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ST. BARNABAS HOSPITAL 403(B) PLAN 401k Plan overview

Plan NameST. BARNABAS HOSPITAL 403(B) PLAN
Plan identification number 002

ST. BARNABAS HOSPITAL 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ST. BARNABAS HOSPITAL & BRAKER MEMORIAL has sponsored the creation of one or more 401k plans.

Company Name:ST. BARNABAS HOSPITAL & BRAKER MEMORIAL
Employer identification number (EIN):131740122
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. BARNABAS HOSPITAL 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01KEITH WOLF
0022016-01-01KEITH WOLF
0022015-01-01KEITH WOLF

Plan Statistics for ST. BARNABAS HOSPITAL 403(B) PLAN

401k plan membership statisitcs for ST. BARNABAS HOSPITAL 403(B) PLAN

Measure Date Value
2022: ST. BARNABAS HOSPITAL 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,282
Total number of active participants reported on line 7a of the Form 55002022-01-012,866
Number of retired or separated participants receiving benefits2022-01-0137
Number of other retired or separated participants entitled to future benefits2022-01-01429
Total of all active and inactive participants2022-01-013,332
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-013,332
Number of participants with account balances2022-01-011,853
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0129
2021: ST. BARNABAS HOSPITAL 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-013,155
Total number of active participants reported on line 7a of the Form 55002021-01-012,837
Number of retired or separated participants receiving benefits2021-01-0133
Number of other retired or separated participants entitled to future benefits2021-01-01412
Total of all active and inactive participants2021-01-013,282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-013,282
Number of participants with account balances2021-01-011,609
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0117
2020: ST. BARNABAS HOSPITAL 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,975
Total number of active participants reported on line 7a of the Form 55002020-01-012,819
Number of retired or separated participants receiving benefits2020-01-0118
Number of other retired or separated participants entitled to future benefits2020-01-01318
Total of all active and inactive participants2020-01-013,155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-013,155
Number of participants with account balances2020-01-011,666
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0127
2019: ST. BARNABAS HOSPITAL 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-012,863
Total number of active participants reported on line 7a of the Form 55002019-01-012,699
Number of retired or separated participants receiving benefits2019-01-0122
Number of other retired or separated participants entitled to future benefits2019-01-01254
Total of all active and inactive participants2019-01-012,975
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-012,975
Number of participants with account balances2019-01-011,552
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0143
2018: ST. BARNABAS HOSPITAL 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012,934
Total number of active participants reported on line 7a of the Form 55002018-01-012,626
Number of retired or separated participants receiving benefits2018-01-0124
Number of other retired or separated participants entitled to future benefits2018-01-01213
Total of all active and inactive participants2018-01-012,863
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-012,863
Number of participants with account balances2018-01-011,459
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0151
2017: ST. BARNABAS HOSPITAL 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,796
Total number of active participants reported on line 7a of the Form 55002017-01-012,783
Number of retired or separated participants receiving benefits2017-01-015
Number of other retired or separated participants entitled to future benefits2017-01-01144
Total of all active and inactive participants2017-01-012,932
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-012
Total participants2017-01-012,934
Number of participants with account balances2017-01-011,333
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0122
2016: ST. BARNABAS HOSPITAL 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,644
Total number of active participants reported on line 7a of the Form 55002016-01-012,670
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-01103
Total of all active and inactive participants2016-01-012,774
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-012,775
Number of participants with account balances2016-01-011,215
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0129
2015: ST. BARNABAS HOSPITAL 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,594
Total number of active participants reported on line 7a of the Form 55002015-01-012,572
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0136
Total of all active and inactive participants2015-01-012,608
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-012,608
Number of participants with account balances2015-01-011,025
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on ST. BARNABAS HOSPITAL 403(B) PLAN

Measure Date Value
2022 : ST. BARNABAS HOSPITAL 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-3,572,268
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$5,773,072
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$5,554,964
Value of total corrective distributions2022-12-31$18,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$14,158,583
Value of total assets at end of year2022-12-31$105,312,328
Value of total assets at beginning of year2022-12-31$114,657,668
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$199,208
Total interest from all sources2022-12-31$201,318
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$3,794,738
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$3,794,738
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$11,670,968
Participant contributions at end of year2022-12-31$1,666,742
Participant contributions at beginning of year2022-12-31$1,452,885
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$354,772
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$-9,345,340
Value of net assets at end of year (total assets less liabilities)2022-12-31$105,312,328
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$114,657,668
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$92,570,065
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$103,233,761
Interest on participant loans2022-12-31$64,367
Interest earned on other investments2022-12-31$136,951
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$8,942,678
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$7,987,038
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-21,726,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$2,132,843
Employer contributions (assets) at end of year2022-12-31$2,132,843
Employer contributions (assets) at beginning of year2022-12-31$1,983,984
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$5,554,964
Contract administrator fees2022-12-31$199,208
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FUST CHARLES LLP
Accountancy firm EIN2022-12-31161226221
2021 : ST. BARNABAS HOSPITAL 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$25,489,081
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$6,095,788
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$5,885,636
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$13,988,167
Value of total assets at end of year2021-12-31$114,657,668
Value of total assets at beginning of year2021-12-31$95,264,375
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$210,152
Total interest from all sources2021-12-31$231,281
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$2,989,680
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$2,989,680
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$11,397,019
Participant contributions at end of year2021-12-31$1,452,885
Participant contributions at beginning of year2021-12-31$1,284,861
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$607,164
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Income. Non cash contributions2021-12-31$0
Value of net income/loss2021-12-31$19,393,293
Value of net assets at end of year (total assets less liabilities)2021-12-31$114,657,668
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$95,264,375
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$103,233,761
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$84,839,104
Interest on participant loans2021-12-31$59,122
Interest earned on other investments2021-12-31$172,159
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$7,987,038
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$7,623,061
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$8,279,953
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,983,984
Employer contributions (assets) at end of year2021-12-31$1,983,984
Employer contributions (assets) at beginning of year2021-12-31$1,517,349
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$5,885,636
Contract administrator fees2021-12-31$210,152
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2021-12-31161226221
2020 : ST. BARNABAS HOSPITAL 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$23,933,621
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$6,144,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$6,023,179
Value of total corrective distributions2020-12-31$1,555
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$12,807,789
Value of total assets at end of year2020-12-31$95,264,375
Value of total assets at beginning of year2020-12-31$77,475,022
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$119,534
Total interest from all sources2020-12-31$253,623
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$2,872,845
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$2,872,845
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$10,531,516
Participant contributions at end of year2020-12-31$1,284,861
Participant contributions at beginning of year2020-12-31$1,159,153
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$758,924
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$17,789,353
Value of net assets at end of year (total assets less liabilities)2020-12-31$95,264,375
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$77,475,022
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$84,839,104
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$68,929,869
Interest on participant loans2020-12-31$59,831
Interest earned on other investments2020-12-31$193,792
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$7,623,061
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$5,929,040
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$7,999,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,517,349
Employer contributions (assets) at end of year2020-12-31$1,517,349
Employer contributions (assets) at beginning of year2020-12-31$1,456,960
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$6,023,179
Contract administrator fees2020-12-31$119,534
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2020-12-31161226221
2019 : ST. BARNABAS HOSPITAL 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$24,022,239
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$4,334,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$4,174,768
Value of total corrective distributions2019-12-31$24,385
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$12,328,261
Value of total assets at end of year2019-12-31$77,475,022
Value of total assets at beginning of year2019-12-31$57,787,206
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$135,270
Total interest from all sources2019-12-31$209,206
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$1,948,383
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$1,948,383
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$9,914,298
Participant contributions at end of year2019-12-31$1,159,153
Participant contributions at beginning of year2019-12-31$919,420
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$957,003
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$19,687,816
Value of net assets at end of year (total assets less liabilities)2019-12-31$77,475,022
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$57,787,206
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$68,929,869
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$49,977,145
Interest on participant loans2019-12-31$54,217
Interest earned on other investments2019-12-31$154,989
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$5,929,040
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$5,394,134
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$9,536,389
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,456,960
Employer contributions (assets) at end of year2019-12-31$1,456,960
Employer contributions (assets) at beginning of year2019-12-31$1,496,507
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$4,174,768
Contract administrator fees2019-12-31$135,270
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2019-12-31161226221
2018 : ST. BARNABAS HOSPITAL 403(B) 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$8,852,095
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,262,501
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,134,021
Value of total corrective distributions2018-12-31$24,249
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$12,018,942
Value of total assets at end of year2018-12-31$57,787,206
Value of total assets at beginning of year2018-12-31$51,197,612
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$104,231
Total interest from all sources2018-12-31$145,823
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,790,046
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,790,046
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$9,136,956
Participant contributions at end of year2018-12-31$919,420
Participant contributions at beginning of year2018-12-31$730,014
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,383,848
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$6,589,594
Value of net assets at end of year (total assets less liabilities)2018-12-31$57,787,206
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$51,197,612
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 registered invesment companies (eg mutual funds) at end of year2018-12-31$49,977,145
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$43,175,628
Interest on participant loans2018-12-31$40,689
Interest earned on other investments2018-12-31$105,134
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$5,394,134
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$4,246,241
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-5,102,716
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$1,498,138
Employer contributions (assets) at end of year2018-12-31$1,496,507
Employer contributions (assets) at beginning of year2018-12-31$3,045,729
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,134,021
Contract administrator fees2018-12-31$104,231
Did the plan have assets held for investment2018-12-31Yes
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)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2018-12-31161226221
2017 : ST. BARNABAS HOSPITAL 403(B) 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$17,526,714
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,612,578
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,512,465
Value of total corrective distributions2017-12-31$4,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$11,724,999
Value of total assets at end of year2017-12-31$51,197,612
Value of total assets at beginning of year2017-12-31$35,283,476
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$95,735
Total interest from all sources2017-12-31$101,183
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,094,591
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,094,591
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$8,145,222
Participant contributions at end of year2017-12-31$730,014
Participant contributions at beginning of year2017-12-31$508,585
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$534,048
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$15,914,136
Value of net assets at end of year (total assets less liabilities)2017-12-31$51,197,612
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$35,283,476
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 registered invesment companies (eg mutual funds) at end of year2017-12-31$43,175,628
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$28,700,585
Interest on participant loans2017-12-31$26,360
Interest earned on other investments2017-12-31$74,823
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$4,246,241
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$3,303,653
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$4,605,941
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$3,045,729
Employer contributions (assets) at end of year2017-12-31$3,045,729
Employer contributions (assets) at beginning of year2017-12-31$2,770,653
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,512,465
Contract administrator fees2017-12-31$95,735
Did the plan have assets held for investment2017-12-31Yes
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)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2017-12-31161226221
2016 : ST. BARNABAS HOSPITAL 403(B) 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$14,957,341
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,192,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,123,866
Value of total corrective distributions2016-12-31$2,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$12,906,964
Value of total assets at end of year2016-12-31$35,283,476
Value of total assets at beginning of year2016-12-31$21,518,484
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$66,334
Total interest from all sources2016-12-31$67,653
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$739,175
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$739,175
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$7,412,067
Participant contributions at end of year2016-12-31$508,585
Participant contributions at beginning of year2016-12-31$183,848
Participant contributions at end of year2016-12-31$0
Participant contributions at beginning of year2016-12-31$216,377
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$2,721,262
Other income not declared elsewhere2016-12-31$807
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$13,764,992
Value of net assets at end of year (total assets less liabilities)2016-12-31$35,283,476
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$21,518,484
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 registered invesment companies (eg mutual funds) at end of year2016-12-31$28,700,585
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$17,084,808
Interest on participant loans2016-12-31$14,641
Interest earned on other investments2016-12-31$53,012
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$3,303,653
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,753,065
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,242,742
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$2,773,635
Employer contributions (assets) at end of year2016-12-31$2,770,653
Employer contributions (assets) at beginning of year2016-12-31$2,280,386
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,123,866
Contract administrator fees2016-12-31$66,334
Did the plan have assets held for investment2016-12-31Yes
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)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2016-12-31161226221
2015 : ST. BARNABAS HOSPITAL 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$21,789,783
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$271,299
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$228,282
Value of total corrective distributions2015-12-31$3,635
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$22,001,646
Value of total assets at end of year2015-12-31$21,518,484
Value of total assets at beginning of year2015-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$39,382
Total interest from all sources2015-12-31$23,516
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$676,938
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$676,938
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$6,478,585
Participant contributions at end of year2015-12-31$183,848
Participant contributions at beginning of year2015-12-31$0
Participant contributions at end of year2015-12-31$216,377
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$13,242,675
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
Income. Non cash contributions2015-12-31$0
Value of net income/loss2015-12-31$21,518,484
Value of net assets at end of year (total assets less liabilities)2015-12-31$21,518,484
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
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 registered invesment companies (eg mutual funds) at end of year2015-12-31$17,084,808
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$0
Interest on participant loans2015-12-31$3,347
Interest earned on other investments2015-12-31$20,169
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,753,065
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-912,317
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$2,280,386
Employer contributions (assets) at end of year2015-12-31$2,280,386
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$228,282
Contract administrator fees2015-12-31$39,382
Did the plan have assets held for investment2015-12-31Yes
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)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31FUST CHARLES CHAMBERS LLP
Accountancy firm EIN2015-12-31161226221

Form 5500 Responses for ST. BARNABAS HOSPITAL 403(B) PLAN

2022: ST. BARNABAS HOSPITAL 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ST. BARNABAS HOSPITAL 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ST. BARNABAS HOSPITAL 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ST. BARNABAS HOSPITAL 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ST. BARNABAS HOSPITAL 403(B) 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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ST. BARNABAS HOSPITAL 403(B) 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ST. BARNABAS HOSPITAL 403(B) 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ST. BARNABAS HOSPITAL 403(B) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60139 )
Policy contract number893973-007
Policy instance 1
Insurance contract or identification number893973-007
Number of Individuals Covered192
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?Yes
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60139 )
Policy contract number893973-007
Policy instance 1
Insurance contract or identification number893973-007
Number of Individuals Covered193
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?Yes
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60139 )
Policy contract number893973-007
Policy instance 1
Insurance contract or identification number893973-007
Number of Individuals Covered203
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60139 )
Policy contract number893973-007
Policy instance 1
Insurance contract or identification number893973-007
Number of Individuals Covered195
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?Yes
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60139 )
Policy contract number893973-007
Policy instance 1
Insurance contract or identification number893973-007
Number of Individuals Covered192
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?Yes
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60139 )
Policy contract number893973-007
Policy instance 1
Insurance contract or identification number893973-007
Number of Individuals Covered188
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?Yes
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE & ANNUITY COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 60139 )
Policy contract number893973-007
Policy instance 1
Insurance contract or identification number893973-007
Number of Individuals Covered156
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
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?Yes
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 BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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