-31$30,452,026
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$167,955
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$18,986,355
Participant contributions at end of year2015-12-31$994,335
Participant contributions at beginning of year2015-12-31$846,217
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$846,302
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$873,598
Other income not declared elsewhere2015-12-31$0
Liabilities. Value of operating payables at end of year2015-12-31$14,115
Liabilities. Value of operating payables at beginning of year2015-12-31$13,708
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$389,099
Value of net assets at end of year (total assets less liabilities)2015-12-31$29,953,819
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$29,564,720
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in master investment trust accounts at end of year2015-12-31$29,138,810
Value of interest in master investment trust accounts at beginning of year2015-12-31$29,392,735
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$10,927,975
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,276,064
Employer contributions (assets) at end of year2015-12-31$681,091
Employer contributions (assets) at beginning of year2015-12-31$213,074
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$8,701,858
Contract administrator fees2015-12-31$167,955
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BDO USA, LLP
Accountancy firm EIN2015-12-31135381590
2014 : THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$4,760,837
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$887,306
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$193,144
Total income from all sources (including contributions)2014-12-31$9,676,980
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$8,533,842
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$8,368,130
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$8,788,064
Value of total assets at end of year2014-12-31$30,452,026
Value of total assets at beginning of year2014-12-31$23,853,889
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$165,712
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$7,884,059
Participant contributions at end of year2014-12-31$846,217
Participant contributions at beginning of year2014-12-31$599,556
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$873,598
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$179,541
Other income not declared elsewhere2014-12-31$0
Liabilities. Value of operating payables at end of year2014-12-31$13,708
Liabilities. Value of operating payables at beginning of year2014-12-31$13,603
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,143,138
Value of net assets at end of year (total assets less liabilities)2014-12-31$29,564,720
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$23,660,745
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in master investment trust accounts at end of year2014-12-31$29,392,735
Value of interest in master investment trust accounts at beginning of year2014-12-31$22,705,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$904,005
Employer contributions (assets) at end of year2014-12-31$213,074
Employer contributions (assets) at beginning of year2014-12-31$548,644
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$8,368,130
Contract administrator fees2014-12-31$165,712
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31FEELEY & DRISCOLL PC
Accountancy firm EIN2014-12-31042684828
2013 : THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$193,144
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$160,461
Total income from all sources (including contributions)2013-12-31$11,019,612
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$7,807,134
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$7,652,137
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$8,330,203
Value of total assets at end of year2013-12-31$23,853,889
Value of total assets at beginning of year2013-12-31$20,608,728
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$154,997
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$7,532,940
Participant contributions at end of year2013-12-31$599,556
Participant contributions at beginning of year2013-12-31$567,563
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$179,541
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$147,918
Liabilities. Value of operating payables at end of year2013-12-31$13,603
Liabilities. Value of operating payables at beginning of year2013-12-31$12,543
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,212,478
Value of net assets at end of year (total assets less liabilities)2013-12-31$23,660,745
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$20,448,267
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in master investment trust accounts at end of year2013-12-31$22,705,689
Value of interest in master investment trust accounts at beginning of year2013-12-31$19,888,685
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$797,263
Employer contributions (assets) at end of year2013-12-31$548,644
Employer contributions (assets) at beginning of year2013-12-31$152,480
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$7,652,137
Contract administrator fees2013-12-31$154,997
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31FEELEY & DRISCOLL PC
Accountancy firm EIN2013-12-31042684828
2012 : THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$160,461
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$609,190
Total income from all sources (including contributions)2012-12-31$10,167,556
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$7,256,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$7,107,209
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$7,860,785
Value of total assets at end of year2012-12-31$20,608,728
Value of total assets at beginning of year2012-12-31$18,145,978
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$148,868
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$7,202,797
Participant contributions at end of year2012-12-31$567,563
Participant contributions at beginning of year2012-12-31$705,262
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$147,918
Liabilities. Value of operating payables at end of year2012-12-31$12,543
Liabilities. Value of operating payables at beginning of year2012-12-31$40,597
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,911,479
Value of net assets at end of year (total assets less liabilities)2012-12-31$20,448,267
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$17,536,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in master investment trust accounts at end of year2012-12-31$19,888,685
Value of interest in master investment trust accounts at beginning of year2012-12-31$16,903,763
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$657,988
Employer contributions (assets) at end of year2012-12-31$152,480
Employer contributions (assets) at beginning of year2012-12-31$536,953
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,107,209
Contract administrator fees2012-12-31$148,868
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$568,593
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31FEELEY & DRISCOLL PC
Accountancy firm EIN2012-12-31042684828
2011 : THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$609,190
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$7,142,376
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$6,527,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$6,352,644
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$7,662,927
Value of total assets at end of year2011-12-31$18,145,978
Value of total assets at beginning of year2011-12-31$16,921,812
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$174,756
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$174,756
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$6,890,678
Participant contributions at end of year2011-12-31$705,262
Participant contributions at beginning of year2011-12-31$645,155
Liabilities. Value of operating payables at end of year2011-12-31$40,597
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$614,976
Value of net assets at end of year (total assets less liabilities)2011-12-31$17,536,788
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$16,921,812
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in master investment trust accounts at end of year2011-12-31$16,903,763
Value of interest in master investment trust accounts at beginning of year2011-12-31$16,094,842
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$772,249
Employer contributions (assets) at end of year2011-12-31$536,953
Employer contributions (assets) at beginning of year2011-12-31$181,815
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$6,352,644
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$568,593
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31FEELEY & DRISCOLL PC
Accountancy firm EIN2011-12-31042684828
2010 : THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$8,965,002
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$5,992,750
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$5,816,660
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$7,369,644
Value of total assets at end of year2010-12-31$16,921,812
Value of total assets at beginning of year2010-12-31$13,949,560
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$176,090
Total interest from all sources2010-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$176,090
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$6,578,731
Participant contributions at end of year2010-12-31$645,155
Participant contributions at beginning of year2010-12-31$614,602
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,972,252
Value of net assets at end of year (total assets less liabilities)2010-12-31$16,921,812
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$13,949,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in master investment trust accounts at end of year2010-12-31$16,094,842
Value of interest in master investment trust accounts at beginning of year2010-12-31$12,850,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$790,913
Employer contributions (assets) at end of year2010-12-31$181,815
Employer contributions (assets) at beginning of year2010-12-31$484,763
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$5,816,660
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31FEELEY & DRISCOLL PC
Accountancy firm EIN2010-12-31042684828

Form 5500 Responses for THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN

2018: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: THE MASSACHUSETTS GENERAL HOSPITAL LONG TERM DISABILITY WRAP PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number121385
Policy instance 1
Insurance contract or identification number121385
Number of Individuals Covered2747
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $233,690
Total amount of fees paid to insurance companyUSD $58,592
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,919,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $233,690
Insurance broker organization code?3
Amount paid for insurance broker fees58592
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number121385
Policy instance 1
Insurance contract or identification number121385
Number of Individuals Covered2679
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $519,114
Total amount of fees paid to insurance companyUSD $197,482
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $10,818,925
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $519,114
Insurance broker organization code?3
Amount paid for insurance broker fees197482
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker nameHOSPITAL RISK MANAGEMENT SOLUTIONS

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