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GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE 401k Plan overview

Plan NameGROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
Plan identification number 505

GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

NORTHERN BERKSHIRE HEALTHCARE has sponsored the creation of one or more 401k plans.

Company Name:NORTHERN BERKSHIRE HEALTHCARE
Employer identification number (EIN):222563466
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052012-07-01AMY COLDIRON
5052011-07-01AMY COLDIRON
5052010-07-01AMY COLDIRON
5052009-07-01AMY COLDIRON

Plan Statistics for GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE

401k plan membership statisitcs for GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE

Measure Date Value
2012: GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE 2012 401k membership
Total participants, beginning-of-year2012-07-01438
Total number of active participants reported on line 7a of the Form 55002012-07-01433
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01433
2011: GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-07-01525
Total number of active participants reported on line 7a of the Form 55002011-07-01532
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-01532
2010: GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE 2010 401k membership
Total participants, beginning-of-year2010-07-01626
Total number of active participants reported on line 7a of the Form 55002010-07-01469
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-0196
Total of all active and inactive participants2010-07-01565
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-01565
Number of participants with account balances2010-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-010
Number of employers contributing to the scheme2010-07-010
2009: GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-07-01780
Total number of active participants reported on line 7a of the Form 55002009-07-01535
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-0191
Total of all active and inactive participants2009-07-01626
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-01626
Number of participants with account balances2009-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Form 5500 Responses for GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE

2012: GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planYes
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

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