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NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 401k Plan overview

Plan NameNEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN
Plan identification number 504

NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

NEW JERSEY ORGAN AND TISSUE SHARING NETWORK, INC. has sponsored the creation of one or more 401k plans.

Company Name:NEW JERSEY ORGAN AND TISSUE SHARING NETWORK, INC.
Employer identification number (EIN):222490603
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042015-01-01JOSEPH S. ROTH JOSEPH S. ROTH2016-08-01
5042014-01-01JOSEPH S. ROTH JOSEPH S. ROTH2015-10-13
5042013-01-01JOSEPH S. ROTH JOSEPH S. ROTH2014-10-07
5042012-01-01JOSEPH S. ROTH JOSEPH S. ROTH2013-10-11
5042011-01-01JOSEPH S. ROTH JOSEPH S. ROTH2012-10-08
5042010-01-01DEBRA SANTANGELO DEBRA SANTANGELO2011-10-13
5042009-01-01DEBRA SANTANGELO DEBRA SANTANGELO2010-10-13

Plan Statistics for NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN

401k plan membership statisitcs for NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN

Measure Date Value
2015: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01109
Total number of active participants reported on line 7a of the Form 55002015-01-010
Total of all active and inactive participants2015-01-010
Total participants2015-01-010
2014: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01116
Total number of active participants reported on line 7a of the Form 55002014-01-01109
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01109
Total participants2014-01-01109
2013: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01120
Total number of active participants reported on line 7a of the Form 55002013-01-01114
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-01116
Total participants2013-01-01116
2012: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01127
Total number of active participants reported on line 7a of the Form 55002012-01-01120
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 participants2012-01-01120
Total participants2012-01-01120
2011: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01127
Total number of active participants reported on line 7a of the Form 55002011-01-01127
Total of all active and inactive participants2011-01-01127
Total participants2011-01-01127
2010: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01131
Total number of active participants reported on line 7a of the Form 55002010-01-01127
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 participants2010-01-01127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01127
Number of participants with account balances2010-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01129
Total number of active participants reported on line 7a of the Form 55002009-01-01123
Number of other retired or separated participants entitled to future benefits2009-01-018
Total of all active and inactive participants2009-01-01131
Total participants2009-01-01131

Form 5500 Responses for NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN

2015: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01This submission is the final filingYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: NEW JERSEY ORGAN AND TISSUE SHARING NETWORK EMPLOYEE LONG TERM CARE BENEFITS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number512418
Policy instance 1
Insurance contract or identification number512418
Number of Individuals Covered117
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,893
Other welfare benefits providedLONG-TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $32,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,893
Additional information about fees paid to insurance brokerINSURANCE AGENT/BROKER
Insurance broker organization code?3
Insurance broker nameA & A BENEFIT CONSULTANTS, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number512418
Policy instance 1
Insurance contract or identification number512418
Number of Individuals Covered115
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,871
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedLONG-TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $32,829
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,871
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINSURANCE AGENT/BROKER
Insurance broker organization code?3
Insurance broker nameA & A BENEFIT CONSULTANTS, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number512418
Policy instance 1
Insurance contract or identification number512418
Number of Individuals Covered118
Insurance policy start date2013-01-01
Insurance policy end date2014-01-01
Total amount of commissions paid to insurance brokerUSD $3,495
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,495
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINSURANCE AGENT/BROKER
Insurance broker organization code?3
Insurance broker nameA & A BENEFIT CONSULTANTS, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number512418
Policy instance 1
Insurance contract or identification number512418
Number of Individuals Covered122
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $3,136
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,136
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINSURANCE AGENT/BROKER
Insurance broker organization code?3
Insurance broker nameA & A BENEFIT CONSULTANTS, INC.
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number512418
Policy instance 1
Insurance contract or identification number512418
Number of Individuals Covered128
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $3,314
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,117
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number512418
Policy instance 1
Insurance contract or identification number512418
Number of Individuals Covered128
Insurance policy start date2010-01-01
Insurance policy end date2011-01-01
Total amount of commissions paid to insurance brokerUSD $3,124
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,124
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINSURANCE AGENT/BROKER
Insurance broker organization code?3
Insurance broker nameA & A BENEFIT CONSULTANTS, INC.

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